description: Defines the medication request resource for the Medication Service in the ePA system.
package_name: de.gematik.epa.medication
derivation: constraint
name: EPAMedicationRequest
type: MedicationRequest
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      versionId: {mustSupport: true, index: 1}
      lastUpdated: {mustSupport: true, index: 2}
  substitution:
    mustSupport: true
    index: 67
    elements:
      allowed:
        mustSupport: true
        choices: [allowedBoolean]
        index: 69
      allowedBoolean: {type: boolean, mustSupport: true, choiceOf: allowed, index: 70}
  dispenseRequest:
    mustSupport: true
    index: 60
    elements:
      quantity:
        mustSupport: true
        index: 61
        elements:
          value: {short: Number of Prescribed Packages, mustSupport: true, index: 62}
          unit: {mustSupport: true, index: 63}
          system:
            pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
            mustSupport: true
            index: 64
          code: {mustSupport: true, index: 65}
        required: [value]
      expectedSupplyDuration: {mustSupport: true, index: 66}
  authoredOn: {short: Issue Date, mustSupport: true, index: 52}
  note:
    mustSupport: true
    index: 57
    elements:
      text: {short: Dispensing Note, mustSupport: true, index: 58}
  extension:
    type: Extension
    mustSupport: true
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
    index: 3
    slicing:
      slices:
        patientID:
          match: {}
          schema:
            type: Extension
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-id-extension
            index: 33
            elements:
              value:
                mustSupport: true
                choices: []
                index: 35
        isBvg:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
            index: 24
            elements:
              value:
                mustSupport: true
                choices: []
                index: 26
        prescriberID:
          match: {}
          schema:
            type: Extension
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension
            index: 30
            elements:
              value:
                mustSupport: true
                choices: []
                index: 32
        multiplePrescription:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
            index: 3
            extensions:
              indicator:
                url: null
                index: 4
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 6
              counter:
                url: null
                index: 7
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 9
                  value[x]:
                    elements:
                      numerator:
                        mustSupport: true
                        index: 10
                        elements:
                          value: {mustSupport: true, index: 11}
                      denominator:
                        mustSupport: true
                        index: 12
                        elements:
                          value: {mustSupport: true, index: 13}
              period:
                url: null
                index: 14
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 16
                  value[x]:
                    elements:
                      start: {mustSupport: true, index: 17}
                      end: {mustSupport: true, index: 18}
              id:
                url: null
                index: 19
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 21
                  value[x]:
                    elements:
                      system: {mustSupport: true, index: 22}
                      value: {mustSupport: true, index: 23}
            elements:
              extension:
                index: 4
                slicing:
                  slices:
                    indicator:
                      match: {}
                      schema:
                        index: 4
                        elements:
                          value:
                            mustSupport: true
                            choices: []
                            index: 6
                    counter:
                      match: {}
                      schema:
                        index: 7
                        elements:
                          value:
                            mustSupport: true
                            choices: []
                            index: 9
                          value[x]:
                            elements:
                              numerator:
                                mustSupport: true
                                index: 10
                                elements:
                                  value: {mustSupport: true, index: 11}
                              denominator:
                                mustSupport: true
                                index: 12
                                elements:
                                  value: {mustSupport: true, index: 13}
                    period:
                      match: {}
                      schema:
                        index: 14
                        elements:
                          value:
                            mustSupport: true
                            choices: []
                            index: 16
                          value[x]:
                            elements:
                              start: {mustSupport: true, index: 17}
                              end: {mustSupport: true, index: 18}
                    id:
                      match: {}
                      schema:
                        index: 19
                        elements:
                          value:
                            mustSupport: true
                            choices: []
                            index: 21
                          value[x]:
                            elements:
                              system: {mustSupport: true, index: 22}
                              value: {mustSupport: true, index: 23}
        generatedDosageInstructionsMeta:
          match: {}
          schema: {short: Metadaten zu den generierten Dosierungsanweisungen, type: Extension, mustSupport: true, url: 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta', index: 41}
          min: 0
          max: 1
        isSer:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-ser-extension
            index: 27
            elements:
              value:
                mustSupport: true
                choices: []
                index: 29
        renderedDosageInstruction:
          match: {}
          schema: {short: Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen)., type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction', index: 40}
          min: 0
          max: 1
        narcotics:
          match: {}
          schema:
            short: Betäubungsmittel (BtM)
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension
            index: 36
            extensions: {}
            elements:
              extension: {mustSupport: true, index: 37}
        teratogenic:
          match: {}
          schema:
            short: T-Rezept
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension
