abstractbaseDefinitioncopyright- Values Differ
date- Values Differ
descriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense) |
| Right: | EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense) |
| Error | StructureDefinition.version | Values for version differ: '1.2.0' vs '1.3.0' |
| Information | StructureDefinition.date | Values for date differ: '2025-09-12' vs '2025-12-15' |
| Information | StructureDefinition.copyright | Values for copyright differ: 'gematik GmbH' vs 'gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationDispense | ||
| copyright | gematik GmbH | gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0. |
|
| date | 2025-09-12 | 2025-12-15 |
|
| description | Defines the medication dispense resource for the Medication Service in the ePA system. | ||
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#DE | ||
| kind | resource | ||
| name | EPAMedicationDispense | ||
| publisher | gematik GmbH | ||
| purpose | |||
| status | active | ||
| title | EPA MedicationDispense | ||
| type | MedicationDispense | ||
| url | https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense | ||
| version | 1.2.0 | 1.3.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 MedicationDispense | C | 0..* | MedicationDispense | Dispensing a medication to a named patient | C | 0..* | MedicationDispense | Dispensing a medication to a named patient | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
 meta | SΣ | 0..1 | Meta | Metadata about the resource | SΣ | 0..1 | Meta | Metadata about the resource | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 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 | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| versionId | SΣ | 0..1 | id | Version specific identifier | SΣ | 0..1 | id | Version specific identifier | |||||||||
| lastUpdated | SΣ | 0..1 | instant | When the resource version last changed | SΣ | 0..1 | instant | When the resource version last changed | |||||||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | Σ | 0..1 | uri | Identifies where the resource comes from | |||||||||
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |||||||||
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (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 | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| 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 | 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 | 0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
 Slices for modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | |||||||||
| Slices for identifier | 0..* | Identifier | External identifier Slice: Unordered, Open by pattern:$this | 0..* | Identifier | External identifier Slice: Unordered, Open by pattern:$this | |||||||||||
| partOf | C | 0..* | Reference(Procedure) | Event that dispense is part of | C | 0..* | Reference(Procedure) | Event that dispense is part of | |||||||||
| status | ?!SΣ | 1..1 | code | Status of medication dispense Binding: ?? (required): A coded concept specifying the state of the dispense event. | ?!SΣ | 1..1 | code | Status of medication dispense Binding: ?? (required) | |||||||||
| statusReason[x] | 0..1 | CodeableConcept, Reference(DetectedIssue) | Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed. | 0..1 | CodeableConcept, Reference(DetectedIssue) | Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed. | |||||||||||
| category | S | 0..1 | CodeableConcept | Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: ?? (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung. | S | 0..1 | CodeableConcept | Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: ?? (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung. | |||||||||
| medication[x] | SΣ | 1..1 | Reference(Medication) | What medication was supplied | SΣ | 1..1 | Reference(Medication) | What medication was supplied | |||||||||
| subject | SΣC | 1..1 | Reference(Patient) | Who the dispense is for | SΣC | 1..1 | Reference(Patient) | Who the dispense is for | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 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 | 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 | 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: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier | SΣ | 1..1 | ?? | Logical reference, when literal reference is not known | SΣ | 1..1 | ?? | Logical reference, when literal reference is not known | |||||||||
| display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource | |||||||||
| context | C | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | C | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | |||||||||
| supportingInformation | C | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | C | 0..* | Reference(Resource) | Information that supports the dispensing of the medication | |||||||||
| performer | S | 1..1 | BackboneElement | Who performed event | S | 1..1 | BackboneElement | Who performed event | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 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 | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| function | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication. | 0..1 | CodeableConcept | Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication. | |||||||||||
| actor | C | 1..1 | Reference(Organization | PractitionerRole) | Individual who was performing | C | 1..1 | Reference(Organization | PractitionerRole) | Individual who was performing | |||||||||
| location | C | 0..1 | Reference(Location) | Where the dispense occurred | C | 0..1 | Reference(Location) | Where the dispense occurred | |||||||||
| authorizingPrescription | C | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense | C | 0..* | Reference(MedicationRequest) | Medication order that authorizes the dispense | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 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 | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | |||||||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (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 | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource | |||||||||
| type | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | 0..1 | CodeableConcept | Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. | |||||||||||
| quantity | C | 0..1 | ?? | Amount dispensed | C | 0..1 | ?? | Amount dispensed | |||||||||
| daysSupply | C | 0..1 | ?? | Amount of medication expressed as a timing amount | C | 0..1 | ?? | Amount of medication expressed as a timing amount | |||||||||
| whenPrepared | Σ | 0..1 | dateTime | When product was packaged and reviewed | Σ | 0..1 | dateTime | When product was packaged and reviewed | |||||||||
| whenHandedOver | S | 1..1 | dateTime | When product was given out | S | 1..1 | dateTime | When product was given out | |||||||||
| destination | C | 0..1 | Reference(Location) | Where the medication was sent | C | 0..1 | Reference(Location) | Where the medication was sent | |||||||||
| receiver | C | 0..* | Reference(Patient | Practitioner) | Who collected the medication | C | 0..* | Reference(Patient | Practitioner) | Who collected the medication | |||||||||
| note | 0..* | Annotation | Information about the dispense | 0..* | Annotation | Information about the dispense | |||||||||||
| dosageInstruction | S | 0..* | ?? | Hier werden Informationen zur Dosierung angegeben. | S | 0..* | ?? | Hier werden Informationen zur Dosierung angegeben. | |||||||||
| substitution | S | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | S | 0..1 | BackboneElement | Whether a substitution was performed on the dispense | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 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 | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| wasSubstituted | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | 1..1 | boolean | Whether a substitution was or was not performed on the dispense | |||||||||||
| type | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | 0..1 | CodeableConcept | Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription. | |||||||||||
| reason | 0..* | CodeableConcept | Why was substitution made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | 0..* | CodeableConcept | Why was substitution made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||||
| responsibleParty | C | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | C | 0..* | Reference(Practitioner | PractitionerRole) | Who is responsible for the substitution | |||||||||
| detectedIssue | C | 0..* | Reference(DetectedIssue) | Clinical issue with action | C | 0..* | Reference(DetectedIssue) | Clinical issue with action | |||||||||
| eventHistory | C | 0..* | Reference(Provenance) | A list of relevant lifecycle events | C | 0..* | Reference(Provenance) | A list of relevant lifecycle events | |||||||||
| Documentation for this format | |||||||||||||||||