Profile Comparison between https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance vs https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Provenance
copyright	gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0.
date	2025-12-15	2026-03-20	Values Differ
description	Dieses Profil beschreibt die Verwendung der FHIR-Resource Provenance zur Abbildung eines eMP-Chronologieeintrags. Die Provenance-Instanz dokumentiert, welche eMP-Einträge (MedicationRequest-Instanzen) zu einem bestimmten Zeitpunkt als Teil des elektronischen Medikationsplans (eMP) gültig waren. Ein eMP-Chronologieeintrag wird immer dann erzeugt, wenn sich die eMP-relevanten Instanzen geändert haben oder neue eMP-Einträge hinzugekommen sind. Er referenziert sämtliche zum Erstellungszeitpunkt aktiven eMP-MedicationRequest-Instanzen, d.h. alle Ressourcen mit dem Status active oder on-hold. Dadurch wird der Zustand des Medikationsplans zu diesem Zeitpunkt nachvollziehbar. Der eMP-Chronologieeintrag ermöglicht somit eine eindeutige und versionssichere Rückverfolgung der Zusammensetzung des eMP über verschiedene Zeitpunkte hinweg.
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#DE
kind	resource
name	EMPChronologyProvenance
publisher	gematik GmbH
purpose
status	active
title	eMP Chronology Provenance
type	Provenance
url	https://gematik.de/fhir/epa-medication/StructureDefinition/emp-chronology-provenance
version	1.3.0	1.3.1	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Provenance		0..*	Provenance	Dieses Profil beschreibt einen eMP-Chronologieeintrag, der alle zum Erstellungszeitpunkt aktiven eMP-Einträge (active, on-hold) referenziert. Er entsteht bei Änderungen oder neuen Einträgen im eMP.		0..*	Provenance	Dieses Profil beschreibt einen eMP-Chronologieeintrag, der alle zum Erstellungszeitpunkt aktiven eMP-Einträge (active, on-hold) referenziert. Er entsteht bei Änderungen oder neuen Einträgen im eMP.
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
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
target	SΣC	1..*	Reference(eMP MedicationRequest)	Gibt die MedicationRequest-Instanzen an, die dem Profil EMPMedicationRequest entsprechen und im Rahmen der Änderung innerhalb des Medication Service erstellt oder aktualisiert wurden. Es muss eine versionierte Referenz (MedicationRequest/id/_history/vid) verwendet werden.	SΣC	1..*	Reference(eMP MedicationRequest)	Gibt die MedicationRequest-Instanzen an, die dem Profil EMPMedicationRequest entsprechen und im Rahmen der Änderung innerhalb des Medication Service erstellt oder aktualisiert wurden. Es muss eine versionierte Referenz (MedicationRequest/id/_history/vid) verwendet werden.
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	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'
occurred[x]	S	0..1	dateTime	Gibt den Zeitraum oder Zeitpunkt an, in dem die Änderung tatsächlich stattgefunden hat - also wann die Aktion inhaltlich durchgeführt wurde, z.B. das Erfassen oder Bearbeiten von Daten.	S	0..1	dateTime	Gibt den Zeitraum oder Zeitpunkt an, in dem die Änderung tatsächlich stattgefunden hat - also wann die Aktion inhaltlich durchgeführt wurde, z.B. das Erfassen oder Bearbeiten von Daten.
recorded	SΣ	1..1	instant	Gibt den technischen Zeitpunkt an, zu dem dieser eMP-Chronologieeintrag im Medication Service erstellt und persistiert wurde.	SΣ	1..1	instant	Gibt den technischen Zeitpunkt an, zu dem dieser eMP-Chronologieeintrag im Medication Service erstellt und persistiert wurde.
policy		0..*	uri	Policy or plan the activity was defined by		0..*	uri	Policy or plan the activity was defined by
location	C	0..1	Reference(Location)	Where the activity occurred, if relevant	C	0..1	Reference(Location)	Where the activity occurred, if relevant
reason		0..*	CodeableConcept	Reason the activity is occurring Binding: ?? (extensible): The reason the activity took place.		0..*	CodeableConcept	Reason the activity is occurring Binding: ?? (extensible): The reason the activity took place.
