Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:context	S	0..1	code	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension Binding: Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
basedOn	SΣC	0..*	Reference(TI MedicationRequest dgMP)	Fulfils plan, proposal or order Constraints: ref-1
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	SΣ	1..1	Reference(Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	SC	0..*	Reference(TI MedicationRequest dgMP | TI MedicationDispense dgMP)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ref-1	error	MedicationStatement.basedOn, MedicationStatement.subject, MedicationStatement.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
Slices for extension				Content/Rules for all slices
extension:context	S	0..1	code	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension Binding: Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
extension		0..0		Extension
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
basedOn	S	0..*	Reference(TI MedicationRequest dgMP)	Fulfils plan, proposal or order
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x]	S	1..1	Reference(Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	S	1..1	Reference(Patient)	Who is/was taking the medication
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	S	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	SC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	S	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	S	0..*	Reference(TI MedicationRequest dgMP | TI MedicationDispense dgMP)	Information des Verschreibungs- und Dispensierprozesses
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	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: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages 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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:context	S	0..1	code	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension Binding: Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External identifier
basedOn	SΣC	0..*	Reference(TI MedicationRequest dgMP)	Fulfils plan, proposal or order Constraints: ref-1
partOf	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event Constraints: ref-1
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement Constraints: ref-1
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
informationSource	C	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication Constraints: ref-1
derivedFrom	SC	0..*	Reference(TI MedicationRequest dgMP | TI MedicationDispense dgMP)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken Constraints: ref-1
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationStatement.​meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ref-1	error	MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonReference	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 1 element
Must-Support: 20 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• TI MedicationRequest dgMP (https://gematik.de/fhir/ti/StructureDefinition/ti-medication-request-dgmp)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• TI MedicationDispense dgMP (https://gematik.de/fhir/ti/StructureDefinition/ti-medication-dispense-dgmp)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:context	S	0..1	code	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension Binding: Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
basedOn	SΣC	0..*	Reference(TI MedicationRequest dgMP)	Fulfils plan, proposal or order Constraints: ref-1
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	SΣ	1..1	Reference(Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	SC	0..*	Reference(TI MedicationRequest dgMP | TI MedicationDispense dgMP)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ref-1	error	MedicationStatement.basedOn, MedicationStatement.subject, MedicationStatement.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
Slices for extension				Content/Rules for all slices
extension:context	S	0..1	code	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension Binding: Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
extension		0..0		Extension
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
basedOn	S	0..*	Reference(TI MedicationRequest dgMP)	Fulfils plan, proposal or order
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x]	S	1..1	Reference(Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	S	1..1	Reference(Patient)	Who is/was taking the medication
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
Slices for effective[x]	S	0..1	dateTime, Period	effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	SC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	S	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	SC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
derivedFrom	S	0..*	Reference(TI MedicationRequest dgMP | TI MedicationDispense dgMP)	Information des Verschreibungs- und Dispensierprozesses
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	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: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages 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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:context	S	0..1	code	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension Binding: Context Codes (required)
extension:rxPrescriptionProcessIdentifier		0..1	RxPrescriptionProcessIdentifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:renderedDosageInstruction	S	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	S	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External identifier
basedOn	SΣC	0..*	Reference(TI MedicationRequest dgMP)	Fulfils plan, proposal or order Constraints: ref-1
partOf	ΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event Constraints: ref-1
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(Medication)	Arzneimittel, welches diese Medikationsinformation bzw. dieses MedicationStatement näher beschreibt
subject	SΣC	1..1	Reference(Patient)	Who is/was taking the medication Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣC	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement Constraints: ref-1
Slices for effective[x]	SΣ	0..1		effective[x] gibt den Zeitpunkt oder Zeitraum der Gültigkeit der Medikation an Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	The date/time or interval when the medication is/was/will be taken Constraints: epa-datetime
effective[x]:effectivePeriod	SΣ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary Constraints: epa-datetime
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Constraints: epa-datetime
dateAsserted	SΣC	0..1	dateTime	When the statement was asserted? Constraints: epa-datetime
informationSource	C	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication Constraints: ref-1
derivedFrom	SC	0..*	Reference(TI MedicationRequest dgMP | TI MedicationDispense dgMP)	Information des Verschreibungs- und Dispensierprozesses Constraints: ref-1
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken Constraints: ref-1
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	DosageDgMP	Strukturierte Dosierung/Gebrauchsanweisung
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationStatement.​meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📍4.0.1	FHIR Std.
MedicationStatement.​subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epa-datetime	error	MedicationStatement.effective[x]:effectiveDateTime, MedicationStatement.effective[x]:effectivePeriod.start, MedicationStatement.effective[x]:effectivePeriod.end, MedicationStatement.dateAsserted	dateTime muss mindestens aus Tag, Monat und Jahr bestehen	toString().matches('^([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)-(0[1-9]|1[0-2])-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?$')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ref-1	error	MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.subject, MedicationStatement.context, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonReference	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 1 element
Must-Support: 20 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• TI MedicationRequest dgMP (https://gematik.de/fhir/ti/StructureDefinition/ti-medication-request-dgmp)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• TI MedicationDispense dgMP (https://gematik.de/fhir/ti/StructureDefinition/ti-medication-dispense-dgmp)
• Dosage dgMP (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDgMP)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/epa-medication/StructureDefinition/context-extension
• https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]