abstractbaseDefinitioncopyright- Values Differ
date- Values Differ
descriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request) |
| Right: | EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request) |
| 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.' |
| Warning | MedicationRequest.dispenseRequest.expectedSupplyDuration | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationRequest | ||
| 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 request 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 | EPAMedicationRequest | ||
| publisher | gematik GmbH | ||
| purpose | |||
| status | active | ||
| title | EPA MedicationRequest | ||
| type | MedicationRequest | ||
| url | https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request | ||
| 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 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 MedicationRequest | 0..* | MedicationRequest | Ordering of medication for patient or group | 0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||||
 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 ids for this request Slice: Unordered, Open by pattern:$this | 0..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:$this | |||||||||||
| status | ?!SΣ | 1..1 | code | Status of Medication Request Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ?!SΣ | 1..1 | code | Status of Medication Request Binding: ?? (required) | |||||||||
| statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | |||||||||||
| intent | ?!SΣ | 1..1 | code | filler-order Binding: ?? (required): The kind of medication order. | ?!SΣ | 1..1 | code | filler-order Binding: ?? (required): The kind of medication order. | |||||||||
| category | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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. | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ?!Σ | 0..1 | boolean | True if request is prohibiting action | |||||||||
| reported[x] | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | |||||||||
| medication[x] | SΣ | 1..1 | Reference(Medication) | Medication to be taken | SΣ | 1..1 | Reference(Medication) | Medication to be taken | |||||||||
| subject | SΣC | 1..1 | Reference(Patient) | Who or group medication request is for | SΣC | 1..1 | Reference(Patient) | Who or group medication request 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 | |||||||||
| encounter | C | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | C | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||||||
| supportingInformation | C | 0..* | Reference(Resource) | Information to support ordering of the medication | C | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||
| authoredOn | SΣ | 1..1 | dateTime | Issue Date | SΣ | 1..1 | dateTime | Issue Date | |||||||||
| requester | SΣC | 0..1 | Reference(Organization | Practitioner | PractitionerRole) | Who/What requested the Request | SΣC | 0..1 | Reference(Organization | Practitioner | PractitionerRole) | Who/What requested the Request | |||||||||
| performer | C | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | C | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||
| performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (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 | C | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||
| reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (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 | C | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||||||
| instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn | SΣC | 0..* | Reference(eMP MedicationRequest) | What request fulfills | SΣC | 0..* | Reference(eMP MedicationRequest) | What request fulfills | |||||||||
| 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 | 0..1 | string | Literal reference, Relative, internal or absolute URL | SΣC | 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 | 0..1 | ?? | Logical reference, when literal reference is not known | SΣ | 0..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 | |||||||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of | |||||||||
| courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | |||||||||||
| insurance | C | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | C | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||
| note | S | 0..1 | Annotation | Information about the prescription | S | 0..1 | Annotation | Information about the prescription | |||||||||
| 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 | |||||||||||
| author[x] | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | Individual responsible for the annotation | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | Individual responsible for the annotation | |||||||||
| time | Σ | 0..1 | dateTime | When the annotation was made | Σ | 0..1 | dateTime | When the annotation was made | |||||||||
| text | SΣ | 1..1 | markdown | Dispensing Note | SΣ | 1..1 | markdown | Dispensing Note | |||||||||
| dosageInstruction | S | 0..* | ?? | Hier werden Informationen zur Dosierung angegeben. | S | 0..* | ?? | Hier werden Informationen zur Dosierung angegeben. | |||||||||
| dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization | S | 0..1 | BackboneElement | Medication supply authorization | |||||||||
| 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 | |||||||||
| initialFill | 0..1 | BackboneElement | First fill details | 0..1 | BackboneElement | First fill details | |||||||||||
| 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 | |||||||||
| quantity | C | 0..1 | ?? | First fill quantity | C | 0..1 | ?? | First fill quantity | |||||||||
| duration | C | 0..1 | Duration | First fill duration | C | 0..1 | Duration | First fill duration | |||||||||
| dispenseInterval | C | 0..1 | Duration | Minimum period of time between dispenses | C | 0..1 | Duration | Minimum period of time between dispenses | |||||||||
| validityPeriod | C | 0..1 | Period | Time period supply is authorized for | C | 0..1 | Period | Time period supply is authorized for | |||||||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | 0..1 | unsignedInt | Number of refills authorized | |||||||||||
| quantity | SC | 0..1 | ?? | Amount of medication to supply per dispense | SC | 0..1 | ?? | Amount of medication to supply per 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 | |||||||||||
| value | SΣ | 1..1 | decimal | Number of Prescribed Packages | SΣ | 1..1 | decimal | Number of Prescribed Packages | |||||||||
| comparator | ?!Σ | 0..0 | < | <= | >= | > - how to understand the value Binding: ?? (required): How the Quantity should be understood and represented. | ?!Σ | 0..0 | < | <= | >= | > - how to understand the value Binding: ?? (required): How the Quantity should be understood and represented. | |||||||||||
| unit | SΣ | 0..1 | string | Unit representation | SΣ | 0..1 | string | Unit representation | |||||||||
| system | SΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | SΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |||||||||
| code | SΣ | 0..1 | code | Coded form of the unit | SΣ | 0..1 | code | Coded form of the unit | |||||||||
| expectedSupplyDuration | C | 0..1 | Duration | Number of days supply per dispense | SC | 0..1 | Duration | Number of days supply per dispense |
| ||||||||
| performer | C | 0..1 | Reference(Organization) | Intended dispenser | C | 0..1 | Reference(Organization) | Intended dispenser | |||||||||
| substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||||||
| 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 | |||||||||
| allowed[x] | S | 1..1 | boolean | Whether substitution is allowed or not | S | 1..1 | boolean | Whether substitution is allowed or not | |||||||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (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 | C | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||
| 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 events of interest in the lifecycle | C | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||
| Documentation for this format | |||||||||||||||||