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Resource Profile: EPA MedicationStatement

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

Usages:

• Use this Profile: EPA Operation addEMLEntry Input-Parameters, EPA Operation EMLEntry Output-Parameters and EPA Operation Link eMP Output Parameters
• Refer to this Profile: EMPMedicationRequestActitvityExtension
• Examples for this Profile: MedicationStatement/0fc1f006-5793-4501-81b6-fe3918fcfa2d, MedicationStatement/133c8159-6398-4937-984a-d741e24556ad, MedicationStatement/1b88713c-64cc-40ad-9665-70ca5f7dfb08, MedicationStatement/1cb0f018-178d-4488-a6b4-2be32dbda784... Show 9 more, MedicationStatement/405ff43e-bc8e-4109-b370-3e31431c5fe0, MedicationStatement/71601cdb-8a53-4f26-b5d5-e5457b498e76, MedicationStatement/Technical-Exp-NachtragEmlMedicationStatement, MedicationStatement/Technical-Exp-NachtragEmpMedicationStatementEml, MedicationStatement/ab495b80-c9d2-4ed6-a076-b44b8dfae75a, MedicationStatement/b87b0908-7765-4ec0-8662-7d3daff08f6e, MedicationStatement/cfb84928-15d6-468c-8e17-e77f1ed44904, MedicationStatement/f29f1d0c-be05-4b0d-a335-3e508da39c0c and MedicationStatement/f3988023-2313-4645-bd6b-f9e37cfb6fc7
• 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
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]	S	1..1	code	Context of the resource Binding: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension"
value[x]	S	0..1	RxPrescriptionProcessIdentifier	Value of extension
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	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
value	SΣ	1..1	string	The value that is unique Example General: 123456
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:event	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"event"
value[x]	S	1..1	code	Verarbeitungsereignis Binding: EPA MedicationStatement Processing Codes (required)
extension:dateTime	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"dateTime"
value[x]	S	1..1	dateTime	Zeitpunkt
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension"
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.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"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
basedOn	SΣC	0..*	Reference(EPA MedicationRequest | eMP MedicationRequest)	Fulfils plan, proposal or order Constraints: ref-1
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isEMP	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension"
value[x]	S	1..1	boolean	Hat es einen eMP Bezug?
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
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
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 is/was taking the medication Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
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
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
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
MedicationStatement.​extension:context.value[x]	Base	required	ePA MedicationStatement Context Codes	📦1.3.0	This IG
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​extension:processingEvent.​extension:event.value[x]	Base	required	EPA MedicationStatement Processing Codes	📦1.3.0	This IG
MedicationStatement.​extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	ePA MedicationStatement Status Value Set	📦1.3.0	This IG
MedicationStatement.​medication[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.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	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben	extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qty-3	error	MedicationStatement.dosage.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	MedicationStatement.basedOn, MedicationStatement.subject, MedicationStatement.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationStatement.dosage.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: epa-med-statement-status
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	code	Context of the resource Binding: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	0..1	RxPrescriptionProcessIdentifier	Value of extension
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
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
url	S	1..1	uri	identifies the meaning of the extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.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
basedOn	S	0..*	Reference(EPA MedicationRequest | eMP MedicationRequest)	Fulfils plan, proposal or order
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:isEMP	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	boolean	Hat es einen eMP Bezug?
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
status	S	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	S	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
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 is/was taking the medication
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	S	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	SC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	S	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	S	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses
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
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
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
MedicationStatement.​extension:context.value[x]	Base	required	ePA MedicationStatement Context Codes	📦1.3.0	This IG
MedicationStatement.​status	Base	required	ePA MedicationStatement Status Value Set	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben	extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-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/rx-prescription-process-identifier-extension"
value[x]	S	0..1	RxPrescriptionProcessIdentifier	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
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	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
value	SΣ	1..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
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:event	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"event"
value[x]	S	1..1	code	Verarbeitungsereignis Binding: EPA MedicationStatement Processing Codes (required)
extension:dateTime	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"dateTime"
value[x]	S	1..1	dateTime	Zeitpunkt
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension"
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.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-MedicationStatement.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"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External identifier
basedOn	SΣC	0..*	Reference(EPA MedicationRequest | eMP MedicationRequest)	Fulfils plan, proposal or order Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isEMP	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-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/is-emp-extension"
value[x]	S	1..1	boolean	Hat es einen eMP Bezug?
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
partOf	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event Constraints: ref-1
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
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 is/was taking the medication Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement Constraints: ref-1
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
informationSource	C	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication Constraints: ref-1
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
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
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken Constraints: ref-1
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationStatement.​meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:context.value[x]	Base	required	ePA MedicationStatement Context Codes	📦1.3.0	This IG
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​extension:processingEvent.​extension:event.value[x]	Base	required	EPA MedicationStatement Processing Codes	📦1.3.0	This IG
MedicationStatement.​extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationStatement.​basedOn.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	ePA MedicationStatement Status Value Set	📦1.3.0	This IG
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.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	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben	extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
per-1	error	MedicationStatement.extension:rxPrescriptionProcessIdentifier.value[x].period, MedicationStatement.basedOn.identifier.period, MedicationStatement.medication[x].identifier.period, MedicationStatement.derivedFrom.identifier.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationStatement.dosage.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	MedicationStatement.extension:rxPrescriptionProcessIdentifier.value[x].assigner, MedicationStatement.basedOn, MedicationStatement.basedOn.identifier.assigner, MedicationStatement.partOf, MedicationStatement.medication[x].identifier.assigner, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.derivedFrom.identifier.assigner, MedicationStatement.reasonReference	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationStatement.dosage.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from MedicationStatement

