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

Left: | EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request)
Right: | EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.6-2' vs '1.3.2'
Information | StructureDefinition.date | Values for date differ: '2025-05-12' vs '2026-03-20'
Information | MedicationRequest.language | Example/preferred bindings differ at MedicationRequest.language using binding from EPAMedicationRequest
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Warning | MedicationRequest.extension | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | MedicationRequest.identifier | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | MedicationRequest.basedOn | Elements differ in definition for mustSupport: 'false' vs 'true'
Error | MedicationRequest.basedOn | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation]]) vs Reference([CanonicalType[https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request]])
Warning | MedicationRequest.note.time | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | MedicationRequest.dosageInstruction | Element maximum cardinalities differ: '1' vs '2147483647'
Information | StructureDefinition.comment | Values for comment differ: '32 bit number; for values larger than this, use decimal' vs 'Begründung Einschränkung Kardinalität: Eine Dosier-Sequenz ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.sequence | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.' vs 'Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf''
Information | StructureDefinition.definition | Values for definition differ: 'Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.' vs 'Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'. Als Quelle dient hier ausschließlich der Arzt oder Apotheker'
Information | StructureDefinition.comment | Values for comment differ: 'Note that FHIR strings SHALL NOT exceed 1MB in size' vs 'Die Freitextdosierung sollte nur angegeben werden, wenn aufgrund der Komplexität keine strukturierte Dosierung möglich ist, um widersprüchliche Anweisungen zu vermeiden.'
Information | MedicationRequest.dosageInstruction.additionalInstruction | Element maximum cardinalities differ: '2147483647' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Instructions for Use' vs 'Patient or consumer oriented instructions'
Information | StructureDefinition.definition | Values for definition differ: 'Instructions for Use' vs 'Instructions in terms that are understood by the patient or consumer.'
Warning | MedicationRequest.dosageInstruction.patientInstruction | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | MedicationRequest.dosageInstruction.patientInstruction | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'When medication should be administered' vs 'A timing schedule that specifies an event that may occur multiple times'
Information | StructureDefinition.definition | Values for definition differ: 'When medication should be administered.' vs 'Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out.'
Information | StructureDefinition.comment | Values for comment differ: 'This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.' vs 'Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.'
Warning | MedicationRequest.dosageInstruction.timing | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.comment | Values for comment differ: 'Can express 'as needed' without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express 'as needed' with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not 'prn' or 'as needed'.' vs 'Begründung Einschränkung Kardinalität: Eine Bedarfsdosis ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.asNeeded[x] | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.comment | Values for comment differ: 'If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.' vs 'Begründung Einschränkung Kardinalität: Eine Verabreichungsstelle ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.site | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.comment | Values for comment differ: 'Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.' vs 'Begründung Einschränkung Kardinalität: Ein Verabreichungsweg ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.route | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.comment | Values for comment differ: 'Terminologies used often pre-coordinate this term with the route and or form of administration.' vs 'Begründung Einschränkung Kardinalität: Eine Verabreichungsmethode ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.method | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Amount of medication administered' vs 'Menge des verabreichten Medikaments'
Information | StructureDefinition.definition | Values for definition differ: 'The amount of medication administered.' vs 'Die verabreichte Menge des Medikaments.'
Warning | MedicationRequest.dosageInstruction.doseAndRate | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | MedicationRequest.dosageInstruction.doseAndRate | Element maximum cardinalities differ: '2147483647' vs '1'
Information | StructureDefinition.comment | Values for comment differ: 'Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.' vs 'Begründung Einschränkung Kardinalität: Eine 'type'-Angabe ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.doseAndRate.type | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Amount of medication per dose' vs 'A fixed quantity (no comparator)'
Information | StructureDefinition.definition | Values for definition differ: 'Amount of medication per dose.' vs 'The comparator is not used on a SimpleQuantity'
Information | StructureDefinition.comment | Values for comment differ: 'Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.' vs 'Begründung Einschränkung Datentyp: Nur einfache Mengenangaben sind in der ersten Ausbaustufe des dgMP vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Warning | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.comment | Values for comment differ: 'It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.' vs 'Begründung Einschränkung Kardinalität: Eine Verabreichungsmenge pro Zeiteinheit ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.doseAndRate.rate[x] | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.comment | Values for comment differ: 'This is intended for use as an adjunct to the dosage when there is an upper cap. For example '2 tablets every 4 hours to a maximum of 8/day'.' vs 'Begründung Einschränkung Kardinalität: Eine maximale Dosis pro Zeitraum ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.maxDosePerPeriod | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.comment | Values for comment differ: 'This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.' vs 'Begründung Einschränkung Kardinalität: Eine maximale Dosis pro Verabreichung ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.maxDosePerAdministration | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.comment | Values for comment differ: 'The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.' vs 'Begründung Einschränkung Kardinalität: Eine maximale Dosis über die Lebenszeit ist in der ersten Ausbaustufe des dgMP nicht vorgesehen, um die Komplexität zu reduzieren und die Übersichtlichkeit zu erhöhen.'
