description: Defines the medication resource for the Medication Service in the ePA system.
package_name: rs/de.gematik.epa.medication
derivation: constraint
name: EPAMedication
type: Medication
elements:
  amount:
    mustSupport: true
    index: 69
    elements:
      numerator:
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-units'}
        mustSupport: true
        index: 70
        extensions:
          packagingSize:
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
            type: Extension
            index: 71
            elements:
              value:
                mustSupport: true
                choices: []
                index: 73
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueString]
                        index: 75
              valueString:
                type: string
                mustSupport: true
                choiceOf: value
                index: 76
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema: {type: string, mustSupport: true, choiceOf: value, index: 76}
          totalQuantity:
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
            type: Extension
            index: 77
            elements:
              value:
                mustSupport: true
                choices: []
                index: 79
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueString]
                        index: 81
              valueString:
                type: string
                mustSupport: true
                choiceOf: value
                index: 82
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema: {type: string, mustSupport: true, choiceOf: value, index: 82}
        elements:
          extension:
            type: Extension
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
            index: 71
            slicing:
              slices:
                packagingSize:
                  match: {}
                  schema:
                    type: Extension
                    url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-packaging-size-extension
                    index: 71
                    elements:
                      value:
                        mustSupport: true
                        choices: []
                        index: 73
                        slicing:
                          slices:
                            valueString:
                              match: {}
                              schema:
                                mustSupport: true
                                choices: [valueString]
                                index: 75
                      valueString:
                        type: string
                        mustSupport: true
                        choiceOf: value
                        index: 76
                        slicing:
                          slices:
                            valueString:
                              match: {}
                              schema: {type: string, mustSupport: true, choiceOf: value, index: 76}
                totalQuantity:
                  match: {}
                  schema:
                    type: Extension
                    url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-total-quantity-formulation-extension
                    index: 77
                    elements:
                      value:
                        mustSupport: true
                        choices: []
                        index: 79
                        slicing:
                          slices:
                            valueString:
                              match: {}
                              schema:
                                mustSupport: true
                                choices: [valueString]
                                index: 81
                      valueString:
                        type: string
                        mustSupport: true
                        choiceOf: value
                        index: 82
                        slicing:
                          slices:
                            valueString:
                              match: {}
                              schema: {type: string, mustSupport: true, choiceOf: value, index: 82}
          value: {mustSupport: true, index: 83}
          unit: {mustSupport: true, index: 84}
          system: {mustSupport: true, index: 85}
          code: {mustSupport: true, index: 86}
      denominator:
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-units'}
        mustSupport: true
        index: 87
        elements:
          value: {mustSupport: true, index: 88}
          unit: {mustSupport: true, index: 89}
          system: {mustSupport: true, index: 90}
          code: {mustSupport: true, index: 91}
  meta:
    mustSupport: true
    index: 0
    elements:
      versionId: {mustSupport: true, index: 1}
      lastUpdated: {mustSupport: true, index: 2}
  batch:
    short: Batch Information
    index: 136
    elements:
      lotNumber: {short: Batch Number, mustSupport: true, index: 137}
  extension:
    type: Extension
    mustSupport: true
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension
    index: 4
    slicing:
      slices:
        rxPrescriptionProcessIdentifier:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension', index: 4}
          min: 0
          max: 1
        isVaccine:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension
            index: 5
            elements:
              value:
                mustSupport: true
                choices: [valueBoolean]
                index: 7
                slicing:
                  slices:
                    valueBoolean:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueBoolean]
                        index: 7
              valueBoolean:
                type: boolean
                mustSupport: true
                choiceOf: value
                index: 8
                slicing:
                  slices:
                    valueBoolean:
                      match: {}
                      schema: {type: boolean, mustSupport: true, choiceOf: value, index: 8}
        drugCategory:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension
            index: 9
            elements:
              value:
                mustSupport: true
                choices: [valueCoding]
                index: 11
