## 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: '1.3.0' vs '1.3.2'
Information | StructureDefinition.date | Values for date differ: '2025-12-15' vs '2026-03-20'
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.note.time | 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. |
date | 2025-12-15 | 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 | 1.3.0 | 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 |  | 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
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 | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | Elements differ in definition for mustSupport: 'false' vs 'true'
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:$this | S | 0..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:$this | Elements differ in definition for mustSupport: 'false' vs 'true'
status | ?!S Σ | 1..1 | code | Status of Medication Request Binding: ?? (required) | ?!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 |  | 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 | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | S 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 | 0..1 | Identifier | Logical reference, when literal reference is not known | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
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 |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |
type | S Σ | 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. | S Σ | 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. |
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 | S Σ | 0..* | Coding | Code defined by a terminology system | S Σ | 0..* | 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 | S Σ | 0..1 | uri | Identity of the terminology system | S Σ | 0..1 | uri | Identity of the terminology system |
version | S Σ | 0..1 | string | Version of the system - if relevant | S Σ | 0..1 | string | Version of the system - if relevant |
code | S Σ | 0..1 | code | Symbol in syntax defined by the system | S Σ | 0..1 | code | Symbol in syntax defined by the system |
display | S Σ | 0..1 | string | Representation defined by the system | S Σ | 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 |
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | S Σ | 0..1 | string | The value that is unique Example General: 123456 | S Σ | 0..1 | string | The value that is unique Example General: 123456 |
period | Σ C | 0..1 | Period | Time period when id is/was valid for use | Σ C | 0..1 | Period | Time period when id is/was valid for use |
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
display | S Σ | 0..1 | string | Text alternative for the resource | S Σ | 0..1 | string | Text alternative for the resource |
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 |  | 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 |  | 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 | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | S 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 | 0..1 | Identifier | Logical reference, when literal reference is not known | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
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 |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |
type | S Σ | 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. | S Σ | 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. |
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 | S Σ | 0..* | Coding | Code defined by a terminology system | S Σ | 0..* | 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 | S Σ | 0..1 | uri | Identity of the terminology system | S Σ | 0..1 | uri | Identity of the terminology system |
version | S Σ | 0..1 | string | Version of the system - if relevant | S Σ | 0..1 | string | Version of the system - if relevant |
code | S Σ | 0..1 | code | Symbol in syntax defined by the system | S Σ | 0..1 | code | Symbol in syntax defined by the system |
display | S Σ | 0..1 | string | Representation defined by the system | S Σ | 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 |
system | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | S Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | S Σ | 0..1 | string | The value that is unique Example General: 123456 | S Σ | 0..1 | string | The value that is unique Example General: 123456 |
period | Σ C | 0..1 | Period | Time period when id is/was valid for use | Σ C | 0..1 | Period | Time period when id is/was valid for use |
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
display | S Σ | 0..1 | string | Text alternative for the resource | S Σ | 0..1 | string | Text alternative for the resource |
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 | S Σ C | 0..* | Reference(eMP MedicationRequest) | What request fulfills | S Σ C | 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 | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | S 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 | 0..1 | ?? | Logical reference, when literal reference is not known | S Σ | 0..1 | ?? | Logical reference, when literal reference is not known |
id |  | 0..0 |  | Unique id for inter-element referencing |  | 0..0 |  | Unique id for inter-element referencing |
Slices for extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url |
use | ?!Σ | 0..1 | code | official Binding: ?? (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ?!Σ | 0..1 | code | official Binding: ?? (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
type | S Σ | 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. | S Σ | 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. |
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 | S Σ | 0..* | Coding | Code defined by a terminology system | S Σ | 0..* | 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 | S Σ | 0..1 | uri | Identity of the terminology system | S Σ | 0..1 | uri | Identity of the terminology system |
version | S Σ | 0..1 | string | Version of the system - if relevant | S Σ | 0..1 | string | Version of the system - if relevant |
code | S Σ | 0..1 | code | Symbol in syntax defined by the system | S Σ | 0..1 | code | Symbol in syntax defined by the system |
display | S Σ | 0..1 | string | Representation defined by the system | S Σ | 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 |
system | S Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: https://gematik.de/fhir/sid/emp-identifier | S Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: https://gematik.de/fhir/sid/emp-identifier |
value | S Σ | 1..1 | string | Der eindeutige Identifikationswert Example General: 123456 Example General: 687512ce-744c-8001-83c3-238227110dd6 | S Σ | 1..1 | string | Der eindeutige Identifikationswert Example General: 123456 Example General: 687512ce-744c-8001-83c3-238227110dd6 |
period | Σ C | 0..0 |  | Time period when id is/was valid for use | Σ C | 0..0 |  | Time period when id is/was valid for use |
assigner | Σ C | 0..0 |  | Organization that issued id (may be just text) | Σ C | 0..0 |  | Organization that issued id (may be just text) |
display | S Σ | 0..1 | string | Text alternative for the resource | S Σ | 0..1 | string | Text alternative for the resource |
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 | 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..* | ?? | Hier werden Informationen zur Dosierung angegeben. | S | 0..* | ?? | Hier werden Informationen zur Dosierung angegeben. |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 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..0 |  | The order of the dosage instructions | Σ | 0..0 |  | The order of the dosage instructions |
text | S Σ | 0..1 | string | Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf' | S Σ | 0..1 | string | Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf' |
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". | 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". |
patientInstruction | Σ | 0..0 |  | Patient or consumer oriented instructions | Σ | 0..0 |  | Patient or consumer oriented instructions |
timing | S Σ | 0..1 | ?? | A timing schedule that specifies an event that may occur multiple times | S Σ | 0..1 | ?? | A timing schedule that specifies an event that may occur multiple times |
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. | 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. |
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. | 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. |
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. | 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. |
method | Σ | 0..0 |  | 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. |
doseAndRate | S Σ | 0..1 | Element | Menge des verabreichten Medikaments | S Σ | 0..1 | Element | Menge des verabreichten Medikaments |
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 |
type | Σ | 0..0 |  | 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. |
Slices for dose[x] | S Σ C | 0..1 | ?? | A fixed quantity (no comparator) Slice: Unordered, Closed by type:$this | S Σ C | 0..1 | ?? | A fixed quantity (no comparator) Slice: Unordered, Closed by type:$this |
rate[x] | Σ | 0..0 |  | Amount of medication per unit of time | Σ | 0..0 |  | Amount of medication per unit of time |
maxDosePerPeriod | Σ C | 0..0 |  | Upper limit on medication per unit of time | Σ | 0..0 |  | Upper limit on medication per unit of time |
maxDosePerAdministration | Σ C | 0..0 |  | Upper limit on medication per administration | Σ | 0..0 |  | Upper limit on medication per administration |
maxDosePerLifetime | Σ C | 0..0 |  | Upper limit on medication per lifetime of the patient | Σ | 0..0 |  | Upper limit on medication per lifetime of the patient |
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 | S C | 0..1 | ?? | Amount of medication to supply per dispense | S C | 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 | 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 | S Σ | 0..1 | string | Unit representation | S Σ | 0..1 | string | Unit representation |
system | S Σ C | 0..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 |
code | S Σ | 0..1 | code | Coded form of the unit | S Σ | 0..1 | code | Coded form of the unit |
expectedSupplyDuration | S C | 0..1 | Duration | Number of days supply per dispense | S C | 0..1 | Duration | Number of days supply per dispense |
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