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Resource Profile: EPA MedicationRequest

Defines the medication request resource for the Medication Service in the ePA system.

Usages:

• Use this Profile: EPA Operation ProvidePrescription ERP Input-Parameters
• Refer to this Profile: EPA MedicationStatement
• Examples for this Profile: MedicationRequest/3d7252b4-7814-4d40-8ca2-2f731648f22d and MedicationRequest/bb91cde8-0426-4f4b-a766-5d818d0605bd

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

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				Content/Rules for all slices
extension: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
extension		0..0
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
value	SΣ	1..1	decimal	Multiple Prescription Counter
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series
extension:period		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension Constraints: -limitationDateStart, -limitationDateEnd
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
extension		0..0
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension
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"
extension:isBvg	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
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	?!	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	?!SΣ	1..1	code	Status of Medication Request Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
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	SΣ	1..1	dateTime	Issue Date
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request Constraints: ref-1
basedOn	SΣC	0..*	Reference(eMP MedicationRequest)	What request fulfills Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	MedicationPlanIdentifier	Logical reference, when literal reference is not known
note	S	0..1	Annotation	Information about the prescription
text	SΣ	1..1	markdown	Dispensing Note
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SC	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: qty-3, sqty-1
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
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** extensions	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, MedicationRequest.basedOn	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()

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
extension: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
extension: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	S	1..1	code	Status of Medication Request
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
basedOn	S	0..*	Reference(eMP MedicationRequest)	What request fulfills
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	MedicationPlanIdentifier	Logical reference, when literal reference is not known
note	S	0..1	Annotation	Information about the prescription
text	S	1..1	markdown	Dispensing Note
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
value	S	1..1	decimal	Number of Prescribed Packages
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	S	0..1	code	Coded form of the unit
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

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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: -limitationDateStart, -limitationDateEnd
id		0..1	string	Unique id for inter-element referencing
extension		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		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"
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	?!	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	?!SΣ	1..1	code	Status of Medication Request Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
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 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	SΣ	1..1	dateTime	Issue Date
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	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		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 Constraints: ref-1
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣC	0..*	Reference(eMP MedicationRequest)	What request fulfills 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	SΣC	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	0..1	MedicationPlanIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 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	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Dispensing Note
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		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		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 Constraints: qty-3, sqty-1
duration	C	0..1	Duration	First fill duration Constraints: drt-1, qty-3
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses Constraints: drt-1, qty-3
validityPeriod	C	0..1	Period	Time period supply is authorized for Constraints: per-1
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	SC	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: qty-3, sqty-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
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense Constraints: drt-1, qty-3
performer	C	0..1	Reference(Organization)	Intended dispenser Constraints: ref-1
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical Issue with action Constraints: ref-1
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle Constraints: ref-1
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	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
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.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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.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** extensions	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.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.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.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements(1 nested mandatory element)
Must-Support: 39 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)
• eMP MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request)
• Profil für den Identifikator eines eMP-Eintrags (https://gematik.de/fhir/ti/StructureDefinition/medication-plan-identifier)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

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

Key Elements View

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				Content/Rules for all slices
extension: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
extension		0..0
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
value	SΣ	1..1	decimal	Multiple Prescription Counter
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series
extension:period		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension Constraints: -limitationDateStart, -limitationDateEnd
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
extension		0..0
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension
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"
extension:isBvg	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
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	?!	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	?!SΣ	1..1	code	Status of Medication Request Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
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	SΣ	1..1	dateTime	Issue Date
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request Constraints: ref-1
basedOn	SΣC	0..*	Reference(eMP MedicationRequest)	What request fulfills Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	MedicationPlanIdentifier	Logical reference, when literal reference is not known
note	S	0..1	Annotation	Information about the prescription
text	SΣ	1..1	markdown	Dispensing Note
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	SC	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: qty-3, sqty-1
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
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** extensions	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, MedicationRequest.basedOn	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()

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
extension: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
extension: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	S	1..1	code	Status of Medication Request
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
basedOn	S	0..*	Reference(eMP MedicationRequest)	What request fulfills
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	MedicationPlanIdentifier	Logical reference, when literal reference is not known
note	S	0..1	Annotation	Information about the prescription
text	S	1..1	markdown	Dispensing Note
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
value	S	1..1	decimal	Number of Prescribed Packages
unit	S	0..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	S	0..1	code	Coded form of the unit
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

Snapshot View

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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension: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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: -limitationDateStart, -limitationDateEnd
id		0..1	string	Unique id for inter-element referencing
extension		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		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"
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	?!	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	?!SΣ	1..1	code	Status of Medication Request Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
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 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	SΣ	1..1	dateTime	Issue Date
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	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		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 Constraints: ref-1
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣC	0..*	Reference(eMP MedicationRequest)	What request fulfills 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	SΣC	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	0..1	MedicationPlanIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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 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	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Dispensing Note
dosageInstruction	S	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		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		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 Constraints: qty-3, sqty-1
duration	C	0..1	Duration	First fill duration Constraints: drt-1, qty-3
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses Constraints: drt-1, qty-3
validityPeriod	C	0..1	Period	Time period supply is authorized for Constraints: per-1
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	SC	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: qty-3, sqty-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
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense Constraints: drt-1, qty-3
performer	C	0..1	Reference(Organization)	Intended dispenser Constraints: ref-1
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		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 Constraints: ref-1
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical Issue with action Constraints: ref-1
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle Constraints: ref-1
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	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
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.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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.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** extensions	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.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.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.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements(1 nested mandatory element)
Must-Support: 39 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)
• eMP MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request)
• Profil für den Identifikator eines eMP-Eintrags (https://gematik.de/fhir/ti/StructureDefinition/medication-plan-identifier)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

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