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Resource Profile: eMP MedicationRequest

eMP-Eintrag: Hält die Medikationsinformationen eines Eintrags für den elektronischen MedikationsPlan (eMP) vor und stellt das zentrale Element dar. Es stellt die Verbindung zwischen der Planung und einem oder mehrerer Verschreibungsprozesse oder Nachträge.

Usages:

• Use this Profile: EPA Operation addEMPEntry Input-Parameters, EPA Operation EMPEntry Output-Parameters, EPA Operation Link eMP Output Parameters and EPA Operation UpdateEMPEntry Input-Parameters
• Refer to this Profile: eMP Chronology Provenance, EPA MedicationRequest and EPA MedicationStatement
• Examples for this Profile: MedicationRequest/266620a9-2c26-41c1-b0cb-a10947b867f5, MedicationRequest/55b8a1f8-daeb-4d1e-a0e1-36279e2d9913, MedicationRequest/71b66f1b-8032-4886-b7bf-e775daee22fb and MedicationRequest/Technical-Exp-NachtragEmpMedicationRequestEmp
• 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	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	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]	S	1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	(Complex)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
Slices for extension		2..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:reference	SC	1..1	Extension	Extension Constraints: epa-no-history-reference
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"reference"
value[x]	S	1..1	Reference(EPA MedicationStatement)	Referenz zu der Resource, die aus der Aktivität resultiert
extension:addedOn	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"addedOn"
value[x]	S	1..1	dateTime	Zeitpunkt, zu dem diese Referenz in den eMP-Eintrag aufgenommen wurde
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension"
extension:reasonPatientInstruction	S	0..1	(Complex)	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension"
value[x]	S	1..1	string	Reason
extension:patientNote	S	0..1	(Complex)	Hinweis für den Patienten URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension"
value[x]	S	1..1	Annotation	Hinweis für den Patienten
extension:effectiveDosePeriod	S	0..1	(Complex)	Zeitraum, in dem die Medikation eingenommen werden soll. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod"
value[x]		1..1	Period	Value of extension
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
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	1..1	markdown	Value of extension
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:language	S	1..1	Extension	Extension
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"language"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCode	S	1..1	code	Value of extension Binding: AllLanguages (required)
extension:algorithmVersion	S	1..1	Extension	Extension
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"algorithmVersion"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueString	S	1..1	string	Value of extension
url	S	1..1	uri	"http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
extension:originMedication	S	0..1	(Complex)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension"
value[x]	S	1..1	Reference(Medication)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags)
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	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/sid/emp-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)
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	official Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/sid/emp-identifier
value	SΣ	1..1	string	Der eindeutige Identifikationswert Example General: 123456 Example General: 687512ce-744c-8001-83c3-238227110dd6
status	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped Binding: eMP MedicationRequest Status Value Set (required)
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1	Reference(EPA Medication | eMP Medication)	Arzneimittel, welches geplant wird
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	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.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
note	S	0..1	Annotation	Zusätzliche Informationen durch einen Leistungserbringenden
time	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	1..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
timing	SΣ	0..1	TimingDgMP	A timing schedule that specifies an event that may occur multiple times
doseAndRate	SΣ	0..1	Element	Menge des verabreichten Medikaments
Slices for dose[x]	SΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Slice: Unordered, Closed by type:$this Constraints: qty-3, sqty-1
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.extension:context.​value[x]	Base	required	Context Codes	📦1.3.0	This IG
MedicationRequest.extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
MedicationRequest.status	Base	required	eMP MedicationRequest Status Value Set	📦1.3.0	This IG
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Seitenlokalisation.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION	Not State	Unknown
