## Union of https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request and https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request

This is the set of resources that conform to either of the profiles EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request) and EPA MedicationRequest (https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* |  | Ordering of medication for patient or group
meta | S Σ | 0..1 | Meta | Metadata about the resource
extension |  | 0..* | Extension | Additional content defined by implementations
versionId | S Σ | 0..1 | id | Version specific identifier
lastUpdated | S Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | 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.
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".
implicitRules | ?!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.
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
contained |  | 0..* | Resource | Contained, inline Resources
extension | S | 0..* | Extension | left: Additional content defined by implementations; right: Extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 0..* | Identifier | External ids for this request
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.
statusReason |  | 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.
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.
priority | 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
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
medication[x] | S Σ | 1..1 | Reference(Medication) | Medication to be taken
extension |  | 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
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).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | 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 Constraints: ref-1
extension |  | 0..* | Extension | Additional content defined by implementations
reference | Σ | 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).
identifier | S Σ | 1..1 | ?? | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | C | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay Constraints: ref-1
supportingInformation | C | 0..* | Reference(Resource) | Information to support ordering of the medication Constraints: ref-1
authoredOn | S Σ | 1..1 | dateTime | Issue Date
requester | S Σ C | 0..1 | Reference(Organization | Practitioner | PractitionerRole) | Who/What requested the Request Constraints: ref-1
extension |  | 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
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).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | 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 Constraints: ref-1
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.
recorder | C | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request Constraints: ref-1
reasonCode |  | 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 Constraints: ref-1
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | S Σ C | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation), Reference(https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request) | What request fulfills Constraints: ref-1
extension |  | 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
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).
identifier | S Σ | 0..1 | ?? | Logical reference, when literal reference is not known
display | S Σ | 0..1 | string | Text alternative for the resource
groupIdentifier | 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.
insurance | C | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage Constraints: ref-1
note | S | 0..1 | Annotation | Information about the prescription
extension |  | 0..* | Extension | Additional content defined by implementations
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | S Σ | 0..1 | dateTime | When the annotation was made
text | S Σ | 1..1 | markdown | Dispensing Note
dosageInstruction | S | 0..* | Dosage | Hier werden Informationen zur Dosierung angegeben.
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | left: Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.; right: 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".
patientInstruction | S Σ | 0..1 | string | left: Instructions for Use; right: Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | left: When medication should be administered; right: Wann das Medikament verabreicht werden soll
asNeeded[x] | Σ | 0..1 |  | 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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
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.
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.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | S Σ | 0..* | Element | left: Amount of medication administered; right: Menge des verabreichten Medikaments
extension |  | 0..* | Extension | Additional content defined by implementations
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x] | S Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ C | 0..1 | Ratio | Upper limit on medication per unit of time Constraints: rat-1
maxDosePerAdministration | Σ C | 0..1 | ?? | Upper limit on medication per administration Constraints: qty-3, sqty-1
maxDosePerLifetime | Σ C | 0..1 | ?? | Upper limit on medication per lifetime of the patient Constraints: qty-3, sqty-1
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
initialFill |  | 0..1 | BackboneElement | First fill details
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity | C | 0..1 | ?? | First fill quantity Constraints: qty-3, sqty-1
duration | C | 0..1 | Duration | First fill duration Binding: ?? (example): Appropriate units for Duration.
Additional Bindings | Purpose
?? | Max Binding
Constraints: qty-3, drt-1
dispenseInterval | C | 0..1 | Duration | Minimum period of time between dispenses Binding: ?? (example): Appropriate units for Duration.
Additional Bindings | Purpose
?? | Max Binding
Constraints: qty-3, drt-1
validityPeriod | C | 0..1 | Period | Time period supply is authorized for Constraints: per-1
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized
quantity | S C | 0..1 | ?? | Amount of medication to supply per dispense Constraints: qty-3, sqty-1
extension |  | 0..* | Extension | Additional content defined by implementations
value | S Σ | 1..1 | decimal | Number of Prescribed Packages
unit | S Σ | 0..1 | string | Unit representation
system | S Σ | 0..1 | uri | System that defines coded unit form
code | S Σ | 0..1 | code | Coded form of the unit
expectedSupplyDuration | S C | 0..1 | Duration | Number of days supply per dispense Binding: ?? (example): Appropriate units for Duration.
Additional Bindings | Purpose
?? | Max Binding
Constraints: qty-3, drt-1
performer | C | 0..1 | Reference(Organization) | Intended dispenser Constraints: ref-1
substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] | 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.
priorPrescription | C | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced Constraints: ref-1
detectedIssue | C | 0..* | Reference(DetectedIssue) | Clinical Issue with action Constraints: ref-1
eventHistory | C | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle Constraints: ref-1
Documentation for this format