Implementation Guide
ePA Medication Service
Version 1.3.0 - release

Resource Profile: EPA MedicationStatement

Official URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement Version: 1.3.0
Active as of 2025-12-15 Computable Name: EPAMedicationStatement

Copyright/Legal: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

Hält die Medikationsinformationen eines Eintrags in der elektronischen Medikationsliste (eML) vor und stellt das zentrale Element dar. Es wird zu Verschreibungs- und Dispensierinformationen als auch Nachträgen in der eML genutzt.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 Extension
Slice: Unordered, Open by value:url
..... 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
.... extension:renderedDosageInstruction S 0..1 markdown Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen).
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... basedOn SΣC 0..* Reference(EPA MedicationRequest | eMP MedicationRequest) Fulfils plan, proposal or order
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
..... extension:isEMP S 0..1 boolean Extension
URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
... 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 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​extension:context.value[x] Base required ePA MedicationStatement Context Codes 📦1.3.0 This IG
MedicationStatement.​status Base required ePA MedicationStatement Status Value Set 📦1.3.0 This IG

Constraints

Id Grade Path(s) Description Expression
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.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'))

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:renderedDosageInstruction S 0..1 markdown Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen).
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
.... Slices for extension Content/Rules for all slices
..... extension:isEMP S 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 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​extension:context.value[x] Base required ePA MedicationStatement Context Codes 📦1.3.0 This IG
MedicationStatement.​status Base required ePA MedicationStatement Status Value Set 📦1.3.0 This IG

Constraints

Id Grade Path(s) Description Expression
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'
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 Extension
Slice: Unordered, Open by value:url
..... 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
.... extension:renderedDosageInstruction S 0..1 markdown Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen).
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier External identifier
... basedOn SΣC 0..* Reference(EPA MedicationRequest | eMP MedicationRequest) 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 S 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 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​extension:context.value[x] Base required ePA MedicationStatement Context Codes 📦1.3.0 This IG
MedicationStatement.​basedOn.type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required ePA MedicationStatement Status Value Set 📦1.3.0 This IG
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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'))

This structure is derived from MedicationStatement

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 Extension
Slice: Unordered, Open by value:url
..... 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
.... extension:renderedDosageInstruction S 0..1 markdown Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen).
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... basedOn SΣC 0..* Reference(EPA MedicationRequest | eMP MedicationRequest) Fulfils plan, proposal or order
Constraints: ref-1
.... Slices for extension Content/Rules for all slices
..... extension:isEMP S 0..1 boolean Extension
URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
... 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 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​extension:context.value[x] Base required ePA MedicationStatement Context Codes 📦1.3.0 This IG
MedicationStatement.​status Base required ePA MedicationStatement Status Value Set 📦1.3.0 This IG

Constraints

Id Grade Path(s) Description Expression
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.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'))

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:renderedDosageInstruction S 0..1 markdown Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen).
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
.... Slices for extension Content/Rules for all slices
..... extension:isEMP S 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 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​extension:context.value[x] Base required ePA MedicationStatement Context Codes 📦1.3.0 This IG
MedicationStatement.​status Base required ePA MedicationStatement Status Value Set 📦1.3.0 This IG

Constraints

Id Grade Path(s) Description Expression
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'

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 Extension
Slice: Unordered, Open by value:url
..... 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
.... extension:renderedDosageInstruction S 0..1 markdown Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen).
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:generatedDosageInstructionsMeta S 0..1 (Complex) Metadaten zu den generierten Dosierungsanweisungen
URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier External identifier
... basedOn SΣC 0..* Reference(EPA MedicationRequest | eMP MedicationRequest) 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 S 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 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​extension:context.value[x] Base required ePA MedicationStatement Context Codes 📦1.3.0 This IG
MedicationStatement.​basedOn.type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required ePA MedicationStatement Status Value Set 📦1.3.0 This IG
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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'))

This structure is derived from MedicationStatement

 

Other representations of profile: CSV, Excel, Schematron