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Diagnosesicherheit.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	Not State	Unknown
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
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())
epa-datetime	error	MedicationRequest.extension:effectiveDosePeriod.value[x].start, MedicationRequest.extension:effectiveDosePeriod.value[x].end, MedicationRequest.authoredOn	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)))?$')
epa-no-history-reference	error	MedicationRequest.extension:activity.extension:reference	Die Referenz darf keine History-Referenz enthalten ('/_history/' ist nicht erlaubt).	value.where($this is Reference).reference.exists() implies value.where($this is Reference).reference.contains('/_history/').not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
icd-4	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt	matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
ref-1	error	MedicationRequest.subject	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.dosageInstruction.doseAndRate.dose[x]	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
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
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	code	Context of the resource Required Pattern: EMP
extension:activity	S	0..*	(Complex)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
Slices for extension				Content/Rules for all slices
extension:reference	S	1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Reference(EPA MedicationStatement)	Referenz zu der Resource, die aus der Aktivität resultiert
extension:addedOn	S	1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	dateTime	Zeitpunkt, zu dem diese Referenz in den eMP-Eintrag aufgenommen wurde
extension:reasonPatientInstruction	S	0..1	(Complex)	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Reason
extension:patientNote	S	0..1	(Complex)	Hinweis für den Patienten URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Annotation	Hinweis für den Patienten
extension:effectiveDosePeriod	S	0..1	(Complex)	Zeitraum, in dem die Medikation eingenommen werden soll. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
value[x]
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
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	markdown	Value of extension
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:language		1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
extension:algorithmVersion		1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
url	S	1..1	uri	identifies the meaning of the extension
extension:originMedication	S	0..1	(Complex)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension
value[x]	S	1..1	Reference(Medication)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags)
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/emp-identifier
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
status	S	1..1	code	active | on-hold | completed | entered-in-error | stopped Binding: eMP MedicationRequest Status Value Set (required)
intent		1..1	code	plan Required Pattern: plan
medication[x]	S	1..1	Reference(EPA Medication | eMP Medication)	Arzneimittel, welches geplant wird
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
subject	S	1..1	Reference(Patient)	Who or group medication request is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	S	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	ExtensionMehrfachcodierungKennzeichen	Optional Extensions Element
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:Seitenlokalisation	S	0..1	ExtensionSeitenlokalisation	Optional Extensions Element
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:Diagnosesicherheit	S	0..1	ExtensionICD10GMDiagnosesicherheit	Optional Extensions Element
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
system	S	1..1	uri	Canonische CodeSystem URL für ICD-10-GM
version	S	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	S	1..1	code	Der ICD-10-Code
display	S	1..1	string	Representation defined by the system
note	S	0..1	Annotation	Zusätzliche Informationen durch einen Leistungserbringenden
time	S	0..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	1..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
doseAndRate
dose[x]	S	0..1	SimpleQuantity	A fixed quantity (no comparator)
Slices for dose[x]				Content/Rules for all slices
dose[x]:doseQuantity		0..1	SimpleQuantity	Menge des Medikaments pro Dosis
value	S	0..1	decimal	Numerical value (with implicit precision)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	eMP MedicationRequest Status Value Set	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
epa-datetime	error	MedicationRequest.extension:effectiveDosePeriod.value[x].start, MedicationRequest.extension:effectiveDosePeriod.value[x].end, MedicationRequest.authoredOn	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)))?$')

