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Resource Profile: EU-Medication

Medication of a Prescription or Dispensation from the EU

Usages:

• Use this Profile: GEM ERP PR EU CloseOperation Input
• Refer to this Profile: Dispensation of the Prescription from the EU
• Examples for this Profile: Medication/Medication-Without-Strength-Code, Medication/Medication-Without-Strength-Numerator, Medication/SimpleMedication and Medication/SumatripanMedication

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
Medication		0..*	TIMedicationDgMP	Definition of a Medication 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	SN	0..1	RxPrescriptionProcessIdentifier	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:isVaccine	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension
extension:drugCategory	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension"
value[x]	S	1..1	Coding	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Category
extension:normSizeCode	SN	0..1	(Complex)	Package size according to N-designation URL: http://fhir.de/StructureDefinition/normgroesse
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
extension:manufacturingInstructions	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-manufacturing-instructions-extension
extension:type	S	0..1	Coding	Medication Type URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-type-vs (required)
extension:packageIdentifier		0..1	Identifier	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
extension:packageDescription		0..1	string	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	ΣN	0..*	Identifier	Business identifier for this medication Slice: Unordered, Open by value:$this
identifier:EPAMedicationUniqueIdentifier	ΣN	0..1	EPAMedicationUniqueIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RxOriginatorProcessIdentifier	ΣN	0..1	RxOriginatorProcessIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
code	SΣ	0..1	CodeableConcept	Medication in coded form or as free text if necessary Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
status	?!SΣ	0..1	code	Status of Medication Information Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(Organization)	Manufacturer of the Medication Constraints: ref-1
display	SΣ	1..1	string	Text alternative for the resource
form	S	0..1	CodeableConcept	Form of Dispensing Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
Slices for extension	S	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dataAbsentReason	SN	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM (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
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:ifaDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM (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
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
amount	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-1
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
Slices for extension				Content/Rules for all slices
extension:packagingSize	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
extension:totalQuantity	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
ingredient	S	0..*	BackboneElement	Active or inactive ingredients of the medication, including pharmaceutical substances as well as individual medicinal products in combination packs.
Slices for extension				Content/Rules for all slices
extension:darreichungsform	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:pzn	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
item[x]:itemReference	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
strength	SC	0..1	Ratio	Strength Constraints: rat-1
Slices for extension				Content/Rules for all slices
extension:amountText	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
batch	S	0..1	BackboneElement	Batch Information
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:drugCategory.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs	Not State	Unknown
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.form.coding:ifaDarreichungsform	Base	required	https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	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	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	Medication.manufacturer	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'))

This structure is derived from TIMedicationDgMP

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	TIMedicationDgMP	Definition of a Medication
Slices for extension				Content/Rules for all slices
extension:packageIdentifier		0..1	Identifier	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
extension:packageDescription		0..1	string	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	TIMedicationDgMP	Definition of a Medication 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	SN	0..1	RxPrescriptionProcessIdentifier	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:isVaccine	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension
extension:drugCategory	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-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/drug-category-extension"
value[x]	S	1..1	Coding	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs (required)
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	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Category
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:normSizeCode	SN	0..1	(Complex)	Package size according to N-designation URL: http://fhir.de/StructureDefinition/normgroesse
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://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
extension:manufacturingInstructions	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-manufacturing-instructions-extension
extension:type	S	0..1	Coding	Medication Type URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-type-vs (required)
extension:packageIdentifier		0..1	Identifier	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
extension:packageDescription		0..1	string	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	ΣN	0..*	Identifier	Business identifier for this medication Slice: Unordered, Open by value:$this
identifier:EPAMedicationUniqueIdentifier	ΣN	0..1	EPAMedicationUniqueIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RxOriginatorProcessIdentifier	ΣN	0..1	RxOriginatorProcessIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
code	SΣ	0..1	CodeableConcept	Medication in coded form or as free text if necessary Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	0..1	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
status	?!SΣ	0..1	code	Status of Medication Information Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(Organization)	Manufacturer of 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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
form	S	0..1	CodeableConcept	Form of Dispensing Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dataAbsentReason	SN	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM (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	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ifaDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM (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	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
amount	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-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
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:packagingSize	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
extension:totalQuantity	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) 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	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
ingredient	S	0..*	BackboneElement	Active or inactive ingredients of the medication, including pharmaceutical substances as well as individual medicinal products in combination packs.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:darreichungsform	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:pzn	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
item[x]:itemReference	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
isActive		0..1	boolean	Is it an active ingredient?
strength	SC	0..1	Ratio	Strength Constraints: rat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:amountText	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) 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	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) 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	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
batch	S	0..1	BackboneElement	Batch Information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Batch Number
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Medication.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.extension:drugCategory.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs	Not State	Unknown
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.manufacturer.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.form.coding:ifaDarreichungsform	Base	required	https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	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	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	Medication.manufacturer	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'))

