Validation Results for EPA_Medication

Generated Fri Aug 01 08:06:50 GMT 2025, FHIR version 4.0.1 for de.gematik.epa.medication#1.2.0-ballot.1 (canonical = https://gematik.de/fhir/epa-medication (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.12
Publication Code:	n/a . PackageId = de.gematik.epa.medication, Canonical = https://gematik.de/fhir/epa-medication
Realm Check for n/a:	n/a
Language Info:	This IG has no language information
Publication Request:	package-id de.gematik.epa.medication version 1.2.0-ballot.1 path https://gematik.de/fhir/epa-medication/1.2.0-ballot.1 Pub-Mode milestone status ballot Release-Label draft Sequence (Group) Publication desc Implementation Guide ePA Medication Service Version 1.2.0-ballot.1 first true category gematik title IG ePA Medication Service introduction Implementation Guide ePA Medication Service ci-build https://gematik.de/fhir/epa-medication/build/ RelatedIgs (None Found) This IG has never been published This release is labelled as a milestone, so should not have a patch version (1.2.0-ballot.1)
Supressed Messages:	68 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment de.gematik.epa.medication 1.2.0-ballot.1 R4 https://gematik.de/fhir/epa-medication hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.fhir.uv.extensions.r4 5.3.0-ballot I R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0-ballot hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (as above) de.basisprofil.r4 1.5.3 U R4 de.fhir.medication 1.0.0-ballot M R4 http://ig.fhir.de/igs/medication http://ig.fhir.de/igs/medication/1.0.0-ballot hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) de.gematik.fhir.directory 0.15.0 U R4 de.basisprofil.r4 1.5.3 U R4 (as above) de.ihe-d.terminology 3.0.1 U R4 http://fhir.de/packages/de.ihe-d.terminology http://fhir.de/packages/de.ihe-d.terminology de.gematik.terminology 1.0.6 U R4 https://gematik.de/fhir/terminology https://gematik.de/fhir/terminology/1.0.6 hl7.terminology.r4 6.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 Latest Release is 6.5.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) dvmd.kdl.r4 2025.0.0 U R4 de.gematik.ti 1.1.1-ballot.1 U R4 https://gematik.de/fhir/ti https://gematik.de/fhir/ti/1.1.1-ballot.1 hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) de.basisprofil.r4 1.5.3 U R4 (as above) de.gematik.terminology 1.0.6 U R4 https://gematik.de/fhir/terminology https://gematik.de/fhir/terminology/1.0.6 (as above) de.gematik.epa 1.2.0-ballot.1 U R4 https://gematik.de/fhir/epa https://gematik.de/fhir/epa/1.2.0-ballot.1 hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 (as above) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) de.basisprofil.r4 1.5.3 U R4 (as above) de.gematik.terminology 1.0.6 U R4 https://gematik.de/fhir/terminology https://gematik.de/fhir/terminology/1.0.6 (as above) de.gematik.ti 1.1.1-ballot.1 U R4 https://gematik.de/fhir/ti https://gematik.de/fhir/ti/1.1.1-ballot.1 (as above) Templates: gematik.ig.template#0.0.1 -> fhir.base.template#0.8.1. Tools: 0.7.1
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	https://tx.fhir.org/r4 (details)
HTA Analysis:	Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:	(none)
Draft Dependencies:	de.fhir.medication#1.0.0-ballot: MedicationDE (1 uses), DosageDgMP (8 uses) de.gematik.epa#1.2.0-ballot.1: EPA_Basic (1 uses), EPAPatient (3 uses), EPAActivityProvenance (13 uses), EPABasicClient (1 uses), EPABasicServer (1 uses), EPAOperationOutcomeDetailsCS (2 uses), EPAProvenanceParticipantTypeVS (2 uses), IdentifierEPAFHIRDataService (2 uses), EPAOperationOutcomeDetailsVS (1 uses) de.gematik.ti#1.1.1-ballot.1: TI_Common (1 uses), TIPractitionerRole (2 uses), TICapabilityStatement (2 uses), HTTPHeader (18 uses), HttpResponseInfo (494 uses), BaseUrl (2 uses), TIOrganization (7 uses), TIPractitioner (2 uses), TIOperationDefinition (13 