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	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
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		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	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]	S	1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	(Complex)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:reference	SC	1..1	Extension	Extension Constraints: epa-no-history-reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"reference"
value[x]	S	1..1	Reference(EPA MedicationStatement)	Referenz zu der Resource, die aus der Aktivität resultiert
extension:addedOn	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	S	1..1	uri	"addedOn"
value[x]	S	1..1	dateTime	Zeitpunkt, zu dem diese Referenz in den eMP-Eintrag aufgenommen wurde
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension"
extension:reasonPatientInstruction	S	0..1	(Complex)	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension"
value[x]	S	1..1	string	Reason
extension:patientNote	S	0..1	(Complex)	Hinweis für den Patienten URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension"
value[x]	S	1..1	Annotation	Hinweis für den Patienten
extension:effectiveDosePeriod	S	0..1	(Complex)	Zeitraum, in dem die Medikation eingenommen werden soll. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod"
value[x]		1..1	Period	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
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
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	1..1	markdown	Value of extension
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:language	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"language"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCode	S	1..1	code	Value of extension Binding: AllLanguages (required)
extension:algorithmVersion	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"algorithmVersion"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueString	S	1..1	string	Value of extension
url	S	1..1	uri	"http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
extension:originMedication	S	0..1	(Complex)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-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/emp-origin-medication-extension"
value[x]	S	1..1	Reference(Medication)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags)
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	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: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
display	SΣ	0..1	string	Text alternative for the resource
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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	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/sid/emp-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)
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	official Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/sid/emp-identifier
value	SΣ	1..1	string	Der eindeutige Identifikationswert Example General: 123456 Example General: 687512ce-744c-8001-83c3-238227110dd6
status	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped Binding: eMP MedicationRequest Status Value Set (required)
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
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]	SΣ	1..1	Reference(EPA Medication | eMP Medication)	Arzneimittel, welches geplant wird
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	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: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
display	SΣ	0..1	string	Text alternative for the resource
subject	SΣC	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	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
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	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
requester	ΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	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	S	0..1	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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	ΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills Constraints: ref-1
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	Zusätzliche Informationen durch einen Leistungserbringenden
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	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	1..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
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
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
timing	SΣ	0..1	TimingDgMP	A timing schedule that specifies an event that may occur multiple times
doseAndRate	SΣ	0..1	Element	Menge des verabreichten Medikaments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for dose[x]	SΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Slice: Unordered, Closed by type:$this Constraints: qty-3, sqty-1
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
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	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
dispenseRequest		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(4.0.1)	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	C	0..1	SimpleQuantity(4.0.1)	Amount of medication to supply per dispense Constraints: qty-3, sqty-1
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		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]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
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	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationRequest.extension:context.​value[x]	Base	required	Context Codes	📦1.3.0	This IG
MedicationRequest.extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
MedicationRequest.status	Base	required	eMP MedicationRequest Status Value Set	📦1.3.0	This IG
MedicationRequest.statusReason	Base	example	Medication request status reason codes	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.category	Base	example	Medication request category codes	📍4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Seitenlokalisation.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION	Not State	Unknown
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Diagnosesicherheit.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	Not State	Unknown
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT	Not State	Unknown
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.1
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
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())
epa-datetime	error	MedicationRequest.extension:effectiveDosePeriod.value[x].start, MedicationRequest.extension:effectiveDosePeriod.value[x].end, MedicationRequest.authoredOn	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)))?$')
epa-no-history-reference	error	MedicationRequest.extension:activity.extension:reference	Die Referenz darf keine History-Referenz enthalten ('/_history/' ist nicht erlaubt).	value.where($this is Reference).reference.exists() implies value.where($this is Reference).reference.contains('/_history/').not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
icd-4	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt	matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
per-1	error	MedicationRequest.extension:originMedication.value[x].identifier.period, MedicationRequest.medication[x].identifier.period, 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.dosageInstruction.doseAndRate.dose[x], 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.extension:originMedication.value[x].identifier.assigner, MedicationRequest.medication[x].identifier.assigner, 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.dosageInstruction.doseAndRate.dose[x], 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: 5 elements(1 nested mandatory element)
Must-Support: 99 elements

