Implementation Guide
ePA Medication Service
Version 1.2.0-ballot.2 - draft

## Resource Profile: EPA MedicationRequest

Official URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request | Version: 1.2.0-ballot.2
Draft as of 2025-09-02 | Computable Name: EPAMedicationRequest

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/0435e19e-ed9a-4b5b-a9e9-70924c5922a0, MedicationRequest/08cb8487-2758-406c-999a-e23a05e63c0b, MedicationRequest/0e7f16e4-d879-4a2c-8292-41c55201bbdd, MedicationRequest/2a794a78-8a72-46ca-bb81-09f702f94e11... Show 8 more, MedicationRequest/3191d752-3adf-4c7f-848d-8d43766fed72, MedicationRequest/3ffb5c34-81e7-45ec-842c-82a2422cb8c8, MedicationRequest/40df19aa-40e2-4ebc-a11d-9d232dcb0f67, MedicationRequest/4dd6f19d-002c-44ac-ae2f-3c9d08ad35b8, MedicationRequest/6461edff-13ec-4dc7-b9f3-aea66bcb0643, MedicationRequest/7efae80a-a4d9-4e26-a1b9-92c72e79cfaa, MedicationRequest/ed2eeb8c-9ab6-4f4f-be9d-7e1a3784045e and MedicationRequest/f14498f0-4932-490a-91a2-9de8616e133b
- CapabilityStatements using this Profile: EPA Capability Statement für Clients des ePA Medication Service and EPA CapabilityStatement für den Medication Service

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 | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ C | 1..1 | Quantity | Numerator value Constraints: qty-3
value | S Σ | 1..1 | decimal | Multiple Prescription Counter
denominator | S Σ C | 1..1 | Quantity | Denominator value Constraints: qty-3
value | S Σ | 1..1 | decimal | Denominator of Multiple Prescription Series
extension:period |  | 0..1 | Extension | Extension
extension |  | 0..0 |  |
url |  | 1..1 | uri | "period"
value[x] | S C | 1..1 | Period | Value of extension Constraints: -limitationDateStart, -limitationDateEnd
start | S Σ C | 1..1 | dateTime | Start Date of the Prescription Redemption Period
end | S Σ C | 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 | S Σ | 0..1 | uri | Specification as UUID Fixed Value: urn:ietf:rfc:3986
value | S Σ | 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 | ?!S Σ | 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 | ?!S Σ | 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] | S Σ | 1..1 | Reference(Medication) | Medication to be taken
subject | S Σ C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: ref-1
identifier | S Σ | 1..1 | IdentifierKvid10(1.5.4) | Logical reference, when literal reference is not known
authoredOn | S Σ | 1..1 | dateTime | Issue Date
requester | S Σ C | 0..1 | Reference(Organization | Practitioner | PractitionerRole) | Who/What requested the Request Constraints: ref-1
basedOn | S Σ C | 0..* | Reference(eMP-Eintrag) | What request fulfills Constraints: ref-1
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | MedicationPlanIdentifier | Logical reference, when literal reference is not known
note | S | 0..1 | Annotation | Information about the prescription
text | S Σ | 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 | S C | 0..1 | SimpleQuantity | Amount of medication to supply per dispense Constraints: qty-3, sqty-1
value | S Σ | 1..1 | decimal | Number of Prescribed Packages
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 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(1.5.4) | 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-Eintrag) | 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 | S Σ | 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 | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ C | 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 | S Σ | 1..1 | decimal | Multiple Prescription Counter
denominator | S Σ C | 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 | S Σ | 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] | S C | 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 | S Σ C | 1..1 | dateTime | Start Date of the Prescription Redemption Period
end | S Σ C | 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 | S Σ | 0..1 | uri | Specification as UUID Fixed Value: urn:ietf:rfc:3986
value | S Σ | 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 | ?!S Σ | 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 | ?!S Σ | 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] | S Σ | 1..1 | Reference(Medication) | Medication to be taken
subject | S Σ C | 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 | Σ C | 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 | S Σ | 1..1 | IdentifierKvid10(1.5.4) | 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 | S Σ | 1..1 | dateTime | Issue Date
requester | S Σ C | 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 | S Σ C | 0..* | Reference(eMP-Eintrag) | 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 | S Σ C | 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 | S Σ | 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 | S Σ | 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 | S C | 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 | S Σ | 1..1 | decimal | Number of Prescribed Packages
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 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-Eintrag (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 | S Σ | 0..1 | Meta | Metadata about the resource
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ C | 1..1 | Quantity | Numerator value Constraints: qty-3
value | S Σ | 1..1 | decimal | Multiple Prescription Counter
denominator | S Σ C | 1..1 | Quantity | Denominator value Constraints: qty-3
value | S Σ | 1..1 | decimal | Denominator of Multiple Prescription Series
extension:period |  | 0..1 | Extension | Extension
extension |  | 0..0 |  |
url |  | 1..1 | uri | "period"
value[x] | S C | 1..1 | Period | Value of extension Constraints: -limitationDateStart, -limitationDateEnd
start | S Σ C | 1..1 | dateTime | Start Date of the Prescription Redemption Period
end | S Σ C | 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 | S Σ | 0..1 | uri | Specification as UUID Fixed Value: urn:ietf:rfc:3986
value | S Σ | 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 | ?!S Σ | 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 | ?!S Σ | 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] | S Σ | 1..1 | Reference(Medication) | Medication to be taken
subject | S Σ C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: ref-1
identifier | S Σ | 1..1 | IdentifierKvid10(1.5.4) | Logical reference, when literal reference is not known
authoredOn | S Σ | 1..1 | dateTime | Issue Date
requester | S Σ C | 0..1 | Reference(Organization | Practitioner | PractitionerRole) | Who/What requested the Request Constraints: ref-1
basedOn | S Σ C | 0..* | Reference(eMP-Eintrag) | What request fulfills Constraints: ref-1
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | MedicationPlanIdentifier | Logical reference, when literal reference is not known
note | S | 0..1 | Annotation | Information about the prescription
text | S Σ | 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 | S C | 0..1 | SimpleQuantity | Amount of medication to supply per dispense Constraints: qty-3, sqty-1
value | S Σ | 1..1 | decimal | Number of Prescribed Packages
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 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(1.5.4) | 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-Eintrag) | 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 | S Σ | 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 | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 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 | S Σ C | 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 | S Σ | 1..1 | decimal | Multiple Prescription Counter
denominator | S Σ C | 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 | S Σ | 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] | S C | 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 | S Σ C | 1..1 | dateTime | Start Date of the Prescription Redemption Period
end | S Σ C | 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 | S Σ | 0..1 | uri | Specification as UUID Fixed Value: urn:ietf:rfc:3986
value | S Σ | 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 | ?!S Σ | 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 | ?!S Σ | 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] | S Σ | 1..1 | Reference(Medication) | Medication to be taken
subject | S Σ C | 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 | Σ C | 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 | S Σ | 1..1 | IdentifierKvid10(1.5.4) | 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 | S Σ | 1..1 | dateTime | Issue Date
requester | S Σ C | 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 | S Σ C | 0..* | Reference(eMP-Eintrag) | 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 | S Σ C | 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 | S Σ | 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 | S Σ | 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 | S C | 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 | S Σ | 1..1 | decimal | Number of Prescribed Packages
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 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-Eintrag (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

Other representations of profile: CSV, Excel, Schematron