uses), HttpMethod (13 uses), MedicationPlanIdentifier (8 uses), TIOperationOutcome (6 uses), EPrescriptionId (12 uses), TIOperationOutcomeDetailsCS (2 uses) hl7.fhir.r4.core#4.0.1: GuideParameterCode (17 uses), _id (16 uses), _lastUpdated (16 uses), identifier (10 uses), code (2 uses), status (2 uses), ingredient-code (2 uses), authoredon (2 uses), status (6 uses), requester (2 uses), medication (6 uses), whenhandedover (2 uses), prescription (2 uses), performer (2 uses), part-of (2 uses), effective (2 uses), identifier (2 uses), name (2 uses), identifier (2 uses), name (2 uses), identifier (2 uses), organization (2 uses), agent (2 uses), target (2 uses), recorded (2 uses), when (2 uses), Provenance (10 uses), CommonLanguages (24 uses), Location (3 uses), ProvenanceActivityType (1 uses), SecurityRoleType (1 uses), Practitioner (15 uses), PractitionerRole (14 uses), RelatedPerson (9 uses), Device (4 uses), Organization (24 uses), ProvenanceEntityRole (1 uses), MedicationRequest (17 uses), CommonTags (8 uses), medicationRequest Status Reason Codes (2 uses), medicationRequest Intent (2 uses), medicationRequest Category Codes (2 uses), RequestPriority (2 uses), Encounter (4 uses), CareTeam (2 uses), ProcedurePerformerRoleCodes (2 uses), Condition/Problem/DiagnosisCodes (3 uses), Condition (3 uses), CarePlan (2 uses), ServiceRequest (2 uses), ImmunizationRecommendation (1 uses), medicationRequest Course of Therapy Codes (2 uses), Coverage (2 uses), ClaimResponse (2 uses), DetectedIssue (4 uses), Medication (36 uses), SNOMEDCTMedicationCodes (4 uses), Medication Status Codes (4 uses), SNOMEDCTFormCodes (4 uses), UCUMCodes (28 uses), Substance (2 uses), MedicationDispense (8 uses), Procedure (2 uses), MedicationDispense Status Codes (1 uses), MedicationDispense Status Reason Codes (1 uses), EpisodeOfCare (2 uses), MedicationDispense Performer Function Codes (1 uses), medicationrequest Status (1 uses), MedicationStatement (7 uses), MedicationAdministration (1 uses), SNOMEDCTDrugTherapyStatusCodes (1 uses), Medication usage category codes (1 uses), DiagnosticReport (1 uses), medicationrequest Status (7 uses), Medication Status Codes (4 uses), MedicationDispense Status Codes (1 uses) hl7.terminology.r4#6.3.0: ContactEntityType (10 uses), OperationOutcomeCodes (58 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at https://gematik.de/fhir/epa-medication (Problem #1 with package-list.json at https://gematik.de/fhir/epa-medication: Not Found)
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Narratives Suppressed	Bundle/example-get-medication-list-bundle1, Bundle/example-searchset-medication, Bundle/example-searchset-medicationdispense, Bundle/example-searchset-medicationrequest, Bundle/medication-plan-chronology-log-bundle, CapabilityStatement/epa-medication-service-client, CapabilityStatement/epa-medication-service-server, Medication/2571d29b-e213-40ec-b817-a1490718a490, Medication/3b990824-3814-4d75-80b1-e2935827f8f0, Medication/4B5557E5-4900-47FE-A8D9-407611E05BD2, Medication/4bfef107-7d81-4d36-8aa0-7ea937969046, Medication/4f9ab221-0eef-4e46-a8a9-38302e0488b1, Medication/CortisonDexpantenolMedicationPreparation, Medication/ExampleEPAMedicationMax, Medication/NachtragEmlMedication, Medication/NachtragEmpMedicationEml, Medication/NachtragEmpMedicationEmp, Medication/SumatripanMedication, MedicationDispense/46865835-8c8f-4139-86ba-271bd3565250, MedicationDispense/4e6e1623-778e-44a3-b208-8479f5339e43, MedicationRequest/3d7252b4-7814-4d40-8ca2-2f731648f22d, MedicationRequest/NachtragEmpMedicationRequestEmp, MedicationRequest/bb91cde8-0426-4f4b-a766-5d818d0605bd, OperationOutcome/0a30eb5d-289f-44cf-a0bd-ec4ec38edaa8, OperationOutcome/0b476e35-02d5-4fb0-ad60-79f5eb05e2b4, OperationOutcome/1a5a1db0-7bab-4d25-a43d-3ad1efb29cb5, OperationOutcome/24b64018-89f4-4a52-8e9c-c0af279c4e86, OperationOutcome/255