Implementation Guide
ePA Medication Service
Version 1.3.3 - release

## : Ramipril_Information - JSON Representation

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    {
      "resourceType" : "MedicationStatement",
      "id" : "0fc1f006-5793-4501-81b6-fe3918fcfa2d",
      "meta" : {
        "versionId" : "2",
        "lastUpdated" : "2025-12-03T14:00:00.244Z",
        "profile" : [
          🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement|1.3.0"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 0fc1f006-5793-4501-81b6-fe3918fcfa2d</b></p><a name=\"0fc1f006-5793-4501-81b6-fe3918fcfa2d\"> </a><a name=\"hc0fc1f006-5793-4501-81b6-fe3918fcfa2d\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 2; Last updated: 2025-12-03 14:00:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-epa-medication-statement.html\">EPA MedicationStatement</a> version: 1.3.2</p></div><p><b>RxPrescriptionProcessIdentifierExtension</b>: <code>https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier</code>/160.100.000.000.019.82_20251202</p><p><b>ContextExtension</b>: PRESCRIPTION</p><p><b>R5: Full representation of the dosage instructions (new)</b>: </p><div><p>1-0-0-0 Stück</p>\n</div><blockquote><p><b>Generated Dosage Instructions Meta</b></p><ul><li>algorithmVersion: 1.0.1</li><li>language: de-DE</li></ul></blockquote><p><b>status</b>: Unknown</p><p><b>medication</b>: <a href=\"Medication-3f0b0cb0-e8cf-4aaf-bad8-01a51619417b.html\">Medication: extension = https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier#160.100.000.000.019.82_20251202,Medicinal product (SNOMED CT#763158003),Arzneimittel oder in die Arzneimittelversorgung nach  31 SGB V einbezogenes Produkt (EPA Code System für Arzneimittelkategorien#00),N3,false; identifier = https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier#6E36794F8327D7B96B74DC7E29FFCB49CC2CD859EBB58251DC1FB4456BEF92A9,https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier#48de03e7-84f3-4724-830e-5aabca10dfa8_160.100.000.000.019.82; status = active; form = ; amount = ? Stück / 1</a></p><p><b>subject</b>: Identifier: NamingSystemKVID/X110411319</p><p><b>effective</b>: 2025-12-03 --&gt; (ongoing)</p><p><b>dateAsserted</b>: 2025-12-02</p><p><b>derivedFrom</b>: </p><ul><li><a href=\"MedicationRequest-0e7f16e4-d879-4a2c-8292-41c55201bbdd.html\">MedicationRequest: extension = ,1-0-0-0 Stück,; identifier = https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier#160.100.000.000.019.82_20251202,https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier#b7791120-8913-47d4-acd0-9ae633f6d6c0_160.100.000.000.019.82; status = completed; intent = filler-order; medication[x] = -&gt;Medication: extension = https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier#160.100.000.000.019.82_20251202,Medicinal product (SNOMED CT#763158003),Arzneimittel oder in die Arzneimittelversorgung nach  31 SGB V einbezogenes Produkt (EPA Code System für Arzneimittelkategorien#00),N3,false; identifier = https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier#6E36794F8327D7B96B74DC7E29FFCB49CC2CD859EBB58251DC1FB4456BEF92A9,https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier#48de03e7-84f3-4724-830e-5aabca10dfa8_160.100.000.000.019.82; status = active; form = ; amount = ? Stück / 1</a></p><p><b>subject</b>: Identifier: NamingSystemKVID/X110411319</p><p><b>effective</b>: 2025-12-03 --&gt; (ongoing)</p><p><b>dateAsserted</b>: 2025-12-02</p><p><b>derivedFrom</b>: </p><ul><li><a href=\"MedicationRequest-0e7f16e4-d879-4a2c-8292-41c55201bbdd.html\">MedicationRequest: extension = ,1-0-0-0 Stück,; identifier = https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier#160.100.000.000.019.82_20251202,https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier#b7791120-8913-47d4-acd0-9ae633f6d6c0_160.100.000.000.019.82; status = completed; intent = filler-order; medication[x] = -&gt;Medication: extension = https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier#160.100.000.000.019.82_20251202,Medicinal product (SNOMED CT#763158003),Arzneimittel oder in die Arzneimittelversorgung nach extension" : [
        {
          "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension",
          "valueIdentifier" : {
            "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier",
            "value" : "160.100.000.000.019.82_20251202"
          }
        },
        {
          "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension",
          "valueCode" : "PRESCRIPTION"
        },
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction",
          "valueMarkdown" : "1-0-0-0 Stück"
        },
        {
          "extension" : [
            {
              "url" : "algorithmVersion",
              "valueString" : "1.0.1"
            },
            {
              "url" : "language",
              "valueCode" : "de-DE"
            }
          ],
          "url" : "http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta"
        }
      ],
      "status" : "unknown",
      "medicationReference" : {
        🔗 "reference" : "Medication/3f0b0cb0-e8cf-4aaf-bad8-01a51619417b"
      },
      "subject" : {
        "identifier" : {
          "system" : "http://fhir.de/sid/gkv/kvid-10",
          "value" : "X110411319"
        }
      },
      "effectivePeriod" : {
        "start" : "2025-12-03"
      },
      "dateAsserted" : "2025-12-02",
      "derivedFrom" : [
        {
          🔗 "reference" : "MedicationRequest/0e7f16e4-d879-4a2c-8292-41c55201bbdd"
        },
        {
          🔗 "reference" : "MedicationDispense/5aeaf266-a7ee-4e9d-bcb9-3c7dde96abad"
        }
      ],
      "dosage" : [
        {
          "timing" : {
            "repeat" : {
              "frequency" : 1,
              "period" : 1,
              "periodUnit" : "d",
              "when" : [
                "MORN"
              ]
            }
          },
          "doseAndRate" : [
            {
              "doseQuantity" : {
                "value" : 1,
                "unit" : "Stück",
                "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT",
                "code" : "1"
              }
            }
          ]
        }
      ]
    }