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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationStatement
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	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.
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#DE
kind	resource
name	EPAMedicationStatement
publisher	gematik GmbH
purpose
status	active
title	EPA MedicationStatement
type	MedicationStatement
url	https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement
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
MedicationStatement	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: epa-med-statement-status	C	0..*	MedicationStatement	Record of medication being taken by a patient Constraints: epa-med-statement-status
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		1..*	Extension	Extension Slice: Unordered, Open by value:url		1..*	Extension	Extension 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
identifier	Σ	0..*	Identifier	External identifier	Σ	0..*	Identifier	External identifier
basedOn	ΣC	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order	SΣC	0..*	Reference(EPA MedicationRequest | eMP MedicationRequest)	Fulfils plan, proposal or order	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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	S	0..*	Extension	Extension Slice: Unordered, Open by value:url	Elements differ in definition for mustSupport: 'false' vs 'true'
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL	Elements differ in definition for mustSupport: 'false' vs 'true'
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'
partOf	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ?? (required)	?!SΣ	1..1	code	unknown | entered-in-error | intended Binding: ?? (required)
statusReason		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.	Σ	0..1	CodeableConcept	Type of medication usage Binding: ?? (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	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	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 is/was taking the medication	SΣC	1..1	Reference(Patient)	Who is/was taking the medication
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
context	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	SΣ	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this	SΣ	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime	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	C	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses	SC	0..*	Reference(EPA MedicationRequest | EPA MedicationDispense)	Information des Verschreibungs- und Dispensierprozesses
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
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken.		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: ?? (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	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement		0..*	Annotation	Further information about the statement
dosage	S	0..*	??	Strukturierte Dosierung/Gebrauchsanweisung	S	0..*	??	Strukturierte Dosierung/Gebrauchsanweisung
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
Documentation for this format