<status value="active" /> <experimental value="false" /> <date value="2025-07-31" /> <publisher value="gematik GmbH" /> <description value="Medizinische und pharmazeutische Informationen für die Rezeptanforderung" /> <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.extension"> <path value="MedicationRequest.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <comment value="If the previous recipe ID is known, it can be named here" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.extension:PriorPrescriptionID"> <path value="MedicationRequest.extension" /> <sliceName value="PriorPrescriptionID" /> <short value="Provide a previous PrescriptionID that corresponds to the requested medication." /> <definition value="The MedicationRequest can contain a PrescriptionId of a prescription that has already been issued. If a previous prescription ID is known, the writing system MAY indicate this in the medication request. If this ID is available, the receiving system MUST be able to search for the previous regulation and give the user the opportunity to display and compare the content." /> <comment value="Must be given in the form xxx.xxx.xxx.xxx.xxx.xx." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/prescription-id-ex" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.modifierExtension"> <path value="MedicationRequest.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="MedicationRequest.modifierExtension:requestMVO"> <path value="MedicationRequest.modifierExtension" /> <sliceName value="requestMVO" /> <short value="Multiple prescription order" /> <definition value="If the prescription is should be a multiple prescription order. Only the 'Kennzeichen' should be stated, indicating that the prescription is requested to be a multiple prescription order." /> <comment value="When this extension is received by a PVS, the prescriber has to be visually notified about the request for a multiple prescription order." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/request-mvo-ex" /> </type> <mustSupport value="true" /> <isModifierReason value="When this extension is received by a PVS, the prescriber has to be visually notified about the request for a multiple prescription order." /> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_PZN" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Compounding" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_Ingredient" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Medication_FreeText" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <short value="Patient for whom a dispense is requested on behalf of the patient." /> <type> <code value="Reference" /> <targetProfile value="https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-patient" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text" /> <short value="Dosieranweisung" /> <definition value="Dosieranweisung einer Verordnung" /> <maxLength value="500" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.patientInstruction"> <path value="MedicationRequest.dosageInstruction.patientInstruction" /> <short value="Gebrauchsanweisung einer Rezeptur" /> <definition value="Gebrauchsanweisung einer Rezeptur" /> <maxLength value="500" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity" /> <short value="Number of prescribed units" /> <definition value="The number of units of the medication to be supplied per dispense. Usually value and unit are stated which are free text variants. If a structured code is used it must be from UnitsOfMeasure." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.value"> <path value="MedicationRequest.dispenseRequest.quantity.value" /> <short value="Number prescribed" /> <definition value="Number prescribed" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.unit"> <path value="MedicationRequest.dispenseRequest.quantity.unit" /> <short value="Requested units of the prescription" /> <definition value="This is a free text field that can be used to specify the units of the prescription." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.system"> <path value="MedicationRequest.dispenseRequest.quantity.system" /> <fixedUri value="http://unitsofmeasure.org" /> </element> <element id="MedicationRequest.dispenseRequest.quantity.code"> <path value="MedicationRequest.dispenseRequest.quantity.code" /> <short value="Code from Unit of measure" /> <definition value="If a structured code is used it must be from UnitsOfMeasure" /> </element> </differential> </StructureDefinition>