{
  "description": "Defines the medication request resource for the Medication Service in the ePA system.",
  "_filename": "StructureDefinition-epa-medication-request.json",
  "package_name": "de.gematik.epa.medication",
  "date": "2025-02-28",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "EPAMedicationRequest",
  "abstract": false,
  "type": "MedicationRequest",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "EPA MedicationRequest",
  "package_version": "1.0.5-1",
  "status": "active",
  "id": "3cf84f26-356b-4c94-b8b9-e921180c97a4",
  "kind": "resource",
  "url": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request",
  "version": "1.0.5",
  "differential": {
    "element": [ {
      "id": "MedicationRequest.meta",
      "path": "MedicationRequest.meta",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.meta.versionId",
      "path": "MedicationRequest.meta.versionId",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.meta.lastUpdated",
      "path": "MedicationRequest.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension" ]
      } ],
      "sliceName": "multiplePrescription",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:indicator",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "indicator"
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:counter",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "counter"
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:counter.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator",
      "path": "MedicationRequest.extension.extension.value[x].numerator",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value",
      "path": "MedicationRequest.extension.extension.value[x].numerator.value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator",
      "path": "MedicationRequest.extension.extension.value[x].denominator",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value",
      "path": "MedicationRequest.extension.extension.value[x].denominator.value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:period",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "period"
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:period.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:period.value[x].start",
      "path": "MedicationRequest.extension.extension.value[x].start",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:period.value[x].end",
      "path": "MedicationRequest.extension.extension.value[x].end",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:id",
      "path": "MedicationRequest.extension.extension",
      "sliceName": "id"
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:id.value[x]",
      "path": "MedicationRequest.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:id.value[x].system",
      "path": "MedicationRequest.extension.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:multiplePrescription.extension:id.value[x].value",
      "path": "MedicationRequest.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:isBvg",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension" ]
      } ],
      "sliceName": "isBvg",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:isBvg.value[x]",
      "path": "MedicationRequest.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.identifier",
      "path": "MedicationRequest.identifier",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "ePrescription identifier and overall transaction identifier",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "MedicationRequest.identifier:RxPrescriptionProcessIdentifier",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier" ]
      } ],
      "sliceName": "RxPrescriptionProcessIdentifier",
      "patternIdentifier": {
        "system": "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"
      }
    }, {
      "id": "MedicationRequest.identifier:RxOriginatorProcessIdentifier",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier" ]
      } ],
      "sliceName": "RxOriginatorProcessIdentifier",
      "patternIdentifier": {
        "system": "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"
      }
    }, {
      "id": "MedicationRequest.status",
      "path": "MedicationRequest.status",
      "short": "Status of Medication Request",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs"
      }
    }, {
      "id": "MedicationRequest.intent",
      "path": "MedicationRequest.intent",
      "short": "filler-order",
      "definition": "e.g. when data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here.",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.medication[x]",
      "path": "MedicationRequest.medication[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.subject",
      "path": "MedicationRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.subject.identifier",
      "min": 1,
      "path": "MedicationRequest.subject.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.authoredOn",
      "min": 1,
      "path": "MedicationRequest.authoredOn",
      "short": "Issue Date",
      "definition": "Issue Date of the Prescription",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.requester",
      "path": "MedicationRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationRequest.note",
      "max": "1",
      "path": "MedicationRequest.note",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.note.text",
      "path": "MedicationRequest.note.text",
      "short": "Dispensing Note",
      "definition": "Instructions to the pharmacy that go beyond the dosage information",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dosageInstruction",
      "max": "1",
      "path": "MedicationRequest.dosageInstruction",
      "short": "Hier werden Informationen zur Dosierung angegeben.",
      "definition": "Hier werden Informationen zur Dosierung angegeben.",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dosageInstruction.text",
      "path": "MedicationRequest.dosageInstruction.text",
      "short": "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.",
      "definition": "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dosageInstruction.patientInstruction",
      "path": "MedicationRequest.dosageInstruction.patientInstruction",
      "short": "Instructions for Use",
      "definition": "Instructions for Use",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.quantity",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity.value",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.quantity.value",
      "short": "Number of Prescribed Packages",
      "definition": "Number of Prescribed Packages",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity.system",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.quantity.system",
      "patternUri": "http://unitsofmeasure.org",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.dispenseRequest.quantity.code",
      "min": 1,
      "path": "MedicationRequest.dispenseRequest.quantity.code",
      "mustSupport": true,
      "patternCode": "{Package}"
    }, {
      "id": "MedicationRequest.substitution",
      "path": "MedicationRequest.substitution",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.substitution.allowed[x]",
      "path": "MedicationRequest.substitution.allowed[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}