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Resource Profile: E-T-Rezept Medication Request

Informationen zu einer Verordnung, die ein Arzt im E-T-Rezept angegeben hat.

Usages:

• Use this Profile: Digitaler Durchschlag T-Rezept
• Examples for this Profile: MedicationRequest/ExampleMedicationRequest-T-Compounding and MedicationRequest/ExampleMedicationRequest-T

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	TIMedicationRequestDgMP	Ordering of medication for patient or group
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	S	0..*	Extension	Extension 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:multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
Slices for extension				Content/Rules for all slices
extension:indicator	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
value	SΣ	1..1	decimal	Multiple Prescription Counter
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series
extension:period	S	0..1	Extension	Zeitraum der Einlösefrist
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension Constraints: -limitationDateStart, -limitationDateEnd
start	SΣC	1..1	dateTime	Start Date of the Prescription Redemption Period
end	SΣC	0..1	dateTime	End Date of the Prescription Redemption Period
extension:id	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension
system	SΣ	0..1	uri	Specification as UUID Fixed Value: urn:ietf:rfc:3986
value	SΣ	0..1	string	Multiple Prescription ID Example General: 123456
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
extension:isBvg	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
extension:isSer	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-ser-extension
extension:prescriberID	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension"
value[x]	S	1..1	Identifier	Value of extension
value	Σ	1..1	string	Verschreiber-ID Example General: 123456
extension:patientID	S	0..1	Identifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-id-extension
extension:narcotics	S	0..1	(Complex)	Betäubungsmittel (BtM) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:narcotics-markings	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"narcotics-markings"
value[x]	S	0..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL (required) Required Pattern: At least the following
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_NARCOTIC_LABEL
code	SΣ	0..1	code	Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV
extension:additional-information-substitutes	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"additional-information-substitutes"
value[x]	S	0..1	string	Ergänzende Angaben zu Substitutionsmittel
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension"
extension:teratogenic	S	0..1	(Complex)	T-Rezept URL: https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension
extension:renderedDosageInstruction	SN	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	SN	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
status	?!SΣ	1..1	code	Status of Medication Request Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	SΣ	1..1	Reference(Patient)	Who or group medication request is for
identifier	SΣ	1..1	IdentifierKvid10	An identifier intended for computation
authoredOn	SΣ	1..1	dateTime	Issue Date
dosageInstruction	SC	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben. Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, DosageStructuredOrFreeText, DosageStructuredRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.extension:narcotics.​extension:narcotics-markings.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL	Not State	Unknown
MedicationRequest.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs	Not State	Unknown
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
-limitationDateEnd	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	end.exists().not() or end.toString().length()=10
-limitationDateStart	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	start.toString().length()=10
DosageDoseUnitSameCode	error	MedicationRequest.dosageInstruction	Die Dosiereinheit muss über alle Dosierungen gleich sein.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeText	error	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationRequest.dosageInstruction	Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageStructuredRequiresGeneratedText	error	MedicationRequest.dosageInstruction	Liegt eine strukturierte Dosierungsangabe vor (timing und doseAndRate belegt, text leer), muss die Extension GeneratedDosageInstructionsMeta vorhanden sein.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(timing.exists() and doseAndRate.exists() and text.empty()) ) implies ( %resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) )
DosageWarnungViererschemaInText	warning	MedicationRequest.dosageInstruction	Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextMatchesRenderedText	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist (text vorhanden, timing und doseAndRate leer) UND die Extension renderedDosageInstruction befüllt ist, muss der Wert in dosageInstruction.text mit dem Wert in der Extension übereinstimmen.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationDispense).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationStatement).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) ) )
FreeTextSingleDosageOnly	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, darf nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qty-3	error	MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator, MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()

