Profile Comparison between https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense vs https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationDispense
copyright		gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.	Added the item 'gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.'
date	2025-05-12	2025-12-15	Values Differ
description	Defines the medication dispense resource for the Medication Service in the ePA system.
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#DE
kind	resource
name	EPAMedicationDispense
publisher	gematik GmbH
purpose
status	active
title	EPA MedicationDispense
type	MedicationDispense
url	https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense
version	1.0.6-2	1.3.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationDispense	C	0..*	MedicationDispense	Dispensing a medication to a named patient	C	0..*	MedicationDispense	Dispensing a medication to a named patient
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at MedicationDispense.language using binding from EPAMedicationDispense
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this		0..*	Identifier	External identifier Slice: Unordered, Open by pattern:$this
partOf	C	0..*	Reference(Procedure)	Event that dispense is part of	C	0..*	Reference(Procedure)	Event that dispense is part of
status	?!SΣ	1..1	code	Status of medication dispense Binding: ?? (required): A coded concept specifying the state of the dispense event.	?!SΣ	1..1	code	Status of medication dispense Binding: ?? (required)
statusReason[x]		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.		0..1	CodeableConcept, Reference(DetectedIssue)	Why a dispense was not performed Binding: ?? (example): A code describing why a dispense was not performed.
category		0..1	CodeableConcept	Type of medication dispense Binding: ?? (preferred): A code describing where the dispensed medication is expected to be consumed or administered.	S	0..1	CodeableConcept	Fehlender oder nicht vorhandener Wert weist auf eine Abgabe mit Verschreibung hin. Binding: ?? (required): Definiert den Kontext einer Abgabe: mit oder ohne ärztliche Verschreibung.	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					SΣ	0..*	Coding	Code defined by a terminology system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
medication[x]	SΣ	1..1	Reference(Medication)	What medication was supplied	SΣ	1..1	Reference(Medication)	What medication was supplied
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
reference					SΣC	0..1	string	Literal reference, Relative, internal or absolute URL	Added this element
type					Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Added this element
identifier					SΣ	0..1	Identifier	Logical reference, when literal reference is not known	Added this element
display					SΣ	0..1	string	Text alternative for the resource	Added this element
subject	SΣC	1..1	Reference(Patient)	Who the dispense is for	SΣC	1..1	Reference(Patient)	Who the dispense is for
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	??	Logical reference, when literal reference is not known	SΣ	1..1	??	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
context	C	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event	C	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
supportingInformation	C	0..*	Reference(Resource)	Information that supports the dispensing of the medication	C	0..*	Reference(Resource)	Information that supports the dispensing of the medication
performer	S	1..1	BackboneElement	Who performed event	S	1..1	BackboneElement	Who performed event
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication.		0..1	CodeableConcept	Who performed the dispense and what they did Binding: ?? (example): A code describing the role an individual played in dispensing a medication.
actor	C	1..1	Reference(Organization | PractitionerRole)	Individual who was performing	SC	1..1	Reference(Organization | PractitionerRole)	Individual who was performing	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
reference					SΣC	0..1	string	Literal reference, Relative, internal or absolute URL	Added this element
type					Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Added this element
identifier					SΣ	0..1	Identifier	Logical reference, when literal reference is not known	Added this element
display					SΣ	0..1	string	Text alternative for the resource	Added this element
location	C	0..1	Reference(Location)	Where the dispense occurred	C	0..1	Reference(Location)	Where the dispense occurred
authorizingPrescription	C	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense	SC	0..*	Reference(MedicationRequest)	Medication order that authorizes the dispense	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	SΣ	0..1	Identifier	Logical reference, when literal reference is not known	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
use					?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known .	Added this element
type					SΣ	0..1	CodeableConcept	Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	Added this element
system					SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Added this element
value					SΣ	0..1	string	The value that is unique Example General: 123456	Added this element
period					ΣC	0..1	Period	Time period when id is/was valid for use	Added this element
assigner					ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text)	Added this element
display	Σ	0..1	string	Text alternative for the resource	SΣ	0..1	string	Text alternative for the resource	Elements differ in definition for mustSupport: 'false' vs 'true'
type		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.		0..1	CodeableConcept	Trial fill, partial fill, emergency fill, etc. Binding: ?? (example): Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
quantity	C	0..1	??	Amount dispensed	C	0..1	??	Amount dispensed
daysSupply	C	0..1	??	Amount of medication expressed as a timing amount	C	0..1	??	Amount of medication expressed as a timing amount
whenPrepared	Σ	0..1	dateTime	When product was packaged and reviewed	Σ	0..1	dateTime	When product was packaged and reviewed
whenHandedOver	S	1..1	dateTime	When product was given out	S	1..1	dateTime	When product was given out
destination	C	0..1	Reference(Location)	Where the medication was sent	C	0..1	Reference(Location)	Where the medication was sent
receiver	C	0..*	Reference(Patient | Practitioner)	Who collected the medication	C	0..*	Reference(Patient | Practitioner)	Who collected the medication
note		0..*	Annotation	Information about the dispense		0..*	Annotation	Information about the dispense
dosageInstruction	S	0..*	Dosage	Hier werden Informationen zur Dosierung angegeben.	S	0..*	??	Hier werden Informationen zur Dosierung angegeben.
