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: 45
    elements:
      numerator:
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        type: Quantity
        index: 46
        elements:
          value: {mustSupport: true, index: 47}
          unit: {mustSupport: true, index: 48}
          system: {mustSupport: true, index: 49}
          code: {mustSupport: true, index: 50}
      denominator:
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        type: Quantity
        index: 51
        elements:
          value: {mustSupport: true, index: 52}
          unit: {mustSupport: true, index: 53}
          system: {mustSupport: true, index: 54}
          code: {mustSupport: true, index: 55}
  batch:
    short: Batch Information
    mustSupport: true
    index: 99
    elements:
      lotNumber: {short: Batch Number, mustSupport: true, index: 100}
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        rxPrescriptionProcessIdentifier:
          match: {url: null}
          schema: {type: Extension, url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension', index: 1}
          min: 0
          max: 1
  ingredient:
    short: Information on Components (Rezeptur)
    mustSupport: true
    index: 56
    elements:
      item:
        short: Component (reference to another medication)
        choices: [itemReference]
        index: 85
        slicing:
          slices:
            itemReference:
              match: {}
              schema:
                short: Component (reference to another medication)
                choices: [itemReference]
                index: 85
              min: 0
              max: 1
      itemCodeableConcept:
        short: Component in coded form or, if necessary, as free text
        type: CodeableConcept
        mustSupport: true
        choiceOf: item
        index: 61
        slicing:
          slices:
            itemCodeableConcept:
              match: {}
              schema: {short: 'Component in coded form or, if necessary, as free text', type: CodeableConcept, mustSupport: true, choiceOf: item, index: 61}
              min: 0
              max: 1
      item[x]:
        elements:
          coding:
            mustSupport: true
            index: 62
            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: 63
                    elements:
                      system: {mustSupport: true, index: 64}
                      code: {mustSupport: true, index: 65}
                      display: {mustSupport: true, index: 66}
                    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: 67
                    elements:
                      system: {mustSupport: true, index: 68}
                      code: {mustSupport: true, index: 69}
                      display: {mustSupport: true, index: 70}
                    required: [code, system]
                pzn:
                  match: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                  schema:
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                    array: true
                    type: Coding
                    index: 71
                    elements:
                      system: {mustSupport: true, index: 72}
                      code: {mustSupport: true, index: 73}
                      display: {mustSupport: true, index: 74}
                    required: [code, system]
                wg14:
                  match: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
                  schema:
                    pattern:
                      type: Coding
                      value: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
                    array: true
                    type: Coding
                    index: 75
                    elements:
                      system: {mustSupport: true, index: 76}
                      code: {mustSupport: true, index: 77}
                      display: {mustSupport: true, index: 78}
                    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: 79
                    elements:
                      system: {mustSupport: true, index: 80}
                      code: {mustSupport: true, index: 81}
                      display: {mustSupport: true, index: 82}
                    required: [code, system]
          text: {mustSupport: true, index: 83}
      itemReference:
        short: Component (reference to another medication)
        refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/Substance']
        type: Reference
        choiceOf: item
        index: 86
        slicing:
          slices:
            itemReference:
              match: {}
              schema:
                short: Component (reference to another medication)
                refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/Substance']
                type: Reference
                choiceOf: item
                index: 86
              min: 0
              max: 1
      isActive: {short: 'Is it an active ingredient?', index: 87}
      strength:
        short: Strength
        mustSupport: true
        index: 88
        elements:
          numerator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            type: Quantity
            index: 89
            elements:
              value: {mustSupport: true, index: 90}
              unit: {mustSupport: true, index: 91}
              system: {mustSupport: true, index: 92}
              code: {mustSupport: true, index: 93}
            required: [code, system, value]
          denominator:
            mustSupport: true
            pattern:
              type: Quantity
              value: {system: 'http://unitsofmeasure.org'}
            type: Quantity
            index: 94
            elements:
              value: {mustSupport: true, index: 95}
              unit: {mustSupport: true, index: 96}
              system: {mustSupport: true, index: 97}
              code: {mustSupport: true, index: 98}
            required: [code, system, value]
        required: [numerator]
  status: {short: Status of Medication Information, mustSupport: true, index: 28}
  code:
    short: Medication in coded form or as free text if necessary
    mustSupport: true
    index: 5
    elements:
      coding:
        mustSupport: true
        index: 6
        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: 7
                elements:
                  system: {mustSupport: true, index: 8}
                  code: {mustSupport: true, index: 9}
                  display: {mustSupport: true, index: 10}
                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: 11
                elements:
                  system: {mustSupport: true, index: 12}
                  code: {mustSupport: true, index: 13}
                  display: {mustSupport: true, index: 14}
                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: 15
                elements:
                  system: {mustSupport: true, index: 16}
                  code: {mustSupport: true, index: 17}
                  display: {mustSupport: true, index: 18}
                required: [code, system]
            wg14:
              match: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
              schema:
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/abdata/wg14'}
                array: true
                type: Coding
                index: 19
                elements:
                  system: {mustSupport: true, index: 20}
                  code: {mustSupport: true, index: 21}
                  display: {mustSupport: true, index: 22}
                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: 23
                elements:
                  system: {mustSupport: true, index: 24}
                  code: {mustSupport: true, index: 25}
                  display: {mustSupport: true, index: 26}
                required: [code, system]
      text: {mustSupport: true, index: 27}
  identifier:
    index: 2
    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: 3
          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: 4
          min: 0
          max: 1
  manufacturer:
    short: Manufacturer of the Medication
    mustSupport: true
    index: 29
    elements:
      display: {mustSupport: true, index: 30}
    required: [display]
  form:
    short: Form of Dispensing
    mustSupport: true
    index: 31
    elements:
      coding:
        mustSupport: true
        index: 32
        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: 33
                elements:
                  system: {mustSupport: true, index: 34}
                  code: {mustSupport: true, index: 35}
                  display: {mustSupport: true, index: 36}
                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: 37
                elements:
                  system: {mustSupport: true, index: 38}
                  code: {mustSupport: true, index: 39}
                  display: {mustSupport: true, index: 40}
                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/CodeSystem/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: 41
                elements:
                  system: {mustSupport: true, index: 42}
                  code: {mustSupport: true, index: 43}
                  display: {mustSupport: true, index: 44}
                required: [code, system]
package_version: 1.0.0-RC
extensions:
  rxPrescriptionProcessIdentifier: {url: 'https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension', min: 0, max: 1, type: Extension, index: 1}
class: profile
kind: resource
url: https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication
base: http://hl7.org/fhir/StructureDefinition/Medication
version: 1.0.0