This structure is derived from TIMedicationRequestDgMP

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			TIMedicationRequestDgMP
extension	S	0..*	Extension	Extension
identifier		0..0		External ids for this request
Slices for identifier				Content/Rules for all slices
identifier:RxPrescriptionProcessIdentifier		0..0		An identifier intended for computation
identifier:RxOriginatorProcessIdentifier		0..0		An identifier intended for computation
status		1..1	code	Status of Medication Request Fixed Value: completed
statusReason		0..0		Reason for current status
intent		1..1	code	filler-order Fixed Value: order
category		0..0		Type of medication usage
priority		0..0		routine | urgent | asap | stat
doNotPerform		0..0		True if request is prohibiting action
reported[x]		0..0		Reported rather than primary record
subject
reference		0..0		Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
display		0..0		Text alternative for the resource
encounter		0..0		Encounter created as part of encounter/admission/stay
supportingInformation		0..0		Information to support ordering of the medication
requester		0..0		Who/What requested the Request
performer		0..0		Intended performer of administration
performerType		0..0		Desired kind of performer of the medication administration
recorder		0..0		Person who entered the request
reasonCode		0..0		Reason or indication for ordering or not ordering the medication
reasonReference		0..0		Condition or observation that supports why the prescription is being written
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
basedOn		0..0		What request fulfills
groupIdentifier		0..0		Composite request this is part of
courseOfTherapyType		0..0		Overall pattern of medication administration
insurance		0..0		Associated insurance coverage
note		0..0		Information about the prescription
dispenseRequest
initialFill		0..0		First fill details
dispenseInterval		0..0		Minimum period of time between dispenses
validityPeriod		0..0		Time period supply is authorized for
numberOfRepeatsAllowed		0..0		Number of refills authorized
performer		0..0		Intended dispenser
substitution		0..0		Any restrictions on medication substitution
priorPrescription		0..0		An order/prescription that is being replaced
detectedIssue		0..0		Clinical Issue with action
eventHistory		0..0		A list of events of interest in the lifecycle
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	TIMedicationRequestDgMP	Ordering of medication for patient or group
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	S	0..*	Extension	Extension 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:multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:indicator	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Multiple Prescription Counter
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series
extension:period	S	0..1	Extension	Zeitraum der Einlösefrist
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension Constraints: -limitationDateStart, -limitationDateEnd
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	1..1	dateTime	Start Date of the Prescription Redemption Period
end	SΣC	0..1	dateTime	End Date of the Prescription Redemption Period
extension:id	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Specification as UUID Fixed Value: urn:ietf:rfc:3986
value	SΣ	0..1	string	Multiple Prescription ID Example General: 123456
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
extension:isBvg	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
extension:isSer	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-ser-extension
extension:prescriberID	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension"
value[x]	S	1..1	Identifier	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Verschreiber-ID Example General: 123456
extension:patientID	S	0..1	Identifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-id-extension
extension:narcotics	S	0..1	(Complex)	Betäubungsmittel (BtM) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:narcotics-markings	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"narcotics-markings"
value[x]	S	0..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_NARCOTIC_LABEL
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:additional-information-substitutes	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"additional-information-substitutes"
value[x]	S	0..1	string	Ergänzende Angaben zu Substitutionsmittel
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension"
extension:teratogenic	S	0..1	(Complex)	T-Rezept URL: https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension
extension:renderedDosageInstruction	SN	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	SN	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
status	?!SΣ	1..1	code	Status of Medication Request Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	SΣ	1..1	Reference(Patient)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	SΣ	1..1	IdentifierKvid10	An identifier intended for computation
authoredOn	SΣ	1..1	dateTime	Issue Date
dosageInstruction	SC	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben. Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, DosageStructuredOrFreeText, DosageStructuredRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
MedicationRequest.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
MedicationRequest.extension:narcotics.​extension:narcotics-markings.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL	Not State	Unknown
MedicationRequest.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs	Not State	Unknown
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.basedOn.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
-limitationDateEnd	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	end.exists().not() or end.toString().length()=10
-limitationDateStart	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	start.toString().length()=10
DosageDoseUnitSameCode	error	MedicationRequest.dosageInstruction	Die Dosiereinheit muss über alle Dosierungen gleich sein.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeText	error	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationRequest.dosageInstruction	Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageStructuredRequiresGeneratedText	error	MedicationRequest.dosageInstruction	Liegt eine strukturierte Dosierungsangabe vor (timing und doseAndRate belegt, text leer), muss die Extension GeneratedDosageInstructionsMeta vorhanden sein.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(timing.exists() and doseAndRate.exists() and text.empty()) ) implies ( %resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) )
DosageWarnungViererschemaInText	warning	MedicationRequest.dosageInstruction	Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextMatchesRenderedText	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist (text vorhanden, timing und doseAndRate leer) UND die Extension renderedDosageInstruction befüllt ist, muss der Wert in dosageInstruction.text mit dem Wert in der Extension übereinstimmen.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationDispense).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationStatement).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) ) )
FreeTextSingleDosageOnly	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, darf nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qty-3	error	MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator, MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()