Information | MedicationRequest.dosageInstruction.maxDosePerLifetime | Element maximum cardinalities differ: '1' vs '0'
Information | MedicationRequest.dispenseRequest | Element minimum cardinalities differ: '1' vs '0'
Information | MedicationRequest.dispenseRequest.quantity | Element minimum cardinalities differ: '1' vs '0'
Warning | MedicationRequest.dispenseRequest.quantity.unit | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | MedicationRequest.dispenseRequest.quantity.system | Element minimum cardinalities differ: '1' vs '0'
Information | MedicationRequest.dispenseRequest.quantity.code | Element minimum cardinalities differ: '1' vs '0'
Warning | MedicationRequest.dispenseRequest.expectedSupplyDuration | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationRequest |
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 | 2026-03-20 | 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 | 1.0.6-2 | 1.3.2 | 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 | S Σ | 0..1 | Meta | Metadata about the resource | S Σ | 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 | S Σ | 0..1 | id | Version specific identifier | S Σ | 0..1 | id | Version specific identifier |
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed | S Σ | 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 MedicationRequest.language using binding from EPAMedicationRequest
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 | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | Elements differ in definition for mustSupport: 'false' vs 'true'
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 ids for this request Slice: Unordered, Open by pattern:$this | S | 0..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:$this | Elements differ in definition for mustSupport: 'false' vs 'true'
status | ?!S Σ | 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. | ?!S Σ | 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 | ?!S Σ | 1..1 | code | filler-order Binding: ?? (required): The kind of medication order. | ?!S Σ | 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] | S Σ | 1..1 | Reference(Medication) | Medication to be taken | S Σ | 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 |  |  |  |  | S Σ C | 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 |  |  |  |  | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Added this element
display |  |  |  |  | S Σ | 0..1 | string | Text alternative for the resource | Added this element
subject | S Σ C | 1..1 | Reference(Patient) | Who or group medication request is for | S Σ C | 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 | 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 | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 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 | S Σ | 1..1 | ?? | Logical reference, when literal reference is not known | S Σ | 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 | S Σ | 1..1 | dateTime | Issue Date | S Σ | 1..1 | dateTime | Issue Date |
requester | S Σ C | 0..1 | Reference(Organization | Practitioner | PractitionerRole) | Who/What requested the Request | S Σ C | 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 |  |  |  |  | S Σ C | 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 |  |  |  |  | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Added this element
display |  |  |  |  | S Σ | 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 | Σ C | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | S Σ C | 0..* | Reference(eMP MedicationRequest) | What request fulfills | Elements differ in definition for mustSupport: 'false' vs 'true' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation]]) vs Reference([CanonicalType[https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-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 |  |  |  |  | S Σ C | 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 |  |  |  |  | S Σ | 0..1 | ?? | Logical reference, when literal reference is not known | Added this element
display |  |  |  |  | S Σ | 0..1 | string | Text alternative for the resource | Added this element
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 | 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 |
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 | S Σ | 0..1 | dateTime | When the annotation was made | Elements differ in definition for mustSupport: 'false' vs 'true'
text | S Σ | 1..1 | markdown | Dispensing Note | S Σ | 1..1 | markdown | Dispensing Note |
dosageInstruction | S | 0..1 | Dosage | Hier werden Informationen zur Dosierung angegeben. | S | 0..* | ?? | Hier werden Informationen zur Dosierung angegeben. | Element maximum cardinalities differ: '1' vs '2147483647'
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 | S Σ | 0..1 | string | Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden. | S Σ | 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 | S Σ | 0..1 | string | Instructions for Use | Σ | 0..0 |  | Patient or consumer oriented instructions | Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '1' vs '0'
timing | Σ | 0..1 | Timing | When medication should be administered | S Σ | 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 | S Σ | 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 | S Σ C | 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 | Σ C | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..0 |  | Upper limit on medication per unit of time | Element maximum cardinalities differ: '1' vs '0'
maxDosePerAdministration | Σ C | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..0 |  | Upper limit on medication per administration | Element maximum cardinalities differ: '1' vs '0'
maxDosePerLifetime | Σ C | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..0 |  | Upper limit on medication per lifetime of the patient | Element maximum cardinalities differ: '1' vs '0'
dispenseRequest | S | 1..1 | BackboneElement | Medication supply authorization | S | 0..1 | BackboneElement | Medication supply authorization | Element minimum cardinalities differ: '1' vs '0'
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 |
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 | 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 |
quantity | C | 0..1 | ?? | First fill quantity | C | 0..1 | ?? | First fill quantity |
duration | C | 0..1 | Duration | First fill duration Binding: ?? (extensible): Appropriate units for Duration.
Additional Bindings | Purpose
?? | Max Binding
| C | 0..1 | Duration | First fill duration |
dispenseInterval | C | 0..1 | Duration | Minimum period of time between dispenses Binding: ?? (extensible): Appropriate units for Duration.
Additional Bindings | Purpose
?? | Max Binding
| 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 | S C | 1..1 | ?? | Amount of medication to supply per dispense | S C | 0..1 | ?? | Amount of medication to supply per dispense | Element minimum cardinalities differ: '1' vs '0'
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 |
value | S Σ | 1..1 | decimal | Number of Prescribed Packages | S Σ | 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 | Σ | 0..1 | string | Unit representation | S Σ | 0..1 | string | Unit representation | Elements differ in definition for mustSupport: 'false' vs 'true'
system | S Σ C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | S Σ C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | Element minimum cardinalities differ: '1' vs '0'
code | S Σ | 1..1 | code | Coded form of the unit Required Pattern: {Package} | S Σ | 0..1 | code | Coded form of the unit | Element minimum cardinalities differ: '1' vs '0'
expectedSupplyDuration | C | 0..1 | Duration | Number of days supply per dispense Binding: ?? (extensible): Appropriate units for Duration.
Additional Bindings | Purpose
?? | Max Binding
| S C | 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 | 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 |
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