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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
copyright	gematik GmbH	gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.	Values Differ
date	2025-09-12	2025-12-15	Values Differ
description	Defines the medication request resource for the Medication Service in the ePA system.
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#DE
kind	resource
name	EPAMedicationRequest
publisher	gematik GmbH
purpose
status	active
title	EPA MedicationRequest
type	MedicationRequest
url	https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request
version	1.2.0	1.3.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed	SΣ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? 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		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier		0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:$this		0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:$this
status	?!SΣ	1..1	code	Status of Medication Request Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.	?!SΣ	1..1	code	Status of Medication Request Binding: ?? (required)
statusReason		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	filler-order Binding: ?? (required): The kind of medication order.	?!SΣ	1..1	code	filler-order Binding: ?? (required): The kind of medication order.
category		0..*	CodeableConcept	Type of medication usage Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.		0..*	CodeableConcept	Type of medication usage Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	Σ	0..1	boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Reported rather than primary record	Σ	0..1	boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Reported rather than primary record
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken	SΣ	1..1	Reference(Medication)	Medication to be taken
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 or group medication request is for	SΣC	1..1	Reference(Patient)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	??	Logical reference, when literal reference is not known	SΣ	1..1	??	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
encounter	C	0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay	C	0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication	C	0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	Issue Date	SΣ	1..1	dateTime	Issue Date
requester	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request	SΣC	0..1	Reference(Organization | Practitioner | PractitionerRole)	Who/What requested the Request
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
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.
recorder	C	0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request	C	0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.
reasonReference	C	0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written	C	0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣC	0..*	Reference(eMP MedicationRequest)	What request fulfills	SΣC	0..*	Reference(eMP MedicationRequest)	What request fulfills
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	??	Logical reference, when literal reference is not known	SΣ	0..1	??	Logical reference, when literal reference is not known
id						0..0		Unique id for inter-element referencing	Added this element
Slices for extension						0..0		Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
use					?!Σ	0..1	code	official Binding: ?? (required): Identifies the purpose for this identifier, if known . Fixed Value: official	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	1..1	uri	The namespace for the identifier value Required Pattern: https://gematik.de/fhir/sid/emp-identifier	Added this element
value					SΣ	1..1	string	Der eindeutige Identifikationswert Example General: 123456 Example General: 687512ce-744c-8001-83c3-238227110dd6	Added this element
period					ΣC	0..0		Time period when id is/was valid for use	Added this element
assigner					ΣC	0..0		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'
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note	S	0..1	Annotation	Information about the prescription	S	0..1	Annotation	Information about the prescription
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Dispensing Note	SΣ	1..1	markdown	Dispensing Note
dosageInstruction	S	0..*	??	Hier werden Informationen zur Dosierung angegeben.	S	0..*	??	Hier werden Informationen zur Dosierung angegeben.
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
modifierExtension					?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	Added this element
sequence					Σ	0..0		The order of the dosage instructions	Added this element
text					SΣ	0..1	string	Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'	Added this element
additionalInstruction					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".	Added this element
patientInstruction					Σ	0..0		Patient or consumer oriented instructions	Added this element
timing					SΣ	0..1	??	A timing schedule that specifies an event that may occur multiple times	Added this element
asNeeded[x]					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.	Added this element
site					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.	Added this element
route					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.	Added this element
method					Σ	0..0		Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Added this element
doseAndRate					SΣ	0..1	Element	Menge des verabreichten Medikaments	Added this element
maxDosePerPeriod					ΣC	0..0		Upper limit on medication per unit of time	Added this element
maxDosePerAdministration					ΣC	0..0		Upper limit on medication per administration	Added this element
maxDosePerLifetime					ΣC	0..0		Upper limit on medication per lifetime of the patient	Added this element
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	C	0..1	??	First fill quantity	C	0..1	??	First fill quantity
duration	C	0..1	Duration	First fill duration	C	0..1	Duration	First fill duration
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses	C	0..1	Duration	Minimum period of time between dispenses
validityPeriod	C	0..1	Period	Time period supply is authorized for	C	0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized		0..1	unsignedInt	Number of refills authorized
quantity	SC	0..1	??	Amount of medication to supply per dispense	SC	0..1	??	Amount of medication to supply per dispense
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Number of Prescribed Packages	SΣ	1..1	decimal	Number of Prescribed Packages
comparator	?!Σ	0..0		< | <= | >= | > - how to understand the value Binding: ?? (required): How the Quantity should be understood and represented.	?!Σ	0..0		< | <= | >= | > - how to understand the value Binding: ?? (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit	SΣ	0..1	code	Coded form of the unit
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense	SC	0..1	Duration	Number of days supply per dispense	Elements differ in definition for mustSupport: 'false' vs 'true'
performer	C	0..1	Reference(Organization)	Intended dispenser	C	0..1	Reference(Organization)	Intended dispenser
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not	S	1..1	boolean	Whether substitution is allowed or not
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription	C	0..1	Reference(MedicationRequest)	An order/prescription that is being replaced	C	0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue	C	0..*	Reference(DetectedIssue)	Clinical Issue with action	C	0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format