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..0		The order of the dosage instructions	Element maximum cardinalities differ: '1' vs '0'
text	SΣ	0..1	string	Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.	SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..0		Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Element maximum cardinalities differ: '2147483647' vs '0'
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions	Σ	0..0		Patient or consumer oriented instructions	Element maximum cardinalities differ: '1' vs '0'
timing	Σ	0..1	Timing	When medication should be administered	SΣ	0..1	??	A timing schedule that specifies an event that may occur multiple times	Elements differ in definition for mustSupport: 'false' vs 'true'
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.	Σ	0..0		Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.	Element maximum cardinalities differ: '1' vs '0'
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..0		Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Element maximum cardinalities differ: '1' vs '0'
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	Σ	0..0		How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	Element maximum cardinalities differ: '1' vs '0'
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..0		Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Element maximum cardinalities differ: '1' vs '0'
doseAndRate	Σ	0..*	Element	Amount of medication administered	SΣ	0..1	Element	Menge des verabreichten Medikaments	Elements differ in definition for mustSupport: 'false' vs 'true' Element maximum cardinalities differ: '2147483647' vs '1'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Σ	0..0		The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Element maximum cardinalities differ: '1' vs '0'
dose[x]	Σ	0..1	Range, ??	Amount of medication per dose	SΣC	0..1	??	A fixed quantity (no comparator) Slice: Unordered, Closed by type:$this	Elements differ in definition for mustSupport: 'false' vs 'true'
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..0		Amount of medication per unit of time	Element maximum cardinalities differ: '1' vs '0'
maxDosePerPeriod	ΣC	0..1	Ratio	Upper limit on medication per unit of time	ΣC	0..0		Upper limit on medication per unit of time	Element maximum cardinalities differ: '1' vs '0'
maxDosePerAdministration	ΣC	0..1	??	Upper limit on medication per administration	ΣC	0..0		Upper limit on medication per administration	Element maximum cardinalities differ: '1' vs '0'
maxDosePerLifetime	ΣC	0..1	??	Upper limit on medication per lifetime of the patient	ΣC	0..0		Upper limit on medication per lifetime of the patient	Element maximum cardinalities differ: '1' vs '0'
substitution	S	0..1	BackboneElement	Whether a substitution was performed on the dispense	S	0..1	BackboneElement	Whether a substitution was performed on the dispense
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
wasSubstituted		1..1	boolean	Whether a substitution was or was not performed on the dispense	S	1..1	boolean	Whether a substitution was or was not performed on the dispense	Elements differ in definition for mustSupport: 'false' vs 'true'
type		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.		0..1	CodeableConcept	Code signifying whether a different drug was dispensed from what was prescribed Binding: ?? (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.
reason		0..*	CodeableConcept	Why was substitution made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..*	CodeableConcept	Why was substitution made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
responsibleParty	C	0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution	C	0..*	Reference(Practitioner | PractitionerRole)	Who is responsible for the substitution
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical issue with action	C	0..*	Reference(DetectedIssue)	Clinical issue with action
eventHistory	C	0..*	Reference(Provenance)	A list of relevant lifecycle events	C	0..*	Reference(Provenance)	A list of relevant lifecycle events
Documentation for this format