            index: 38
            extensions: {}
            elements:
              extension: {mustSupport: true, index: 39}
  requester:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
    index: 53
  status:
    short: Status of Medication Request
    binding: {strength: required, valueSet: 'https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs'}
    mustSupport: true
    index: 45
  dosageInstruction: {type: Dosage, short: Hier werden Informationen zur Dosierung angegeben., mustSupport: true, index: 59}
  identifier:
    index: 42
    slicing:
      rules: open
      ordered: false
      description: ePrescription identifier and overall transaction identifier
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        RxPrescriptionProcessIdentifier:
          match: {system: 'https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier'}
          schema:
            type: Identifier
            pattern:
              type: Identifier
              value: {system: 'https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier'}
            index: 43
          min: 0
          max: 1
        RxOriginatorProcessIdentifier:
          match: {system: 'https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier'}
          schema:
            type: Identifier
            pattern:
              type: Identifier
              value: {system: 'https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier'}
            index: 44
          min: 0
          max: 1
  intent: {short: filler-order, mustSupport: true, index: 46}
  basedOn:
    type: Reference
    mustSupport: true
    refers: ['https://gematik.de/fhir/epa-medication/StructureDefinition/emp-medication-request']
    index: 54
    elements:
      reference: {mustSupport: true, index: 55}
      identifier: {type: Identifier, mustSupport: true, index: 56}
  medicationReference:
    type: Reference
    mustSupport: true
    choiceOf: medication
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    index: 49
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 50
    elements:
      identifier: {type: Identifier, mustSupport: true, index: 51}
    required: [identifier]
  medication:
    mustSupport: true
    choices: [medicationReference]
    index: 48
package_version: 1.3.0
extensions:
  patientID:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/patient-id-extension
    type: Extension
    index: 33
    elements:
      value:
        mustSupport: true
        choices: []
        index: 35
  isBvg:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension
    type: Extension
    mustSupport: true
    index: 24
    elements:
      value:
        mustSupport: true
        choices: []
        index: 26
  prescriberID:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/prescriber-id-extension
    type: Extension
    index: 30
    elements:
      value:
        mustSupport: true
        choices: []
        index: 32
  multiplePrescription:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension
    type: Extension
    mustSupport: true
    index: 3
    extensions:
      indicator:
        url: null
        index: 4
        elements:
          value:
            mustSupport: true
            choices: []
            index: 6
      counter:
        url: null
        index: 7
        elements:
          value:
            mustSupport: true
            choices: []
            index: 9
          value[x]:
            elements:
              numerator:
                mustSupport: true
                index: 10
                elements:
                  value: {mustSupport: true, index: 11}
              denominator:
                mustSupport: true
                index: 12
                elements:
                  value: {mustSupport: true, index: 13}
      period:
        url: null
        index: 14
        elements:
          value:
            mustSupport: true
            choices: []
            index: 16
          value[x]:
            elements:
              start: {mustSupport: true, index: 17}
              end: {mustSupport: true, index: 18}
      id:
        url: null
        index: 19
        elements:
          value:
            mustSupport: true
            choices: []
            index: 21
          value[x]:
            elements:
              system: {mustSupport: true, index: 22}
              value: {mustSupport: true, index: 23}
    elements:
      extension:
        index: 4
        slicing:
          slices:
            indicator:
              match: {}
              schema:
                index: 4
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 6
            counter:
              match: {}
              schema:
                index: 7
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 9
                  value[x]:
                    elements:
                      numerator:
                        mustSupport: true
                        index: 10
                        elements:
                          value: {mustSupport: true, index: 11}
                      denominator:
                        mustSupport: true
                        index: 12
                        elements:
                          value: {mustSupport: true, index: 13}
            period:
              match: {}
              schema:
                index: 14
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 16
                  value[x]:
                    elements:
                      start: {mustSupport: true, index: 17}
                      end: {mustSupport: true, index: 18}
            id:
              match: {}
              schema:
                index: 19
                elements:
                  value:
                    mustSupport: true
                    choices: []
                    index: 21
                  value[x]:
                    elements:
                      system: {mustSupport: true, index: 22}
                      value: {mustSupport: true, index: 23}
  generatedDosageInstructionsMeta: {url: 'http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta', min: 0, max: 1, short: Metadaten zu den generierten Dosierungsanweisungen, type: Extension, mustSupport: true, index: 41}
  isSer:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-ser-extension
    type: Extension
    mustSupport: true
    index: 27
    elements:
      value:
        mustSupport: true
        choices: []
        index: 29
  renderedDosageInstruction: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction', min: 0, max: 1, short: Vollständige Darstellung der Dosierungsanweisungen (generiert aus den Dosage-Elementen)., type: Extension, mustSupport: true, index: 40}
  narcotics:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/narcotics-extension
    short: Betäubungsmittel (BtM)
    type: Extension
    mustSupport: true
    index: 36
    extensions: {}
    elements:
      extension: {mustSupport: true, index: 37}
  teratogenic:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/teratogenic-extension
    short: T-Rezept
    type: Extension
    mustSupport: true
    index: 38
    extensions: {}
    elements:
      extension: {mustSupport: true, index: 39}
class: profile
kind: resource
url: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: 1.3.0
required: [authoredOn]