This structure is derived from TIMedicationRequestDgMP

Summary

Must-Support: 1 element
Fixed: 2 elements
Prohibited: 35 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	TIMedicationRequestDgMP	Ordering of medication for patient or group
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	S	0..*	Extension	Extension 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:multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
Slices for extension				Content/Rules for all slices
extension:indicator	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
value	SΣ	1..1	decimal	Multiple Prescription Counter
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series
extension:period	S	0..1	Extension	Zeitraum der Einlösefrist
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension Constraints: -limitationDateStart, -limitationDateEnd
start	SΣC	1..1	dateTime	Start Date of the Prescription Redemption Period
end	SΣC	0..1	dateTime	End Date of the Prescription Redemption Period
extension:id	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension
system	SΣ	0..1	uri	Specification as UUID Fixed Value: urn:ietf:rfc:3986
value	SΣ	0..1	string	Multiple Prescription ID Example General: 123456
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
extension:isBvg	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
extension:isSer	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-ser-extension
extension:prescriberID	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension"
value[x]	S	1..1	Identifier	Value of extension
value	Σ	1..1	string	Verschreiber-ID Example General: 123456
extension:patientID	S	0..1	Identifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-id-extension
extension:narcotics	S	0..1	(Complex)	Betäubungsmittel (BtM) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:narcotics-markings	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"narcotics-markings"
value[x]	S	0..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL (required) Required Pattern: At least the following
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_NARCOTIC_LABEL
code	SΣ	0..1	code	Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV
extension:additional-information-substitutes	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"additional-information-substitutes"
value[x]	S	0..1	string	Ergänzende Angaben zu Substitutionsmittel
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension"
extension:teratogenic	S	0..1	(Complex)	T-Rezept URL: https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension
extension:renderedDosageInstruction	SN	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	SN	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
status	?!SΣ	1..1	code	Status of Medication Request Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	SΣ	1..1	Reference(Patient)	Who or group medication request is for
identifier	SΣ	1..1	IdentifierKvid10	An identifier intended for computation
authoredOn	SΣ	1..1	dateTime	Issue Date
dosageInstruction	SC	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben. Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, DosageStructuredOrFreeText, DosageStructuredRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.extension:narcotics.​extension:narcotics-markings.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL	Not State	Unknown
MedicationRequest.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs	Not State	Unknown
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
-limitationDateEnd	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	end.exists().not() or end.toString().length()=10
-limitationDateStart	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	start.toString().length()=10
DosageDoseUnitSameCode	error	MedicationRequest.dosageInstruction	Die Dosiereinheit muss über alle Dosierungen gleich sein.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeText	error	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationRequest.dosageInstruction	Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageStructuredRequiresGeneratedText	error	MedicationRequest.dosageInstruction	Liegt eine strukturierte Dosierungsangabe vor (timing und doseAndRate belegt, text leer), muss die Extension GeneratedDosageInstructionsMeta vorhanden sein.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(timing.exists() and doseAndRate.exists() and text.empty()) ) implies ( %resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) )
DosageWarnungViererschemaInText	warning	MedicationRequest.dosageInstruction	Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextMatchesRenderedText	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist (text vorhanden, timing und doseAndRate leer) UND die Extension renderedDosageInstruction befüllt ist, muss der Wert in dosageInstruction.text mit dem Wert in der Extension übereinstimmen.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationDispense).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationStatement).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) ) )
FreeTextSingleDosageOnly	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, darf nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qty-3	error	MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator, MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()