activity	S	1..1	CodeableConcept	Beschreibt die Art der Aktivität, die zur Erstellung des eMP-Chronologieeintrags im FHIR Data Service der ePA geführt hat. Verwendet wird UPDATE, da der Chronologieeintrag eine neue Zusammenstellung des aktuellen Stands der relevanten eMP-Instanzen darstellt. Binding: ?? (extensible): The activity that took place. Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-DataOperation","code":"UPDATE"}]}	S	1..1	CodeableConcept	Beschreibt die Art der Aktivität, die zur Erstellung des eMP-Chronologieeintrags im FHIR Data Service der ePA geführt hat. Verwendet wird UPDATE, da der Chronologieeintrag eine neue Zusammenstellung des aktuellen Stands der relevanten eMP-Instanzen darstellt. Binding: ?? (extensible): The activity that took place. Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-DataOperation","code":"UPDATE"}]}
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
agent	S	1..*	BackboneElement	Beschreibt die Art der Aktivität, die zur Erstellung des eMP-Chronologieeintrags geführt hat. Verwendet wird UPDATE, da der Chronologieeintrag den aktuellen Stand der eMP-relevanten Instanzen zusammenfasst, nachdem sich diese geändert haben oder neue Instanzen hinzugekommen sind.	S	1..*	BackboneElement	Beschreibt die Art der Aktivität, die zur Erstellung des eMP-Chronologieeintrags geführt hat. Verwendet wird UPDATE, da der Chronologieeintrag den aktuellen Stand der eMP-relevanten Instanzen zusammenfasst, nachdem sich diese geändert haben oder neue Instanzen hinzugekommen sind.
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
type	SΣ	1..1	CodeableConcept	Gibt die Rolle oder Funktion an, die der Agent im Rahmen der dokumentierten Änderung eingenommen hat. Im Kontext dieses Profils ist ausschließlich die Rolle author zulässig, da jede Änderung im Medication Service fachlich verantwortet sein muss. Binding: ?? (required)	SΣ	1..1	CodeableConcept	Gibt die Rolle oder Funktion an, die der Agent im Rahmen der dokumentierten Änderung eingenommen hat. Im Kontext dieses Profils ist ausschließlich die Rolle author zulässig, da jede Änderung im Medication Service fachlich verantwortet sein muss. Binding: ?? (required)
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
coding	SΣ	1..1	Coding	Code defined by a terminology system	SΣ	1..1	Coding	Code defined by a terminology system
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
system	SΣ	1..1	uri	Identity of the terminology system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant	SΣ	0..1	string	Version of the system - if relevant	Elements differ in definition for mustSupport: 'false' vs 'true'
code	SΣ	1..1	code	Symbol in syntax defined by the system	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
role		0..*	CodeableConcept	What the agents role was Binding: ?? (example): The role that a provenance agent played with respect to the activity.		0..*	CodeableConcept	What the agents role was Binding: ?? (example): The role that a provenance agent played with respect to the activity.
who	SΣC	1..1	Reference(TI Organization | Organization in gematik Directory)	Who participated	SΣC	1..1	Reference(TI Organization | Organization in gematik Directory)	Who participated
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..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	SΣ	0..1	string	Text alternative for the resource	SΣ	0..1	string	Text alternative for the resource
onBehalfOf	C	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing	C	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
entity		0..*	BackboneElement	An entity used in this activity		0..*	BackboneElement	An entity used in this activity
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
role	Σ	1..1	code	derivation | revision | quotation | source | removal Binding: ?? (required): How an entity was used in an activity.	Σ	1..1	code	derivation | revision | quotation | source | removal Binding: ?? (required): How an entity was used in an activity.
what	ΣC	1..1	Reference(Resource)	Identity of entity	ΣC	1..1	Reference(Resource)	Identity of entity
agent		0..*	See agent (Provenance)	Entity is attributed to this agent		0..*	See agent (Provenance)	Entity is attributed to this agent
signature		0..*	Signature	Signature on target		0..*	Signature	Signature on target
Documentation for this format