Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
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: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10(1.5.4)	Logical reference, when literal reference is not known
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.extension:context.value[x]	required	EPAMedicationStatementContextCodeVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medicationstatement-context-code From this IG
MedicationStatement.status	required	EPAMedicationStatementStatusVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medication-statement-status-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	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	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	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)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben : extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	MedicationStatement.subject, MedicationStatement.derivedFrom	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
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: epa-med-statement-status
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
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 Binding: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
basedOn
Slices for extension				Content/Rules for all slices
extension:isEMP		0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
status	S	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	S	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	S	1..1	Reference(Patient)	Who is/was taking the medication
identifier	S	1..1	IdentifierKvid10(1.5.4)	Logical reference, when literal reference is not known
Slices for effective[x]	S	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	SC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	S	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	S	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.extension:context.value[x]	required	EPAMedicationStatementContextCodeVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medicationstatement-context-code From this IG
MedicationStatement.status	required	EPAMedicationStatementStatusVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medication-statement-status-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	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)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben : extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
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		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: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External identifier
basedOn	ΣC	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order Constraints: ref-1
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:isEMP		0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event Constraints: ref-1
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication 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(1.5.4)	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement Constraints: ref-1
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
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	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
informationSource	C	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication Constraints: ref-1
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken Constraints: ref-1
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationStatement.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.extension:context.value[x]	required	EPAMedicationStatementContextCodeVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medicationstatement-context-code From this IG
MedicationStatement.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.status	required	EPAMedicationStatementStatusVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medication-statement-status-vs From this IG
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes From the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category From the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	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	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	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)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben : extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonReference	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'))

Summary

Mandatory: 3 elements
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• EPA Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request)
• EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense)
• 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/rx-prescription-process-identifier-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
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: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10(1.5.4)	Logical reference, when literal reference is not known
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.extension:context.value[x]	required	EPAMedicationStatementContextCodeVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medicationstatement-context-code From this IG
MedicationStatement.status	required	EPAMedicationStatementStatusVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medication-statement-status-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	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	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	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)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben : extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	MedicationStatement.subject, MedicationStatement.derivedFrom	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
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: epa-med-statement-status
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
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 Binding: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
basedOn
Slices for extension				Content/Rules for all slices
extension:isEMP		0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
status	S	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	S	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	S	1..1	Reference(Patient)	Who is/was taking the medication
identifier	S	1..1	IdentifierKvid10(1.5.4)	Logical reference, when literal reference is not known
Slices for effective[x]	S	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	SC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	S	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	S	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.extension:context.value[x]	required	EPAMedicationStatementContextCodeVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medicationstatement-context-code From this IG
MedicationStatement.status	required	EPAMedicationStatementStatusVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medication-statement-status-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	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)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben : extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
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		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: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External identifier
basedOn	ΣC	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order Constraints: ref-1
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:isEMP		0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event Constraints: ref-1
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication 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(1.5.4)	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement Constraints: ref-1
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
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	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
informationSource	C	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication Constraints: ref-1
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken Constraints: ref-1
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationStatement.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.extension:context.value[x]	required	EPAMedicationStatementContextCodeVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medicationstatement-context-code From this IG
MedicationStatement.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.status	required	EPAMedicationStatementStatusVS https://gematik.de/fhir/epa-medication/ValueSet/epa-medication-statement-status-vs From this IG
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes From the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category From the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	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	MedicationStatement	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	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	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	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	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)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben : extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonReference	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'))

Summary

Mandatory: 3 elements
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• EPA Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request)
• EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense)
• 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/rx-prescription-process-identifier-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]