Structures

This structure refers to these other structures:

• Profil für den Identifikator eines eMP-Eintrags (https://gematik.de/fhir/ti/StructureDefinition/medication-plan-identifier)
• EPA Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication)
• eMP Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Coding-Profil für ICD-10-GM (http://fhir.de/StructureDefinition/CodingICD10GM)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
• https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.identifier
• The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding (Closed)

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	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	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]	S	1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	(Complex)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
Slices for extension		2..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:reference	SC	1..1	Extension	Extension Constraints: epa-no-history-reference
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"reference"
value[x]	S	1..1	Reference(EPA MedicationStatement)	Referenz zu der Resource, die aus der Aktivität resultiert
extension:addedOn	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"addedOn"
value[x]	S	1..1	dateTime	Zeitpunkt, zu dem diese Referenz in den eMP-Eintrag aufgenommen wurde
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension"
extension:reasonPatientInstruction	S	0..1	(Complex)	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension"
value[x]	S	1..1	string	Reason
extension:patientNote	S	0..1	(Complex)	Hinweis für den Patienten URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension"
value[x]	S	1..1	Annotation	Hinweis für den Patienten
extension:effectiveDosePeriod	S	0..1	(Complex)	Zeitraum, in dem die Medikation eingenommen werden soll. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod"
value[x]		1..1	Period	Value of extension
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
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	1..1	markdown	Value of extension
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:language	S	1..1	Extension	Extension
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"language"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCode	S	1..1	code	Value of extension Binding: AllLanguages (required)
extension:algorithmVersion	S	1..1	Extension	Extension
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"algorithmVersion"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueString	S	1..1	string	Value of extension
url	S	1..1	uri	"http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
extension:originMedication	S	0..1	(Complex)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension"
value[x]	S	1..1	Reference(Medication)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags)
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	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/sid/emp-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)
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	official Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/sid/emp-identifier
value	SΣ	1..1	string	Der eindeutige Identifikationswert Example General: 123456 Example General: 687512ce-744c-8001-83c3-238227110dd6
status	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped Binding: eMP MedicationRequest Status Value Set (required)
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1	Reference(EPA Medication | eMP Medication)	Arzneimittel, welches geplant wird
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
subject	SΣC	1..1	Reference(Patient)	Who or group medication request is for Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	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.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
note	S	0..1	Annotation	Zusätzliche Informationen durch einen Leistungserbringenden
time	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	1..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
timing	SΣ	0..1	TimingDgMP	A timing schedule that specifies an event that may occur multiple times
doseAndRate	SΣ	0..1	Element	Menge des verabreichten Medikaments
Slices for dose[x]	SΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Slice: Unordered, Closed by type:$this Constraints: qty-3, sqty-1
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.extension:context.​value[x]	Base	required	Context Codes	📦1.3.0	This IG
MedicationRequest.extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
MedicationRequest.status	Base	required	eMP MedicationRequest Status Value Set	📦1.3.0	This IG
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Seitenlokalisation.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION	Not State	Unknown
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Diagnosesicherheit.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	Not State	Unknown
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
