Profile Comparison between https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsInformation vs http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationStatement	http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips	Values Differ
copyright		Used by permission of HL7 Europe, all rights reserved Creative Commons License	Added the item 'Used by permission of HL7 Europe, all rights reserved Creative Commons License'
date	2025-06-26	2025-10-22T08:52:35+00:00	Values Differ
description	Dieses Profil ermöglicht die Abbildung von Informationen zur Medikation eines Patienten in ISiK Szenarien. Hinweis zur Auswahl des Profils: In Abgrenzung zu ISiKMedikationsVerabreichung (MedicationAdministration) wird mittels des vorliegenden Profils die Verabreichung eines Medikaments an einen Patienten mit einer lediglich Datums-genauen Angabe abgebildet (einschließlich Granularität Jahr, Monat oder Tag für .effectiveDateTime oder .effectivePeriod auf Datums-Ebene gemäß der [FHIR-Core Vorgabe](https://hl7.org/fhir/R4/datatypes.html#dateTime)). Zur sekunden-genauen Angabe der Verabreichung eines Medikaments (im Sinne einer medizinischen Verabreichungsdokumentation durch medizinisches Personal) an einen Patienten SOLL das Profil ISiKMedikationsVerabreichung (MedicationAdministration) verwendet werden. Siehe entsprechende Profilseite für weitere Begründung.	This profile constrains the MedicationStatement resource for the purpose of the European patient summary.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	ISiKMedikationsInformation	MedicationStatementEuEps	Values Differ
publisher	gematik GmbH	HL7 Europe	Values Differ
purpose		This profile constrains the MedicationStatement resource for the purpose of the European patient summary.	Added the item 'This profile constrains the MedicationStatement resource for the purpose of the European patient summary.'
status	active	draft	Values Differ
title		Medication Statement (EPS)	Added the item 'Medication Statement (EPS)'
type	MedicationStatement
url	https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsInformation	http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps	Values Differ
version	5.0.0	0.0.1-ci	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient		0..*	MedicationStatementIPS(2.0.0)	Record of medication being taken by a patient
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at MedicationStatement.language using binding from ISiKMedikationsInformation
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension	S	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations	Elements differ in definition for mustSupport: 'true' vs 'false'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Referenz auf andere Objekte, deren Bestandteil diese MedikationsInformation ist	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!SΣ	1..1	code	Status der Medikationsinformation Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.	Elements differ in definition for mustSupport: 'true' vs 'false'
statusReason		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.	Σ	0..1	CodeableConcept	Type of medication statement. Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.	Example/preferred bindings differ at MedicationStatement.category using binding from ISiKMedikationsInformation
Slices for medication[x]	SΣ	1..1	CodeableConcept, Reference(Medication)	What medication was taken Slice: Unordered, Open by type:$this Binding: ?? (example): A coded concept identifying the substance or product being taken.	SOΣ	1..1	??, Reference(Medication (EPS))	What medication was taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ips/ActorDefinition/Creator SHALL:handle http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer SHOULD:display http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer	Example/preferred bindings differ at MedicationStatement.medication[x] using binding from MedicationStatementEuEps
subject	SΣ	1..1	Reference(Patient)	Referenz auf den Patienten	SOΣ	1..1	Reference(Patient (EPS))	Who is/was taking the medication Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ips/ActorDefinition/Creator SHALL:handle http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer SHOULD:display http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ips/ActorDefinition/Creator SHALL:handle http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
context	SΣ	0..1	Reference(Encounter | EpisodeOfCare)	Referenz auf den Abteilungskontakt	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
Slices for effective[x]	SΣ	1..1	dateTime, Period	Zeitpunkt oder Zeitraum, für den die MedikationsInformation gilt Slice: Unordered, Open by type:$this	SOΣ	1..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ips/ActorDefinition/Creator SHALL:handle http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer SHOULD:display http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer
dateAsserted	SΣ	0..1	dateTime	Datum der Feststellung/des Bekanntwerdens der MedikationsInformation	Σ	0..1	dateTime	When the statement was asserted?	Elements differ in definition for mustSupport: 'true' vs 'false'
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information		0..*	Reference(Resource)	Additional supporting information
reasonCode	S	0..*	CodeableConcept	Grund der Medikation (codiert) Binding: ?? (example): A coded concept identifying why the medication is being taken.		0..*	CodeableConcept	Reason or indication for this prescription Binding: ?? (example): A coded concept identifying why the medication is being taken.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
coding	SΣ	0..*	Coding	Code defined by a terminology system					Removed this element
text	SΣ	0..1	string	Plain text representation of the concept					Removed this element
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Grund der Medikation (Referenz)		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports this medication	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
note	S	0..*	Annotation	Further information about the statement		0..*	Annotation	Further information about the statement	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
author[x]	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation					Removed this element
time	Σ	0..1	dateTime	When the annotation was made					Removed this element
text	SΣ	1..1	markdown	Freitext-Notiz					Removed this element
dosage	S	0..*	Dosage	Dosierungsangaben	SO	0..*	Dosage	How medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ips/ActorDefinition/Creator SHALL:handle http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer SHOULD:display http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Freitext-Dosierungsanweisungen	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ips/ActorDefinition/Creator SHALL:handle http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer SHOULD:display http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	SΣ	0..1	string	besondere Anweisungen für den Patienten	Σ	0..1	string	Patient or consumer oriented instructions	Elements differ in definition for mustSupport: 'true' vs 'false'
timing	SΣ	0..1	Timing	Angaben zum Timing	SOΣ	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ips/ActorDefinition/Creator SHALL:handle http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer SHOULD:display http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized					Removed this element
event	SΣ	0..*	dateTime	fester Zeitpunkt					Removed this element
repeat	SΣC	0..1	Element	Wiederholungs-Angaben tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa					Removed this element
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern.					Removed this element
Slices for asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
site	SΣ	0..1	CodeableConcept	Körperstelle der Verabreichung Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this					Removed this element
text	SΣ	0..1	string	Plain text representation of the concept					Removed this element
route	SΣ	0..1	CodeableConcept	Route Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	Σ	0..1	CodeableConcept	Route of administration Binding: ?? (preferred): SNOMED Route Terms Additional Bindings Purpose ?? candidate	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this					Removed this element
text	SΣ	0..1	string	Plain text representation of the concept					Removed this element
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Angaben zu Dosis und Rate	Σ	0..*	Element	Amount of medication administered	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1	Range, ??	Amount of medication per dose Slice: Unordered, Open by type:$this	Σ	0..1	Range, ??	Amount of medication per dose
Slices for rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time Slice: Unordered, Open by type:$this	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	SΣ	0..1	Ratio	Maximaldosis (Zähler) pro Zeitraum (Nenner)	Σ	0..1	Ratio	Upper limit on medication per unit of time	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
numerator	SΣC	0..1	??	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity					Removed this element
denominator	SΣC	0..1	??	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity					Removed this element
maxDosePerAdministration	SΣC	0..1	??	Maximaldosis pro Verabreichung qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity	Σ	0..1	??	Upper limit on medication per administration	Elements differ in definition for mustSupport: 'true' vs 'false'
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
Documentation for this format