Differential View

This structure is derived from TIMedicationRequestDgMP

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			TIMedicationRequestDgMP
extension	S	0..*	Extension	Extension
identifier		0..0		External ids for this request
Slices for identifier				Content/Rules for all slices
identifier:RxPrescriptionProcessIdentifier		0..0		An identifier intended for computation
identifier:RxOriginatorProcessIdentifier		0..0		An identifier intended for computation
status		1..1	code	Status of Medication Request Fixed Value: completed
statusReason		0..0		Reason for current status
intent		1..1	code	filler-order Fixed Value: order
category		0..0		Type of medication usage
priority		0..0		routine | urgent | asap | stat
doNotPerform		0..0		True if request is prohibiting action
reported[x]		0..0		Reported rather than primary record
subject
reference		0..0		Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
display		0..0		Text alternative for the resource
encounter		0..0		Encounter created as part of encounter/admission/stay
supportingInformation		0..0		Information to support ordering of the medication
requester		0..0		Who/What requested the Request
performer		0..0		Intended performer of administration
performerType		0..0		Desired kind of performer of the medication administration
recorder		0..0		Person who entered the request
reasonCode		0..0		Reason or indication for ordering or not ordering the medication
reasonReference		0..0		Condition or observation that supports why the prescription is being written
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
basedOn		0..0		What request fulfills
groupIdentifier		0..0		Composite request this is part of
courseOfTherapyType		0..0		Overall pattern of medication administration
insurance		0..0		Associated insurance coverage
note		0..0		Information about the prescription
dispenseRequest
initialFill		0..0		First fill details
dispenseInterval		0..0		Minimum period of time between dispenses
validityPeriod		0..0		Time period supply is authorized for
numberOfRepeatsAllowed		0..0		Number of refills authorized
performer		0..0		Intended dispenser
substitution		0..0		Any restrictions on medication substitution
priorPrescription		0..0		An order/prescription that is being replaced
detectedIssue		0..0		Clinical Issue with action
eventHistory		0..0		A list of events of interest in the lifecycle
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	TIMedicationRequestDgMP	Ordering of medication for patient or group
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	S	0..*	Extension	Extension 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:multiplePrescription	S	0..1	(Complex)	MultiplePrescription URL: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:indicator	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"indicator"
value[x]	S	1..1	boolean	Multiple Prescription Indicator
extension:counter	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"counter"
value[x]	S	1..1	Ratio	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	1..1	Quantity	Numerator value Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Multiple Prescription Counter
denominator	SΣC	1..1	Quantity	Denominator value Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Denominator of Multiple Prescription Series
extension:period	S	0..1	Extension	Zeitraum der Einlösefrist
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]	SC	1..1	Period	Value of extension Constraints: -limitationDateStart, -limitationDateEnd
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	1..1	dateTime	Start Date of the Prescription Redemption Period
end	SΣC	0..1	dateTime	End Date of the Prescription Redemption Period
extension:id	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"id"
value[x]	S	1..1	Identifier	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Specification as UUID Fixed Value: urn:ietf:rfc:3986
value	SΣ	0..1	string	Multiple Prescription ID Example General: 123456
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"
extension:isBvg	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
extension:isSer	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-ser-extension
extension:prescriberID	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension"
value[x]	S	1..1	Identifier	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Verschreiber-ID Example General: 123456
extension:patientID	S	0..1	Identifier	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-id-extension
extension:narcotics	S	0..1	(Complex)	Betäubungsmittel (BtM) URL: https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:narcotics-markings	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"narcotics-markings"
value[x]	S	0..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_NARCOTIC_LABEL
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Kennzeichen nach § 9 Abs. 1 Nr. 6 BtMVV
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:additional-information-substitutes	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"additional-information-substitutes"
value[x]	S	0..1	string	Ergänzende Angaben zu Substitutionsmittel
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension"