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())
epa-datetime	error	MedicationRequest.extension:effectiveDosePeriod.value[x].start, MedicationRequest.extension:effectiveDosePeriod.value[x].end, MedicationRequest.authoredOn	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)))?$')
epa-no-history-reference	error	MedicationRequest.extension:activity.extension:reference	Die Referenz darf keine History-Referenz enthalten ('/_history/' ist nicht erlaubt).	value.where($this is Reference).reference.exists() implies value.where($this is Reference).reference.contains('/_history/').not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
icd-4	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt	matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
ref-1	error	MedicationRequest.subject	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.dosageInstruction.doseAndRate.dose[x]	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
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
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	code	Context of the resource Required Pattern: EMP
extension:activity	S	0..*	(Complex)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
Slices for extension				Content/Rules for all slices
extension:reference	S	1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Reference(EPA MedicationStatement)	Referenz zu der Resource, die aus der Aktivität resultiert
extension:addedOn	S	1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	dateTime	Zeitpunkt, zu dem diese Referenz in den eMP-Eintrag aufgenommen wurde
extension:reasonPatientInstruction	S	0..1	(Complex)	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	string	Reason
extension:patientNote	S	0..1	(Complex)	Hinweis für den Patienten URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Annotation	Hinweis für den Patienten
extension:effectiveDosePeriod	S	0..1	(Complex)	Zeitraum, in dem die Medikation eingenommen werden soll. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
value[x]
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
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	markdown	Value of extension
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:language		1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
extension:algorithmVersion		1..1	Extension	Extension
url	S	1..1	uri	identifies the meaning of the extension
url	S	1..1	uri	identifies the meaning of the extension
extension:originMedication	S	0..1	(Complex)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension
value[x]	S	1..1	Reference(Medication)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags)
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	External ids for this request Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/sid/emp-identifier
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
status	S	1..1	code	active | on-hold | completed | entered-in-error | stopped Binding: eMP MedicationRequest Status Value Set (required)
intent		1..1	code	plan Required Pattern: plan
medication[x]	S	1..1	Reference(EPA Medication | eMP Medication)	Arzneimittel, welches geplant wird
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
subject	S	1..1	Reference(Patient)	Who or group medication request is for
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
authoredOn	SC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
reasonCode	S	0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	S	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	ExtensionMehrfachcodierungKennzeichen	Optional Extensions Element
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:Seitenlokalisation	S	0..1	ExtensionSeitenlokalisation	Optional Extensions Element
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:Diagnosesicherheit	S	0..1	ExtensionICD10GMDiagnosesicherheit	Optional Extensions Element
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	Coding	Value of extension
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
system	S	1..1	uri	Canonische CodeSystem URL für ICD-10-GM
version	S	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	S	1..1	code	Der ICD-10-Code
display	S	1..1	string	Representation defined by the system
note	S	0..1	Annotation	Zusätzliche Informationen durch einen Leistungserbringenden
time	S	0..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	1..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
doseAndRate
dose[x]	S	0..1	SimpleQuantity	A fixed quantity (no comparator)
Slices for dose[x]				Content/Rules for all slices
dose[x]:doseQuantity		0..1	SimpleQuantity	Menge des Medikaments pro Dosis
value	S	0..1	decimal	Numerical value (with implicit precision)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	eMP MedicationRequest Status Value Set	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
epa-datetime	error	MedicationRequest.extension:effectiveDosePeriod.value[x].start, MedicationRequest.extension:effectiveDosePeriod.value[x].end, MedicationRequest.authoredOn	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)))?$')