Summary

Mandatory: 3 elements
Must-Support: 75 elements

Structures

This structure refers to these other structures:

• EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request)
• eMP MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request)
• EPA Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense)
• 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/rx-prescription-process-identifier-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
• https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension"
value[x]	S	1..1	code	Context of the resource Binding: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension"
value[x]	S	0..1	RxPrescriptionProcessIdentifier	Value of extension
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	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
value	SΣ	1..1	string	The value that is unique Example General: 123456
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:event	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"event"
value[x]	S	1..1	code	Verarbeitungsereignis Binding: EPA MedicationStatement Processing Codes (required)
extension:dateTime	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"dateTime"
value[x]	S	1..1	dateTime	Zeitpunkt
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension"
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.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"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
basedOn	SΣC	0..*	Reference(EPA MedicationRequest | eMP MedicationRequest)	Fulfils plan, proposal or order Constraints: ref-1
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isEMP	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension"
value[x]	S	1..1	boolean	Hat es einen eMP Bezug?
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
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
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 is/was taking the medication Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
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
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
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
MedicationStatement.​extension:context.value[x]	Base	required	ePA MedicationStatement Context Codes	📦1.3.0	This IG
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​extension:processingEvent.​extension:event.value[x]	Base	required	EPA MedicationStatement Processing Codes	📦1.3.0	This IG
MedicationStatement.​extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	ePA MedicationStatement Status Value Set	📦1.3.0	This IG
MedicationStatement.​medication[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.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	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben	extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qty-3	error	MedicationStatement.dosage.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	MedicationStatement.basedOn, MedicationStatement.subject, MedicationStatement.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationStatement.dosage.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity	comparator.empty()

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: epa-med-statement-status
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:context	S	1..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	code	Context of the resource Binding: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	0..1	RxPrescriptionProcessIdentifier	Value of extension
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
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
url	S	1..1	uri	identifies the meaning of the extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.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
basedOn	S	0..*	Reference(EPA MedicationRequest | eMP MedicationRequest)	Fulfils plan, proposal or order
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:isEMP	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension
url	S	1..1	uri	identifies the meaning of the extension
value[x]	S	1..1	boolean	Hat es einen eMP Bezug?
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
status	S	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
medication[x]	S	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
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 is/was taking the medication
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	S	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	SC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	S	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	S	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses
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
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
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
MedicationStatement.​extension:context.value[x]	Base	required	ePA MedicationStatement Context Codes	📦1.3.0	This IG
MedicationStatement.​status	Base	required	ePA MedicationStatement Status Value Set	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben	extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, epa-med-statement-status
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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: ePA MedicationStatement Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-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/rx-prescription-process-identifier-extension"
value[x]	S	0..1	RxPrescriptionProcessIdentifier	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
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	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier
value	SΣ	1..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
extension:processingEvent	S	0..*	(Complex)	Ein Ereignis, welches während eines Prozessschritts auftritt. URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:event	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"event"
value[x]	S	1..1	code	Verarbeitungsereignis Binding: EPA MedicationStatement Processing Codes (required)
extension:dateTime	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"dateTime"
value[x]	S	1..1	dateTime	Zeitpunkt
url	S	1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension"
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.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-MedicationStatement.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"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External identifier
basedOn	SΣC	0..*	Reference(EPA MedicationRequest | eMP MedicationRequest)	Fulfils plan, proposal or order Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isEMP	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-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/is-emp-extension"
value[x]	S	1..1	boolean	Hat es einen eMP Bezug?
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
partOf	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event Constraints: ref-1
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ePA MedicationStatement Status Value Set (required)
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(EPA Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
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 is/was taking the medication Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement Constraints: ref-1
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
informationSource	C	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication Constraints: ref-1
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
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
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken Constraints: ref-1
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationStatement.​meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:context.value[x]	Base	required	ePA MedicationStatement Context Codes	📦1.3.0	This IG
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​extension:rxPrescriptionProcessIdentifier.​value[x].type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​extension:processingEvent.​extension:event.value[x]	Base	required	EPA MedicationStatement Processing Codes	📦1.3.0	This IG
MedicationStatement.​extension:generatedDosageInstructionsMeta.​extension:language.value[x]:valueCode	Base	required	All Languages	📦4.0.1	FHIR Std.
MedicationStatement.​basedOn.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​basedOn.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	ePA MedicationStatement Status Value Set	📦1.3.0	This IG
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x].identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationStatement.​derivedFrom.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.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	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
epa-med-statement-status	error	MedicationStatement	Ein MedicationStatement im Kontext 'Nachtrag' darf nicht den Status 'intended' haben	extension('https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension').exists(value != 'MANUAL') or status != 'intended'
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
per-1	error	MedicationStatement.extension:rxPrescriptionProcessIdentifier.value[x].period, MedicationStatement.basedOn.identifier.period, MedicationStatement.medication[x].identifier.period, MedicationStatement.derivedFrom.identifier.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationStatement.dosage.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	MedicationStatement.extension:rxPrescriptionProcessIdentifier.value[x].assigner, MedicationStatement.basedOn, MedicationStatement.basedOn.identifier.assigner, MedicationStatement.partOf, MedicationStatement.medication[x].identifier.assigner, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.derivedFrom.identifier.assigner, MedicationStatement.reasonReference	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationStatement.dosage.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from MedicationStatement

Summary

Mandatory: 3 elements
Must-Support: 75 elements

Structures

This structure refers to these other structures:

• EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request)
• eMP MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request)
• EPA Medication (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• EPA MedicationDispense (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense)
• 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/rx-prescription-process-identifier-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medicationstatement-processing-event-extension
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
• https://gematik.de/fhir/epa-medication/StructureDefinition/is-emp-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]