extension:teratogenic	S	0..1	(Complex)	T-Rezept URL: https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension
extension:renderedDosageInstruction	SN	0..1	(Complex)	Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen). URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
value[x]	S	0..1	markdown	Full representation of the dosage instructions
extension:generatedDosageInstructionsMeta	SN	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
status	?!SΣ	1..1	code	Status of Medication Request Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!SΣ	1..1	code	filler-order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
medication[x]	SΣ	1..1	Reference(Medication)	Medication to be taken
subject	SΣ	1..1	Reference(Patient)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	SΣ	1..1	IdentifierKvid10	An identifier intended for computation
authoredOn	SΣ	1..1	dateTime	Issue Date
dosageInstruction	SC	0..*	DosageDgMP	Hier werden Informationen zur Dosierung angegeben. Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBoth, DosageDoseUnitSameCode, DosageWarnungViererschemaInText, FreeTextSingleDosageOnlyWarning, DosageStructuredOrFreeText, DosageStructuredRequiresGeneratedText, FreeTextSingleDosageOnly, FreeTextMatchesRenderedText
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Number of Prescribed Packages
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
MedicationRequest.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
MedicationRequest.extension:narcotics.​extension:narcotics-markings.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NARCOTIC_LABEL	Not State	Unknown
MedicationRequest.status	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs	Not State	Unknown
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.basedOn.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
-limitationDateEnd	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	end.exists().not() or end.toString().length()=10
-limitationDateStart	error	MedicationRequest.extension:multiplePrescription.extension:period.value[x]	Limitation of the date format to 10 characters YYYY-MM-DD	start.toString().length()=10
DosageDoseUnitSameCode	error	MedicationRequest.dosageInstruction	Die Dosiereinheit muss über alle Dosierungen gleich sein.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageStructuredOrFreeText	error	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	Die Dosierungsangabe darf entweder nur als Freitext oder nur als vollständige strukturierte Information erfolgen — eine Mischung ist nicht erlaubt.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBoth	error	MedicationRequest.dosageInstruction	Wenn eine strukturierte Dosierungsangabe erfolgt, müssen sowohl timing als auch doseAndRate angegeben werden.	(%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies timing.exists()) )
DosageStructuredRequiresGeneratedText	error	MedicationRequest.dosageInstruction	Liegt eine strukturierte Dosierungsangabe vor (timing und doseAndRate belegt, text leer), muss die Extension GeneratedDosageInstructionsMeta vorhanden sein.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(timing.exists() and doseAndRate.exists() and text.empty()) ) implies ( %resource.extension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta' ).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).exists() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).exists() ) )
DosageWarnungViererschemaInText	warning	MedicationRequest.dosageInstruction	Hinweis: In Dosage.text wurde ein Viererschema (z. B. 1-1-1-1) erkannt. Bitte prüfen, ob dies strukturiert abgebildet werden kann.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\d+.*').not()
FreeTextMatchesRenderedText	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist (text vorhanden, timing und doseAndRate leer) UND die Extension renderedDosageInstruction befüllt ist, muss der Wert in dosageInstruction.text mit dem Wert in der Extension übereinstimmen.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where(text.exists() and timing.empty() and doseAndRate.empty()).exists() ) implies ( ( %resource.ofType(MedicationRequest).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationDispense).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.renderedDosageInstruction' ).value = %resource.dosageInstruction.text ) ) or ( %resource.ofType(MedicationStatement).exists() and ( %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).empty() or %resource.extension.where( url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction' ).value = %resource.dosage.text ) ) )
FreeTextSingleDosageOnly	error	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, darf nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	Wenn eine Dosierung als reiner Freitext angegeben ist, soll nur genau ein Dosage-Element existieren.	( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).count() = 1 )
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
qty-3	error	MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator, MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()

This structure is derived from TIMedicationRequestDgMP

Summary

Must-Support: 1 element
Fixed: 2 elements
Prohibited: 35 elements