002c7-aa1b-4163-bdd4-ede482453cca, OperationOutcome/2b34898e-a9d1-4fa6-9959-5ff6033cfcb0, OperationOutcome/41d25882-4a02-47e3-a367-f5b5fe8c8015, OperationOutcome/446e77ff-9fcb-4232-8de3-74986f78d85f, OperationOutcome/52c59e99-eba0-4488-b829-39983b9169f5, OperationOutcome/98ca7dff-aa8d-47d0-a074-4055f55cb4db, OperationOutcome/a4da96e5-84d6-4883-8789-5df2e1363c40, OperationOutcome/a94b020a-2f34-4013-83ea-cf1bd0a92cdd, OperationOutcome/b29880f0-6c99-4fe2-aae2-007e8cb4d9cf, OperationOutcome/bef62761-7eea-4daa-a992-36c532232679, OperationOutcome/c03670fe-eaf2-4a38-a333-4dc1470072a2, OperationOutcome/c146f801-8f50-4ca4-8578-514d5938e3c3, OperationOutcome/dc558008-4fbd-4e51-a16a-0cbc382a529f, OperationOutcome/e4f1ed42-7741-40f5-a84e-fd688ac74d3e, OperationOutcome/e69228bf-6f07-4055-8190-e832d2c670dc, OperationOutcome/e730e451-3a44-4842-a8ed-1517a3334465, OperationOutcome/ee1e0518-02f2-4d3a-99ae-bae8e91c382d, OperationOutcome/fc3e8ea4-41ec-4de2-906e-97871b34adcb, Parameters/example-epa-op-cancel-dispensation-erp-input-parameters-1, Parameters/example-epa-op-cancel-prescription-erp-input-parameters-1, Parameters/example-epa-op-provide-dispensation-erp-input-parameters-1, Parameters/example-epa-op-provide-dispensation-erp-input-parameters-2, Parameters/example-epa-op-provide-dispensation-erp-input-parameters-3, Parameters/example-epa-op-provide-prescription-erp-input-parameters-1, Parameters/example-epa-op-provide-prescription-erp-input-parameters-2, Parameters/example-epa-op-rx-dispensation-erp-output-parameters-1, Parameters/example-epa-op-rx-prescription-erp-output-parameters-1, Provenance/283ea1a2-abbe-4404-b412-d27d45e8a845, Provenance/75f7a1f9-5bc8-4ff8-884e-120caf30dde5, Provenance/NachtragEmlProvenance, Provenance/NachtragEmpProvenanceEml, Provenance/NachtragEmpProvenanceEmp, Provenance/afacd2a0-f3e8-4cc1-ac47-be7a44fe01a3
Validation Suppressed	Bundle/example-searchset-medication, Medication/2571d29b-e213-40ec-b817-a1490718a490, Medication/3b990824-3814-4d75-80b1-e2935827f8f0, Medication/4bfef107-7d81-4d36-8aa0-7ea937969046, Medication/4f9ab221-0eef-4e46-a8a9-38302e0488b1, Medication/CortisonDexpantenolMedicationPreparation, Medication/ExampleEPAMedicationMax, Medication/SumatripanMedication, Parameters/example-epa-op-provide-dispensation-erp-input-parameters-1, Parameters/example-epa-op-provide-dispensation-erp-input-parameters-2, Parameters/example-epa-op-provide-prescription-erp-input-parameters-1, Parameters/example-epa-op-provide-prescription-erp-input-parameters-2, Provenance/283ea1a2-abbe-4404-b412-d27d45e8a845, Provenance/75f7a1f9-5bc8-4ff8-884e-120caf30dde5, Provenance/NachtragEmlProvenance, Provenance/NachtragEmpProvenanceEml, Provenance/NachtragEmpProvenanceEmp, Provenance/afacd2a0-f3e8-4cc1-ac47-be7a44fe01a3
CodeSystem Fragments	Bundle/example-searchset-medication, Medication/2571d29b-e213-40ec-b817-a1490718a490, Medication/3b990824-3814-4d75-80b1-e2935827f8f0, Medication/4bfef107-7d81-4d36-8aa0-7ea937969046, Medication/4f9ab221-0eef-4e46-a8a9-38302e0488b1, Medication/CortisonDexpantenolMedicationPreparation, Medication/ExampleEPAMedicationMax, Medication/SumatripanMedication, Parameters/example-epa-op-provide-dispensation-erp-input-parameters-1, Parameters/example-epa-op-provide-dispensation-erp-input-parameters-2, Parameters/example-epa-op-provide-prescription-erp-input-parameters-1, Parameters/example-epa-op-provide-prescription-erp-input-parameters-2, Provenance/283ea1a2-abbe-4404-b412-d27d45e8a845, Provenance/75f7a1f9-5bc8-4ff8-884e-120caf30dde5, Provenance/NachtragEmlProvenance, Provenance/NachtragEmpProvenanceEml, Provenance/NachtragEmpProvenanceEmp, Provenance/afacd2a0-f3e8-4cc1-ac47-be7a44fe01a3
Summary:	errors = 8, warn = 8, info = 1, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/CapabilityStatement-epa-medication-service-client.json Show Validation Information (0)

