Implementation Guide
ePA Medication Service
Version 1.3.5 - release

## Example MedicationStatement: Ramipril_Information

version: 2; Last updated: 2025-12-03 14:00:00+0000

Profile: EPA MedicationStatement version: 1.3.2

RxPrescriptionProcessIdentifierExtension: `https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier`/160.100.000.000.019.82_20251202

ContextExtension: PRESCRIPTION

R5: Full representation of the dosage instructions (new):

1-0-0-0 Stück

> Generated Dosage Instructions Meta

> - algorithmVersion: 1.0.1
> - language: de-DE

status: Unknown

medication: 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

subject: Identifier: NamingSystemKVID/X110411319

effective: 2025-12-03 --> (ongoing)

dateAsserted: 2025-12-02

derivedFrom:

- 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] = ->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; authoredOn = 2025-12-02
- MedicationDispense: extension = https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier#160.100.000.000.019.82_20251202; identifier = https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier#ad9696d3-bc6b-4033-bdd7-14b934dc4426_160.100.000.000.019.82; status = completed; medication[x] = ->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; whenHandedOver = 2025-12-03

> dosage

> timing: Morning, Once per 1 day

> ### DoseAndRates

> - | Dose[x]
> * | 1 Stück (Details: KBV_CS_SFHIR_BMP_DOSIEREINHEIT code1 = '1')