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	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
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		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	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]	S	1..1	code	Context of the resource Binding: Context Codes (required) Required Pattern: EMP
extension:activity	S	0..*	(Complex)	Aktivität die zu diesem Planelement gehört URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:reference	SC	1..1	Extension	Extension Constraints: epa-no-history-reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"reference"
value[x]	S	1..1	Reference(EPA MedicationStatement)	Referenz zu der Resource, die aus der Aktivität resultiert
extension:addedOn	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	S	1..1	uri	"addedOn"
value[x]	S	1..1	dateTime	Zeitpunkt, zu dem diese Referenz in den eMP-Eintrag aufgenommen wurde
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension"
extension:reasonPatientInstruction	S	0..1	(Complex)	Patientenlesbarer Grund für den Planungseintrag URL: https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension"
value[x]	S	1..1	string	Reason
extension:patientNote	S	0..1	(Complex)	Hinweis für den Patienten URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension"
value[x]	S	1..1	Annotation	Hinweis für den Patienten
extension:effectiveDosePeriod	S	0..1	(Complex)	Zeitraum, in dem die Medikation eingenommen werden soll. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod"
value[x]		1..1	Period	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
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
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	1..1	markdown	Value of extension
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:language	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"language"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCode	S	1..1	code	Value of extension Binding: AllLanguages (required)
extension:algorithmVersion	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"algorithmVersion"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueString	S	1..1	string	Value of extension
url	S	1..1	uri	"http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
extension:originMedication	S	0..1	(Complex)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-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/emp-origin-medication-extension"
value[x]	S	1..1	Reference(Medication)	Referenz auf die Ursprungs-Medication (Basis des eMP-Eintrags)
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	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: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
display	SΣ	0..1	string	Text alternative for the resource
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 value:$this
identifier:MedicationPlanIdentifier	S	0..1	MedicationPlanIdentifier	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/sid/emp-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)
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	official Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/sid/emp-identifier
value	SΣ	1..1	string	Der eindeutige Identifikationswert Example General: 123456 Example General: 687512ce-744c-8001-83c3-238227110dd6
status	?!SΣ	1..1	code	active | on-hold | completed | entered-in-error | stopped Binding: eMP MedicationRequest Status Value Set (required)
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	plan Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: plan
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]	SΣ	1..1	Reference(EPA Medication | eMP Medication)	Arzneimittel, welches geplant wird
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	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: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
display	SΣ	0..1	string	Text alternative for the resource
subject	SΣC	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	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
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	SΣC	1..1	dateTime	When request was initially authored Constraints: epa-datetime
requester	ΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	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	S	0..1	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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by pattern:$this
coding:icd-10-gm	SΣ	0..1	CodingICD10GM	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
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	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	ΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills Constraints: ref-1
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	Zusätzliche Informationen durch einen Leistungserbringenden
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	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction	S	1..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben.
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
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
timing	SΣ	0..1	TimingDgMP	A timing schedule that specifies an event that may occur multiple times
doseAndRate	SΣ	0..1	Element	Menge des verabreichten Medikaments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for dose[x]	SΣC	0..1	SimpleQuantity	A fixed quantity (no comparator) Slice: Unordered, Closed by type:$this Constraints: qty-3, sqty-1
dose[x]:doseQuantity	SΣ	0..1	SimpleQuantity	Menge des Medikaments pro Dosis Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT (required)
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	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
dispenseRequest		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(4.0.1)	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	C	0..1	SimpleQuantity(4.0.1)	Amount of medication to supply per dispense Constraints: qty-3, sqty-1
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		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]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
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	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationRequest.extension:context.​value[x]	Base	required	Context Codes	📦1.3.0	This IG
MedicationRequest.extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.extension:originMedication.​value[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier:MedicationPlanIdentifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
MedicationRequest.status	Base	required	eMP MedicationRequest Status Value Set	📦1.3.0	This IG
MedicationRequest.statusReason	Base	example	Medication request status reason codes	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.category	Base	example	Medication request category codes	📍4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.medication[x].​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Seitenlokalisation.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION	Not State	Unknown
MedicationRequest.reasonCode.​coding:icd-10-gm.extension:Diagnosesicherheit.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	Not State	Unknown
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_BMP_DOSIEREINHEIT	Not State	Unknown
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.1
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
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())
epa-datetime	error	MedicationRequest.extension:effectiveDosePeriod.value[x].start, MedicationRequest.extension:effectiveDosePeriod.value[x].end, MedicationRequest.authoredOn	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)))?$')
epa-no-history-reference	error	MedicationRequest.extension:activity.extension:reference	Die Referenz darf keine History-Referenz enthalten ('/_history/' ist nicht erlaubt).	value.where($this is Reference).reference.exists() implies value.where($this is Reference).reference.contains('/_history/').not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
icd-4	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	MedicationRequest.reasonCode.coding:icd-10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex	warning	MedicationRequest.reasonCode.coding:icd-10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt	matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
per-1	error	MedicationRequest.extension:originMedication.value[x].identifier.period, MedicationRequest.medication[x].identifier.period, 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.dosageInstruction.doseAndRate.dose[x], 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.extension:originMedication.value[x].identifier.assigner, MedicationRequest.medication[x].identifier.assigner, 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.dosageInstruction.doseAndRate.dose[x], 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: 5 elements(1 nested mandatory element)
Must-Support: 99 elements

Structures

This structure refers to these other structures:

• Profil für den Identifikator eines eMP-Eintrags (https://gematik.de/fhir/ti/StructureDefinition/medication-plan-identifier)
• EPA Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication)
• eMP Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Coding-Profil für ICD-10-GM (http://fhir.de/StructureDefinition/CodingICD10GM)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medicationrequest-activity-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/reason-patient-instruction-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/patient-note-extension
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
• https://gematik.de/fhir/epa-medication/StructureDefinition/emp-origin-medication-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.identifier
• The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding (Closed)