<status value="active" /> <experimental value="false" /> <date value="2024-08-14" /> <publisher value="gematik GmbH" /> <description value="Defines the medication request resource for the Medication Service in the ePA system." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <derivation value="constraint" /> <differential> <element id="MedicationRequest.meta"> <path value="MedicationRequest.meta" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.meta.versionId"> <path value="MedicationRequest.meta.versionId" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.meta.lastUpdated"> <path value="MedicationRequest.meta.lastUpdated" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:medicationRequestLinkedStatement"> <path value="MedicationRequest.extension" /> <sliceName value="medicationRequestLinkedStatement" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/medication-request-linked-statement-extension" /> </type> </element> <element id="MedicationRequest.extension:multiplePrescription"> <path value="MedicationRequest.extension" /> <sliceName value="multiplePrescription" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator"> <path value="MedicationRequest.extension.extension" /> <sliceName value="indicator" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]"> <path value="MedicationRequest.extension.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter"> <path value="MedicationRequest.extension.extension" /> <sliceName value="counter" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x]"> <path value="MedicationRequest.extension.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator"> <path value="MedicationRequest.extension.extension.value[x].numerator" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value"> <path value="MedicationRequest.extension.extension.value[x].numerator.value" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator"> <path value="MedicationRequest.extension.extension.value[x].denominator" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value"> <path value="MedicationRequest.extension.extension.value[x].denominator.value" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period"> <path value="MedicationRequest.extension.extension" /> <sliceName value="period" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x]"> <path value="MedicationRequest.extension.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].start"> <path value="MedicationRequest.extension.extension.value[x].start" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].end"> <path value="MedicationRequest.extension.extension.value[x].end" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id"> <path value="MedicationRequest.extension.extension" /> <sliceName value="id" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x]"> <path value="MedicationRequest.extension.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].system"> <path value="MedicationRequest.extension.extension.value[x].system" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].value"> <path value="MedicationRequest.extension.extension.value[x].value" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:isBvg"> <path value="MedicationRequest.extension" /> <sliceName value="isBvg" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:isBvg.value[x]"> <path value="MedicationRequest.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <description value="ePrescription identifier and overall transaction identifier" /> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.identifier:RxPrescriptionProcessIdentifier"> <path value="MedicationRequest.identifier" /> <sliceName value="RxPrescriptionProcessIdentifier" /> <min value="0" /> <max value="1" /> <type> <code value="Identifier" /> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier" /> </type> <patternIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier" /> </patternIdentifier> </element> <element id="MedicationRequest.identifier:RxOriginatorProcessIdentifier"> <path value="MedicationRequest.identifier" /> <sliceName value="RxOriginatorProcessIdentifier" /> <min value="0" /> <max value="1" /> <type> <code value="Identifier" /> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier" /> </type> <patternIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier" /> </patternIdentifier> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status" /> <short value="Status of Medication Request" /> <binding> <strength value="required" /> <valueSet value="https://gematik.de/fhir/terminology/ValueSet/epa-medication-request-vs" /> </binding> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent" /> <short value="filler-order" /> <definition value="When data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.subject.identifier"> <path value="MedicationRequest.subject.identifier" /> <min value="1" /> <type> <code value="Identifier" /> <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn" /> <short value="Issue Date" /> <definition value="Issue Date of the Prescription" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.note.text"> <path value="MedicationRequest.note.text" /> <short value="Dispensing Note" /> <definition value="Instructions to the pharmacy that go beyond the dosage information" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text" /> <short value="Dosage Instructions" /> <definition value="Dosage Instructions of a Prescription" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.patientInstruction"> <path value="MedicationRequest.dosageInstruction.patientInstruction" /> <short value="Instructions for Use" /> <definition value="Instructions for Use" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.value"> <path value="MedicationRequest.dispenseRequest.quantity.value" /> <short value="Number of Prescribed Packages" /> <definition value="Number of Prescribed Packages" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.system"> <path value="MedicationRequest.dispenseRequest.quantity.system" /> <min value="1" /> <patternUri value="http://unitsofmeasure.org" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.code"> <path value="MedicationRequest.dispenseRequest.quantity.code" /> <min value="1" /> <patternCode value="{Package}" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.substitution.allowed[x]"> <path value="MedicationRequest.substitution.allowed[x]" /> <type> <code value="boolean" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>