This structure is derived from TIMedicationDgMP

Summary

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
• https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	TIMedicationDgMP	Definition of a Medication 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	SN	0..1	RxPrescriptionProcessIdentifier	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:isVaccine	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension
extension:drugCategory	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension"
value[x]	S	1..1	Coding	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Category
extension:normSizeCode	SN	0..1	(Complex)	Package size according to N-designation URL: http://fhir.de/StructureDefinition/normgroesse
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
extension:manufacturingInstructions	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-manufacturing-instructions-extension
extension:type	S	0..1	Coding	Medication Type URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-type-vs (required)
extension:packageIdentifier		0..1	Identifier	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
extension:packageDescription		0..1	string	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	ΣN	0..*	Identifier	Business identifier for this medication Slice: Unordered, Open by value:$this
identifier:EPAMedicationUniqueIdentifier	ΣN	0..1	EPAMedicationUniqueIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RxOriginatorProcessIdentifier	ΣN	0..1	RxOriginatorProcessIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
code	SΣ	0..1	CodeableConcept	Medication in coded form or as free text if necessary Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
status	?!SΣ	0..1	code	Status of Medication Information Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(Organization)	Manufacturer of the Medication Constraints: ref-1
display	SΣ	1..1	string	Text alternative for the resource
form	S	0..1	CodeableConcept	Form of Dispensing Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
Slices for extension	S	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dataAbsentReason	SN	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM (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
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:ifaDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM (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
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
amount	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-1
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
Slices for extension				Content/Rules for all slices
extension:packagingSize	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
extension:totalQuantity	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
ingredient	S	0..*	BackboneElement	Active or inactive ingredients of the medication, including pharmaceutical substances as well as individual medicinal products in combination packs.
Slices for extension				Content/Rules for all slices
extension:darreichungsform	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:pzn	SΣN	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
item[x]:itemReference	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
strength	SC	0..1	Ratio	Strength Constraints: rat-1
Slices for extension				Content/Rules for all slices
extension:amountText	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) Constraints: qty-3
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
batch	S	0..1	BackboneElement	Batch Information
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:drugCategory.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs	Not State	Unknown
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.form.coding:ifaDarreichungsform	Base	required	https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	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	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	Medication.manufacturer	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'))

Differential View

This structure is derived from TIMedicationDgMP

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	TIMedicationDgMP	Definition of a Medication
Slices for extension				Content/Rules for all slices
extension:packageIdentifier		0..1	Identifier	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
extension:packageDescription		0..1	string	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	TIMedicationDgMP	Definition of a Medication 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	SN	0..1	RxPrescriptionProcessIdentifier	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
extension:isVaccine	S	0..1	boolean	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension
extension:drugCategory	S	0..1	(Complex)	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-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/drug-category-extension"
value[x]	S	1..1	Coding	Value of extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs (required)
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	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Category
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:normSizeCode	SN	0..1	(Complex)	Package size according to N-designation URL: http://fhir.de/StructureDefinition/normgroesse
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://fhir.de/StructureDefinition/normgroesse"
value[x]	SN	0..1	code	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE (required)
extension:packaging	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
extension:manufacturingInstructions	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-manufacturing-instructions-extension
extension:type	S	0..1	Coding	Medication Type URL: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension Binding: https://gematik.de/fhir/terminology/ValueSet/ti-medication-type-vs (required)
extension:packageIdentifier		0..1	Identifier	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
extension:packageDescription		0..1	string	Extension URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	ΣN	0..*	Identifier	Business identifier for this medication Slice: Unordered, Open by value:$this
identifier:EPAMedicationUniqueIdentifier	ΣN	0..1	EPAMedicationUniqueIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RxOriginatorProcessIdentifier	ΣN	0..1	RxOriginatorProcessIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
code	SΣ	0..1	CodeableConcept	Medication in coded form or as free text if necessary Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:pzn	SΣN	0..1	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
status	?!SΣ	0..1	code	Status of Medication Information Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	SΣC	0..1	Reference(Organization)	Manufacturer of 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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
form	S	0..1	CodeableConcept	Form of Dispensing Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:dataAbsentReason	SN	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:kbvDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM (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	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ifaDarreichungsform	SΣN	0..1	Coding	Code defined by a terminology system Binding: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM (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	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
amount	SΣC	0..1	Ratio	Amount of drug in package Constraints: rat-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
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) Constraints: qty-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:packagingSize	SN	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
extension:totalQuantity	S	0..1	string	Extension URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) 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	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
ingredient	S	0..*	BackboneElement	Active or inactive ingredients of the medication, including pharmaceutical substances as well as individual medicinal products in combination packs.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:darreichungsform	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]	SN	1..1		The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	SN	0..1	CodeableConcept	Encoded description of the substance or component.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:ask	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ask
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atc-de	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version	Σ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:pzn	SΣN	0..*	Coding	Code defined by a terminology system 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	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
item[x]:itemReference	SN	0..1	Reference(Medication)	Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
isActive		0..1	boolean	Is it an active ingredient?
strength	SC	0..1	Ratio	Strength Constraints: rat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:amountText	N	0..1	string	Optional Extensions Element URL: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
numerator	SΣC	0..1	Quantity	Numerator value Binding: UCUMCodes (preferred) 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	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Binding: UCUMCodes (preferred) 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	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
batch	S	0..1	BackboneElement	Batch Information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Batch Number
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Medication.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.extension:drugCategory.​value[x]	Base	required	https://gematik.de/fhir/terminology/ValueSet/ti-drug-category-vs	Not State	Unknown
Medication.extension:normSizeCode.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE	Not State	Unknown
Medication.code	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.manufacturer.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Medication.form	Base	example	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.form.coding:kbvDarreichungsform	Base	required	https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM	Not State	Unknown
Medication.form.coding:ifaDarreichungsform	Base	required	https://fhir.ifaffm.de/CodeSystem/IFA_DARREICHUNGSFORM	Not State	Unknown
Medication.amount.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.amount.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.amount.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator	Base	preferred	UCUM Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​strength.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	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	Medication.amount.numerator, Medication.amount.denominator, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	Medication.manufacturer	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'))

This structure is derived from TIMedicationDgMP

Summary

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageIdentifier
• https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-EX-MedicinalPackageDescription