                slicing:
                  slices:
                    valueCoding:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueCoding]
                        index: 11
              valueCoding:
                type: Coding
                mustSupport: true
                choiceOf: value
                index: 12
                slicing:
                  slices:
                    valueCoding:
                      match: {}
                      schema: {type: Coding, mustSupport: true, choiceOf: value, index: 12}
              value[x]:
                elements:
                  system: {mustSupport: true, index: 13}
                  code: {mustSupport: true, index: 14}
        normSizeCode:
          match: {}
          schema:
            short: Package size according to N-designation
            type: Extension
            mustSupport: true
            url: http://fhir.de/StructureDefinition/normgroesse
            index: 15
            elements:
              value:
                mustSupport: true
                choices: []
                index: 17
        packaging:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
            index: 18
            elements:
              value:
                mustSupport: true
                choices: [valueString]
                index: 20
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueString]
                        index: 20
              valueString:
                type: string
                mustSupport: true
                choiceOf: value
                index: 21
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema: {type: string, mustSupport: true, choiceOf: value, index: 21}
        manufacturingInstructions:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-manufacturing-instructions-extension
            index: 22
            elements:
              value:
                mustSupport: true
                choices: [valueString]
                index: 24
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueString]
                        index: 24
              valueString:
                type: string
                mustSupport: true
                choiceOf: value
                index: 25
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema: {type: string, mustSupport: true, choiceOf: value, index: 25}
        type:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension', index: 26}
          min: 0
          max: 1
  contained: {type: Medication, short: Contains PZN Ingredients for Compounding Medications & PharmaceuticalProducts in case of a 'Kombipackung', mustSupport: true, index: 3}
  ingredient:
    short: Information on Components (Rezeptur)
    mustSupport: true
    index: 92
    extensions:
      darreichungsform: {url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension', min: 0, max: 1, type: Extension, index: 93}
    elements:
      extension:
        type: Extension
        url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension
        index: 93
        slicing:
          slices:
            darreichungsform:
              match: {}
              schema: {type: Extension, url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-darreichungsform-extension', index: 93}
              min: 0
              max: 1
      item:
        short: Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
        mustSupport: true
        choices: [itemReference]
        index: 116
        slicing:
          slices:
            itemReference:
              match: {}
              schema:
                short: Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
                mustSupport: true
                choices: [itemReference]
                index: 116
              min: 0
              max: 1
      itemCodeableConcept:
        short: Component in coded form or, if necessary, as free text
        type: CodeableConcept
        mustSupport: true
        choiceOf: item
        index: 98
        slicing:
          slices:
            itemCodeableConcept:
              match: {}
              schema: {short: 'Component in coded form or, if necessary, as free text', type: CodeableConcept, mustSupport: true, choiceOf: item, index: 98}
              min: 0
              max: 1
      item[x]:
        elements:
          coding:
            mustSupport: true
            index: 99
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                ask:
                  match: {system: 'http://fhir.de/CodeSystem/ask'}
                  schema:
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://fhir.de/CodeSystem/ask'}
                    array: true
                    type: Coding
                    index: 100
                    elements:
                      system: {mustSupport: true, index: 101}
                      code: {mustSupport: true, index: 102}
                      display: {mustSupport: true, index: 103}
                    required: [code, system]
                atc-de:
                  match: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
                  schema:
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
                    array: true
                    type: Coding
                    index: 104
                    elements:
                      system: {mustSupport: true, index: 105}
                      code: {mustSupport: true, index: 106}
                      display: {mustSupport: true, index: 107}
                    required: [code, system]
                snomed:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    array: true
                    type: Coding
                    index: 108
                    elements:
                      system: {mustSupport: true, index: 109}
                      version: {mustSupport: true, index: 110}
                      code: {mustSupport: true, index: 111}
                      display: {mustSupport: true, index: 112}
                    required: [code, system]
                pzn:
                  match: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                  schema:
                    pattern:
                      type: Coding
                      value: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                    type: Coding
                    index: 113
                  min: 0
