Implementation Guide
ePA Medication Service
Version 1.3.0 - release

## Extension: TeratogenicExtension

Official URL: https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension | Version: 1.3.0
Active as of 2025-12-15 | Computable Name: TeratogenicExtension
Copyright/Legal: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

Abbildung der Angaben zur Verordnung eines teratogenen Arzneimittels (T-Rezept)

Context of Use

This extension may be used on the following element(s):

- Element ID Element

Usage info

Usages:

- Use this Extension: EPA MedicationRequest
- Examples for this Extension: MedicationRequest/f6b1d9ab-4ff0-405e-8d2d-7a181d9fdbdd

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from Extension

Summary

Complex Extension: Abbildung der Angaben zur Verordnung eines teratogenen Arzneimittels (T-Rezept)

- off-label: boolean: An Extension
- childbearing-potential: boolean: An Extension
- security-compliance: boolean: An Extension
- hand-out-information-material: boolean: An Extension
- declaration-of-expertise: boolean: An Extension

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
Slices for extension |  | 5..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:off-label | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "off-label"
value[x] | S | 0..1 | boolean | Off-Label
extension:childbearing-potential | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "childbearing-potential"
value[x] | S | 0..1 | boolean | Gebärfähige Frau
extension:security-compliance | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "security-compliance"
value[x] | S | 0..1 | boolean | Einhaltung Sicherheitsmaßnahmen
extension:hand-out-information-material | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "hand-out-information-material"
value[x] | S | 0..1 | boolean | Aushändigung Informationsmaterialien
extension:declaration-of-expertise | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "declaration-of-expertise"
value[x] | S | 0..1 | boolean | Erklärung Sachkenntnis
url |  | 1..1 | uri | "https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 5..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:off-label | S | 1..1 | Extension | 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 | "off-label"
value[x] | S | 0..1 | boolean | Off-Label
extension:childbearing-potential | S | 1..1 | Extension | 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 | "childbearing-potential"
value[x] | S | 0..1 | boolean | Gebärfähige Frau
extension:security-compliance | S | 1..1 | Extension | 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 | "security-compliance"
value[x] | S | 0..1 | boolean | Einhaltung Sicherheitsmaßnahmen
extension:hand-out-information-material | S | 1..1 | Extension | 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 | "hand-out-information-material"
value[x] | S | 0..1 | boolean | Aushändigung Informationsmaterialien
extension:declaration-of-expertise | S | 1..1 | Extension | 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 | "declaration-of-expertise"
value[x] | S | 0..1 | boolean | Erklärung Sachkenntnis
url |  | 1..1 | uri | "https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Abbildung der Angaben zur Verordnung eines teratogenen Arzneimittels (T-Rezept)

- off-label: boolean: An Extension
- childbearing-potential: boolean: An Extension
- security-compliance: boolean: An Extension
- hand-out-information-material: boolean: An Extension
- declaration-of-expertise: boolean: An Extension

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
Slices for extension |  | 5..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:off-label | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "off-label"
value[x] | S | 0..1 | boolean | Off-Label
extension:childbearing-potential | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "childbearing-potential"
value[x] | S | 0..1 | boolean | Gebärfähige Frau
extension:security-compliance | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "security-compliance"
value[x] | S | 0..1 | boolean | Einhaltung Sicherheitsmaßnahmen
extension:hand-out-information-material | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "hand-out-information-material"
value[x] | S | 0..1 | boolean | Aushändigung Informationsmaterialien
extension:declaration-of-expertise | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "declaration-of-expertise"
value[x] | S | 0..1 | boolean | Erklärung Sachkenntnis
url |  | 1..1 | uri | "https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 5..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:off-label | S | 1..1 | Extension | 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 | "off-label"
value[x] | S | 0..1 | boolean | Off-Label
extension:childbearing-potential | S | 1..1 | Extension | 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 | "childbearing-potential"
value[x] | S | 0..1 | boolean | Gebärfähige Frau
extension:security-compliance | S | 1..1 | Extension | 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 | "security-compliance"
value[x] | S | 0..1 | boolean | Einhaltung Sicherheitsmaßnahmen
extension:hand-out-information-material | S | 1..1 | Extension | 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 | "hand-out-information-material"
value[x] | S | 0..1 | boolean | Aushändigung Informationsmaterialien
extension:declaration-of-expertise | S | 1..1 | Extension | 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 | "declaration-of-expertise"
value[x] | S | 0..1 | boolean | Erklärung Sachkenntnis
url |  | 1..1 | uri | "https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension"
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`