Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]		1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	Reference(EPA MedicationStatement)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
extension:reasonPatientInstruction	S	0..1	string	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
modifierExtension	?!	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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	External ids for this request Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/emp-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped | draft Binding: eMP MedicationRequest Status Value Set (required)
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1	Reference(eMP Medication)	Arzneimittel, welches geplant wird
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
extension:Seitenlokalisation	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
extension:Diagnosesicherheit	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
note	S	0..1	Annotation	Information about the prescription
time	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.extension:context.value[x]	required	Pattern Value: EMP https://gematik.de/fhir/epa-medication/ValueSet/context-code From this IG
MedicationRequest.status	required	EMPMedicationRequestStatusVS https://gematik.de/fhir/epa-medication/ValueSet/emp-medicationrequest-status-vs From this IG
MedicationRequest.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
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())
epa-datetime	error	MedicationRequest.authoredOn	dateTime muss mindestens aus Tag, Monat und Jahr bestehen : toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
ref-1	error	MedicationRequest.subject	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'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			MedicationRequest
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
contained		0..0
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
value[x]		1..1	code	Context of the resource Required Pattern: EMP
extension:activity	S	0..*	Reference(EPA MedicationStatement)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
extension:reasonPatientInstruction	S	0..1	string	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/emp-identifier
status	S	1..1	code	active | on-hold | completed | entered-in-error | stopped | draft Binding: eMP MedicationRequest Status Value Set (required)
intent		1..1	code	plan Required Pattern: plan
medication[x]	S	1..1	Reference(eMP Medication)	Arzneimittel, welches geplant wird
subject	S	1..1	Reference(Patient)	Who or group medication request is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	S	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
system	S	1..1	uri	Canonische CodeSystem URL für ICD-10-GM
version	S	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	S	1..1	code	Der ICD-10-Code
display	S	1..1	string	Representation defined by the system
reasonReference		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
groupIdentifier		0..0
courseOfTherapyType		0..0
note	S	0..1	Annotation	Information about the prescription
time	S	0..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest		0..0
substitution		0..0
priorPrescription		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	EMPMedicationRequestStatusVS https://gematik.de/fhir/epa-medication/ValueSet/emp-medicationrequest-status-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
epa-datetime	error	MedicationRequest.authoredOn	dateTime muss mindestens aus Tag, Monat und Jahr bestehen : toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
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		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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-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/context-extension"
value[x]		1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	Reference(EPA MedicationStatement)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
extension:reasonPatientInstruction	S	0..1	string	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
modifierExtension	?!	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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	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/sid/emp-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	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped | draft Binding: eMP MedicationRequest Status Value Set (required)
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
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(eMP Medication)	Arzneimittel, welches geplant wird
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication Constraints: ref-1
authoredOn	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
requester	ΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request Constraints: ref-1
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration Constraints: ref-1
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 Constraints: ref-1
reasonCode	S	0..1	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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Mehrfachcodierungs-Kennzeichen	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
extension:Seitenlokalisation	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
extension:Diagnosesicherheit	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
basedOn	ΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills Constraints: ref-1
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage Constraints: ref-1
note	S	0..1	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing
extension		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	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	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.extension:context.value[x]	required	Pattern Value: EMP https://gematik.de/fhir/epa-medication/ValueSet/context-code From this IG
MedicationRequest.status	required	EMPMedicationRequestStatusVS https://gematik.de/fhir/epa-medication/ValueSet/emp-medicationrequest-status-vs From this IG
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason From the FHIR Standard
MedicationRequest.intent	required	Pattern Value: plan 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.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
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())
epa-datetime	error	MedicationRequest.authoredOn	dateTime muss mindestens aus Tag, Monat und Jahr bestehen : toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
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.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()
ref-1	error	MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.recorder, MedicationRequest.basedOn, MedicationRequest.insurance, MedicationRequest.dispenseRequest.performer	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.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 23 elements
Prohibited: 11 elements

Structures

This structure refers to these other structures:

• Profil für den Identifikator eines eMP-Eintrags (https://gematik.de/fhir/ti/StructureDefinition/medication-plan-identifier)
• eMP Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Coding-Profil für ICD-10-GM (http://fhir.de/StructureDefinition/CodingICD10GM)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.identifier
• The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding (Closed)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
extension		0..0
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]		1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	Reference(EPA MedicationStatement)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
extension:reasonPatientInstruction	S	0..1	string	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
modifierExtension	?!	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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	External ids for this request Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/emp-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped | draft Binding: eMP MedicationRequest Status Value Set (required)
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1	Reference(eMP Medication)	Arzneimittel, welches geplant wird
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
extension:Seitenlokalisation	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
extension:Diagnosesicherheit	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
note	S	0..1	Annotation	Information about the prescription
time	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.extension:context.value[x]	required	Pattern Value: EMP https://gematik.de/fhir/epa-medication/ValueSet/context-code From this IG
MedicationRequest.status	required	EMPMedicationRequestStatusVS https://gematik.de/fhir/epa-medication/ValueSet/emp-medicationrequest-status-vs From this IG
MedicationRequest.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

Id	Grade	Path(s)	Details	Requirements
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())
epa-datetime	error	MedicationRequest.authoredOn	dateTime muss mindestens aus Tag, Monat und Jahr bestehen : toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
ref-1	error	MedicationRequest.subject	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'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			MedicationRequest
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
contained		0..0
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
value[x]		1..1	code	Context of the resource Required Pattern: EMP
extension:activity	S	0..*	Reference(EPA MedicationStatement)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
extension:reasonPatientInstruction	S	0..1	string	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/emp-identifier
status	S	1..1	code	active | on-hold | completed | entered-in-error | stopped | draft Binding: eMP MedicationRequest Status Value Set (required)
intent		1..1	code	plan Required Pattern: plan
medication[x]	S	1..1	Reference(eMP Medication)	Arzneimittel, welches geplant wird
subject	S	1..1	Reference(Patient)	Who or group medication request is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	S	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
system	S	1..1	uri	Canonische CodeSystem URL für ICD-10-GM
version	S	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	S	1..1	code	Der ICD-10-Code
display	S	1..1	string	Representation defined by the system
reasonReference		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
groupIdentifier		0..0
courseOfTherapyType		0..0
note	S	0..1	Annotation	Information about the prescription
time	S	0..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest		0..0
substitution		0..0
priorPrescription		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	EMPMedicationRequestStatusVS https://gematik.de/fhir/epa-medication/ValueSet/emp-medicationrequest-status-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
epa-datetime	error	MedicationRequest.authoredOn	dateTime muss mindestens aus Tag, Monat und Jahr bestehen : toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
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		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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-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/context-extension"
value[x]		1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	Reference(EPA MedicationStatement)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
extension:reasonPatientInstruction	S	0..1	string	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
modifierExtension	?!	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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	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/sid/emp-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	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped | draft Binding: eMP MedicationRequest Status Value Set (required)
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
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(eMP Medication)	Arzneimittel, welches geplant wird
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication Constraints: ref-1
authoredOn	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
requester	ΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request Constraints: ref-1
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration Constraints: ref-1
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 Constraints: ref-1
reasonCode	S	0..1	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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:Mehrfachcodierungs-Kennzeichen	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
extension:Seitenlokalisation	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
extension:Diagnosesicherheit	N	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
basedOn	ΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills Constraints: ref-1
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage Constraints: ref-1
note	S	0..1	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing
extension		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	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	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.extension:context.value[x]	required	Pattern Value: EMP https://gematik.de/fhir/epa-medication/ValueSet/context-code From this IG
MedicationRequest.status	required	EMPMedicationRequestStatusVS https://gematik.de/fhir/epa-medication/ValueSet/emp-medicationrequest-status-vs From this IG
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason From the FHIR Standard
MedicationRequest.intent	required	Pattern Value: plan 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.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
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())
epa-datetime	error	MedicationRequest.authoredOn	dateTime muss mindestens aus Tag, Monat und Jahr bestehen : toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
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.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()
ref-1	error	MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.recorder, MedicationRequest.basedOn, MedicationRequest.insurance, MedicationRequest.dispenseRequest.performer	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.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 23 elements
Prohibited: 11 elements

Structures

This structure refers to these other structures:

• Profil für den Identifikator eines eMP-Eintrags (https://gematik.de/fhir/ti/StructureDefinition/medication-plan-identifier)
• eMP Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Coding-Profil für ICD-10-GM (http://fhir.de/StructureDefinition/CodingICD10GM)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.identifier
• The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding (Closed)