                  max: 0
          text: {mustSupport: true, index: 114}
      itemReference:
        short: Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
        refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
        type: Reference
        mustSupport: true
        choiceOf: item
        index: 117
        slicing:
          slices:
            itemReference:
              match: {}
              schema:
                short: Restricted EPAMedicationPZNIngredient & EPAMedicationPharmaceuticalProduct only
                refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
                type: Reference
                mustSupport: true
                choiceOf: item
                index: 117
              min: 0
              max: 1
      isActive: {short: 'Is it an active ingredient?', index: 118}
      strength:
        short: Strength
        mustSupport: true
        index: 119
        extensions:
          amountText:
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
            type: Extension
            index: 120
            elements:
              value:
                mustSupport: true
                choices: []
                index: 122
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueString]
                        index: 124
              valueString:
                type: string
                mustSupport: true
                choiceOf: value
                index: 125
                slicing:
                  slices:
                    valueString:
                      match: {}
                      schema: {type: string, mustSupport: true, choiceOf: value, index: 125}
        elements:
          extension:
            type: Extension
            url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
            index: 120
            slicing:
              slices:
                amountText:
                  match: {}
                  schema:
                    type: Extension
                    url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-ingredient-amount-extension
                    index: 120
                    elements:
                      value:
                        mustSupport: true
                        choices: []
                        index: 122
                        slicing:
                          slices:
                            valueString:
                              match: {}
                              schema:
                                mustSupport: true
                                choices: [valueString]
                                index: 124
                      valueString:
                        type: string
                        mustSupport: true
                        choiceOf: value
                        index: 125
                        slicing:
                          slices:
                            valueString:
                              match: {}
                              schema: {type: string, mustSupport: true, choiceOf: value, index: 125}
          numerator:
            binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-units'}
            mustSupport: true
            index: 126
            elements:
              value: {mustSupport: true, index: 127}
              unit: {mustSupport: true, index: 128}
              system: {mustSupport: true, index: 129}
              code: {mustSupport: true, index: 130}
            required: [code, system, value]
          denominator:
            binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-units'}
            mustSupport: true
            index: 131
            elements:
              value: {mustSupport: true, index: 132}
              unit: {mustSupport: true, index: 133}
              system: {mustSupport: true, index: 134}
              code: {mustSupport: true, index: 135}
            required: [code, system, value]
        required: [numerator]
  status: {short: Status of Medication Information, mustSupport: true, index: 51}
  code:
    short: Medication in coded form or as free text if necessary
    mustSupport: true
    index: 30
    elements:
      coding:
        mustSupport: true
        index: 31
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            pzn:
              match: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                type: Coding
                index: 32
                elements:
                  system: {mustSupport: true, index: 33}
                  version: {mustSupport: true, index: 34}
                  code: {mustSupport: true, index: 35}
                  display: {mustSupport: true, index: 36}
                required: [code, system]
            atc-de:
              match: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
                array: true
                type: Coding
                index: 37
                elements:
                  system: {mustSupport: true, index: 38}
                  code: {mustSupport: true, index: 39}
                  display: {mustSupport: true, index: 40}
                required: [code, system]
            ask:
              match: {system: 'http://fhir.de/CodeSystem/ask'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/ask'}
                array: true
                type: Coding
                index: 41
                elements:
                  system: {mustSupport: true, index: 42}
                  code: {mustSupport: true, index: 43}
                  display: {mustSupport: true, index: 44}
                required: [code, system]
            snomed:
              match: {system: 'http://snomed.info/sct'}
              schema:
                pattern:
                  type: Coding
                  value: {system: 'http://snomed.info/sct'}
                array: true
                type: Coding
                index: 45
                elements:
                  system: {mustSupport: true, index: 46}
                  version: {mustSupport: true, index: 47}
                  code: {mustSupport: true, index: 48}
                  display: {mustSupport: true, index: 49}
                required: [code, system]
      text: {mustSupport: true, index: 50}
  identifier:
    index: 27
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        EPAMedicationUniqueIdentifier:
          match: {system: 'https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier'}