fsh-generated/resources/CapabilityStatement-epa-medication-service-server.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-add-eml-entry-input-parameters.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-add-emp-entry-input-parameters.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-eml-entry-output-parameters.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-emp-entry-output-parameters.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-link-emp-entry-output-parameters.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-link-emp-entry-parameters.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-update-eml-entry-input-parameters.json Show Validation Information (0)

fsh-generated/resources/StructureDefinition-epa-op-update-emp-entry-input-parameters.json Show Validation Information (0)

Suppressed Messages (Warnings, hints, broken links)

Bundle Example Instances

• Es konnte nicht festgestellt werden, ob diese Ressource ein gültiger Ressourcentyp für diese Suche ist (0 uses)
• Es konnten keine Typen aus dem Suchstring ermittelt werden, so dass die Typen nicht überprüft werden können (2 uses)
• No types could be determined from the search string, so the types can't be checked (0 uses)
• SearchSet-Bundles sollten Suchmodi für die Einträge enthalten (1 uses)
• Unable to determine if this resource is a valid resource type for this search (0 uses)

Codesystems that cannot be resolved by tx.fhir.org

• A definition for CodeSystem 'http://fhir.de/CodeSystem/ask' could not be found% (0 uses)
• A definition for CodeSystem 'http://fhir.de/CodeSystem/bfarm/atc' could not be found% (0 uses)
• A definition for CodeSystem 'http://fhir.de/CodeSystem/bfarm/atc' version '2022' could not be found% (2 uses)
• A definition for CodeSystem 'http://fhir.de/CodeSystem/ifa/pzn' could not be found% (7 uses)
• A definition for CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/11000274103/version/20240515' could not be found% (0 uses)
• A definition for CodeSystem 'https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM' version '1.10' could not be found% (0 uses)
• A definition for CodeSystem 'https://terminologieserver.bfarm.de/fhir/CodeSystem/arzneimittel-referenzdaten-pharmazeutisches-produkt' could not be found% (0 uses)

Context in Extensions Causes Validation Errors in Contained Resources

• %Kontext Element% (11 uses)
• %extensions should not have a context of Element% (0 uses)

Dispite the warning tests prove the FHIR path expression to be correct

• The left side is inherently a collection, and so the expression 'extension('https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension').value = true' may fail or return false if there is more than one item in the content being evaluated (1 uses)

Draft Reference

• %Reference to draft% (2 uses)

