Implementation Guide
ePA Medication Service
Version 1.3.5 - release

## : Ramipril_Information - XML Representation

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    <MedicationStatement xmlns="http://hl7.org/fhir">
      <id value="0fc1f006-5793-4501-81b6-fe3918fcfa2d"/>
      <meta>
        <versionId value="2"/>
        <lastUpdated value="2025-12-03T14:00:00.244Z"/>
        <profile
                 value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-statement|1.3.0"/>
      </meta>
      <text>
        <status value="extensions"/>
        <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>
    </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
      </text>
      <extension
                 url="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension">
        <valueIdentifier>
          <system
                  value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/>
          <value value="160.100.000.000.019.82_20251202"/>
        </valueIdentifier>
      </extension>
      <extension
                 url="https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension">
        <valueCode value="PRESCRIPTION"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction">
        <valueMarkdown value="1-0-0-0 Stück"/>
      </extension>
      <extension
                 url="http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta">
        <extension url="algorithmVersion">
          <valueString value="1.0.1"/>
        </extension>
        <extension url="language">
          <valueCode value="de-DE"/>
        </extension>
      </extension>
      <status value="unknown"/>
      <medicationReference>🔗
        <reference value="Medication/3f0b0cb0-e8cf-4aaf-bad8-01a51619417b"/>
      </medicationReference>
      <subject>
        <identifier>
          <system value="http://fhir.de/sid/gkv/kvid-10"/>
          <value value="X110411319"/>
        </identifier>
      </subject>
      <effectivePeriod>
        <start value="2025-12-03"/>
      </effectivePeriod>
      <dateAsserted value="2025-12-02"/>
      <derivedFrom>🔗
        <reference
                   value="MedicationRequest/0e7f16e4-d879-4a2c-8292-41c55201bbdd"/>
      </derivedFrom>
      <derivedFrom>🔗
        <reference
                   value="MedicationDispense/5aeaf266-a7ee-4e9d-bcb9-3c7dde96abad"/>
      </derivedFrom>
      <dosage>
        <timing>
          <repeat>
            <frequency value="1"/>
            <period value="1"/>
            <periodUnit value="d"/>
            <when value="MORN"/>
          </repeat>
        </timing>
        <doseAndRate>
          <doseQuantity>
            <value value="1"/>
            <unit value="Stück"/>
            <system
                    value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BMP_DOSIEREINHEIT"/>
            <code value="1"/>
          </doseQuantity>
        </doseAndRate>
      </dosage>
    </MedicationStatement>