          schema:
            type: Identifier
            pattern:
              type: Identifier
              value: {system: 'https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier'}
            index: 28
          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: 29
          min: 0
          max: 1
  manufacturer:
    short: Manufacturer of the Medication
    mustSupport: true
    index: 52
    elements:
      display: {mustSupport: true, index: 53}
    required: [display]
  form:
    short: Form of Dispensing
    mustSupport: true
    index: 54
    elements:
      coding:
        mustSupport: true
        index: 55
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            edqm:
              match: {system: 'http://standardterms.edqm.eu'}
              schema:
                binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform'}
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://standardterms.edqm.eu'}
                array: true
                type: Coding
                index: 56
                elements:
                  system: {mustSupport: true, index: 57}
                  code: {mustSupport: true, index: 58}
                  display: {mustSupport: true, index: 59}
                required: [code, system]
            snomed:
              match: {system: 'http://snomed.info/sct'}
              schema:
                pattern:
                  type: Coding
                  value: {system: 'http://snomed.info/sct'}
                array: true
                type: Coding
                index: 60
                elements:
                  system: {mustSupport: true, index: 61}
                  version: {mustSupport: true, index: 62}
                  code: {mustSupport: true, index: 63}
                  display: {mustSupport: true, index: 64}
                required: [code, system]
            kbvDarreichungsform:
              match: {system: 'https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM'}
              schema:
                binding: {strength: required, valueSet: 'https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM'}
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM'}
                array: true
                type: Coding
                index: 65
                elements:
                  system: {mustSupport: true, index: 66}
                  code: {mustSupport: true, index: 67}
                  display: {mustSupport: true, index: 68}
                required: [code, system]
package_version: 1.0.3
extensions:
  rxPrescriptionProcessIdentifier: {url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 4}
  isVaccine:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-id-vaccine-extension
    type: Extension
    mustSupport: true
    index: 5
    elements:
      value:
        mustSupport: true
        choices: [valueBoolean]
        index: 7
        slicing:
          slices:
            valueBoolean:
              match: {}
              schema:
                mustSupport: true
                choices: [valueBoolean]
                index: 7
      valueBoolean:
        type: boolean
        mustSupport: true
        choiceOf: value
        index: 8
        slicing:
          slices:
            valueBoolean:
              match: {}
              schema: {type: boolean, mustSupport: true, choiceOf: value, index: 8}
  drugCategory:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/drug-category-extension
    type: Extension
    mustSupport: true
    index: 9
    elements:
      value:
        mustSupport: true
        choices: [valueCoding]
        index: 11
        slicing:
          slices:
            valueCoding:
              match: {}
              schema:
                mustSupport: true
                choices: [valueCoding]
                index: 11
      valueCoding:
        type: Coding
        mustSupport: true
        choiceOf: value
        index: 12
        slicing:
          slices:
            valueCoding:
              match: {}
              schema: {type: Coding, mustSupport: true, choiceOf: value, index: 12}
      value[x]:
        elements:
          system: {mustSupport: true, index: 13}
          code: {mustSupport: true, index: 14}
  normSizeCode:
    url: http://fhir.de/StructureDefinition/normgroesse
    short: Package size according to N-designation
    type: Extension
    mustSupport: true
    index: 15
    elements:
      value:
        mustSupport: true
        choices: []
        index: 17
  packaging:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-formulation-packaging-extension
    type: Extension
    mustSupport: true
    index: 18
    elements:
      value:
        mustSupport: true
        choices: [valueString]
        index: 20
        slicing:
          slices:
            valueString:
              match: {}
              schema:
                mustSupport: true
                choices: [valueString]
                index: 20
      valueString:
        type: string
        mustSupport: true
        choiceOf: value
        index: 21
        slicing:
          slices:
            valueString:
              match: {}
              schema: {type: string, mustSupport: true, choiceOf: value, index: 21}
  manufacturingInstructions:
    url: https://gematik.de/fhir/epa-medication/StructureDefinition/medication-manufacturing-instructions-extension
    type: Extension
    mustSupport: true
    index: 22
    elements:
      value:
        mustSupport: true
        choices: [valueString]
        index: 24
        slicing:
          slices:
            valueString:
              match: {}
              schema:
                mustSupport: true
                choices: [valueString]
                index: 24
      valueString:
        type: string
        mustSupport: true
        choiceOf: value
        index: 25
        slicing:
          slices:
            valueString:
              match: {}
              schema: {type: string, mustSupport: true, choiceOf: value, index: 25}
  type: {url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension', min: 0, max: 1, type: Extension, mustSupport: true, index: 26}
class: profile
kind: resource
url: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication
base: http://hl7.org/fhir/StructureDefinition/Medication
version: 1.0.3