Ignoring Warnings: Example Instances

• %but this is not in the parameters list in the operation definition (41 uses)
• %matching against profile http://hl7.org/fhir/StructureDefinition/Medication% (0 uses)
• SearchSet bundles should have search modes on the entries (0 uses)
• The in profile defines a parameter % (0 uses)
• The out profile defines a parameter % (0 uses)
• Unable to find ImplementationGuide.definition.resource.description for the resource% (44 uses)

Ignoring Warnings: Unavailable German ValueSets and CodeSystems

• %http://terminology.hl7.org/CodeSystem/v2-0203#PRN% (4 uses)
• %http://terminology.hl7.org/ValueSet/v3-% (0 uses)
• %https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM% (8 uses)
• %https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM% (11 uses)
• A definition for CodeSystem 'https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM' could not be found, so the code cannot be validated (0 uses)
• ValueSet 'https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM' not found (0 uses)
• ValueSet 'https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE' not found (0 uses)

Ignoring Warnings: ValueSets and CodeSystems

• ValueSet 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform' not found (0 uses)

Ignoring Warnings: We are using a custom template of our own

• %HTML fragment% (3 uses)
• %publish box% (1 uses)
• The IG is not for the international realm, and it uses SNOMED CT, so it should fix the SCT edition in the expansion parameters (0 uses)

No display names for de-DE

• %has no Display Names for the language de-DE (3 uses)

Not an Error: Profiles Correctly Set in Medication.contained

• %https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-pharmaceutical-product% (1 uses)
• %https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-pzn-ingredient% (1 uses)
• Binding https://gematik.de/fhir/terminology/ValueSet/ti-medication-type-vs could not be expanded (0 uses)

Not resolvable

• %/epa/medication/api/v1/fhir/% (6 uses)
• %Ressource 'urn:uuid% (0 uses)
• %epa4all/epa/medication/% (6 uses)
• %http://fhir.org/packages/de.basisprofil.r4/% (2 uses)
• %http://fhir.org/packages/de.gematik.fhir.directory/ImplementationGuide% (2 uses)
• %https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR'% (2 uses)
• %https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE% (5 uses)
• %https://gematik.de/fhir/epa-medication/sid/% (46 uses)
• %https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId% (5 uses)
• %https://gematik.de/fhir/sid/% (23 uses)
• %https://terminologieserver.bfarm.de/fhir/CodeSystem/arzneimittel-referenzdaten-pharmazeutisches-produkt% (0 uses)
• %urn:ietf:bcp:47% (0 uses)

Operation Definition

• %Constraint failed: opd-0% (13 uses)
• https://gematik.de/fhir/terminology/ValueSet/ti-medication-type-vs (0 uses)

SnomedCT version that cannot be resolved by tx.fhir.org

• %SCT edition% (0 uses)
• %http://snomed.info/sct% (1 uses)

Value sets that cannot be resolved by tx.fhir.org

• %http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform% (0 uses)

Warning

• %'Parameters.parameter.part' has type 'BackboneElement which is not consistent with the element that defines the slicing% (0 uses)
• %Code found in include% (0 uses)
• %Parameters.parameter.part% (2 uses)
• %parameter 'rxDispensation'% (0 uses)
• %parameter 'rxPrescription'% (0 uses)
• Das sich wiederholende Element hat ein pattern. Die pattern gilt für alle Wiederholungen (dies war nicht allen Benutzern klar) (24 uses)
• The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (0 uses)

We are using R4 and so this is fine for now

• The discriminator type 'pattern' is deprecated in R5+% (6 uses)
• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (0 uses)

We only want to use narratives if needed

• %dom-6% (58 uses)

We use bracket notation for some UCUM codes

• UCUM Codes that contain human readable annotations like% (8 uses)

We want to allow HTML tags in

• Der String-Wert enthält Text, der wie eingebettete HTML-Tags aussieht. Wenn dieser Inhalt ohne entsprechende Nachbearbeitung in HTML gerendert wird, kann er ein Sicherheitsrisiko darstellen (8 uses)
• The string value contains text that looks like embedded HTML tags. If this content is rendered to HTML without appropriate post-processing, it may be a security risk (0 uses)

must-support

• %must-support% (1 uses)

Errors sorted by type

Extension_EXTP_Context_Wrong_VER

MSG_DEPENDS_ON_DEPRECATED_NOTE