ELGA e-Medikation (R4) DRAFT
0.1.0 - ci-build
ELGA e-Medikation (R4) DRAFT
0.1.0 - ci-build
ELGA e-Medikation (R4) DRAFT, published by ELGA GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Austria/ELGA-e-Medikation-R4/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="At-Emed-Journey-06-02-Bundle-Medikationsplan-Tx"/>
<meta>
<profile
value="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-bundle-medikationsplantx"/>
</meta>
<type value="transaction"/>
<timestamp value="2026-03-19T12:10:00+00:00"/>
<entry>
<fullUrl
value="https://example.elga.com/List/4cb4dceb-173f-461a-a267-683ec33e4be1"/>
<resource>
<List>
<id value="At-Emed-Journey-06-02-List-Medikationsplan"/>
<meta>
<profile
value="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-list-medikationsplan"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="List_At-Emed-Journey-06-02-List-Medikationsplan"> </a><p class="res-header-id"><b>Generated Narrative: List At-Emed-Journey-06-02-List-Medikationsplan</b></p><a name="At-Emed-Journey-06-02-List-Medikationsplan"> </a><a name="hcAt-Emed-Journey-06-02-List-Medikationsplan"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-at-elga-emed-list-medikationsplan.html">AT ELGA e-Medikation List Medikationsplan</a></p></div><table class="clstu"><tr><td>Date: 2026-03-19 12:10:00+0000 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: Medikationsplan </td></tr><tr><td>Subject: <a href="Patient-At-Emed-Example-Patient-01.html">Anton Mustermann</a>Source: </td></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td><td>Flag</td></tr><tr><td><a href="MedicationRequest-At-Emed-Journey-06-02-Mr-Planeintrag-01.html">MedicationRequest: extension = 2026-02-27 --> (ongoing),1-0-1-0 | Täglich: 1-0-1-0; status = active; intent = order; category = Planeintrag; reported[x] = false; medication[x] = ->Medication RAMIPRIL HEX TBL 5MG; authoredOn = 2026-03-19 12:10:00+0000; courseOfTherapyType = Continuous long term therapy</a></td><td>Planeintrag geändert</td></tr><tr><td><a href="MedicationRequest-At-Emed-Journey-01-02-Mr-Planeintrag-02.html">MedicationRequest: extension = 2026-02-27 --> 2026-03-20,1-0-1-0 | Täglich 1-0-1-0 für 3 Wochen; status = active; intent = order; category = Planeintrag; reported[x] = false; medication[x] = ->Medication: form = Salbe; authoredOn = 2026-02-27 08:10:00+0000; courseOfTherapyType = Short course (acute) therapy</a></td><td>Planeintrag beibehalten</td></tr><tr><td><a href="MedicationRequest-At-Emed-Journey-06-02-Mr-Planeintrag-03.html">MedicationRequest: extension = 2026-03-19 --> (ongoing),1-1-1-1 | 4x täglich 1000 mg; status = active; intent = order; category = Planeintrag; reported[x] = false; medication[x] = ->Medication; authoredOn = 2026-03-19 12:10:00+0000; courseOfTherapyType = Short course (acute) therapy</a></td><td>Neuer Planeintrag</td></tr></table></div>
</text>
<status value="current"/>
<mode value="working"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="736378000"/>
<display value="Medikationsplan"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/At-Emed-Example-Patient-01"/>
<display value="Anton Mustermann"/>
</subject>
<date value="2026-03-19T12:10:00+00:00"/>
<source>🔗
<reference
value="PractitionerRole/At-Emed-Example-PractitionerRole-03"/>
<display value="Dr. Krankenhaus"/>
</source>
<entry>
<flag>
<coding>
<system
value="https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS"/>
<code value="changed"/>
<display value="Planeintrag geändert"/>
</coding>
</flag>
<item>🔗
<reference
value="MedicationRequest/At-Emed-Journey-06-02-Mr-Planeintrag-01"/>
</item>
</entry>
<entry>
<flag>
<coding>
<system
value="https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS"/>
<code value="unchanged"/>
<display value="Planeintrag beibehalten"/>
</coding>
</flag>
<item>🔗
<reference
value="MedicationRequest/At-Emed-Journey-01-02-Mr-Planeintrag-02"/>
</item>
</entry>
<entry>
<flag>
<coding>
<system
value="https://fhir.hl7.at/elga/emed/r4/CodeSystem/ElgaListEntryFlagCS"/>
<code value="new"/>
<display value="Neuer Planeintrag"/>
</coding>
</flag>
<item>🔗
<reference
value="MedicationRequest/At-Emed-Journey-06-02-Mr-Planeintrag-03"/>
</item>
</entry>
</List>
</resource>
<request>
<method value="PUT"/>
<url value="List/4cb4dceb-173f-461a-a267-683ec33e4be1"/>
</request>
</entry>
<entry>
<fullUrl
value="https://example.elga.com/MedicationRequest/5e947f71-6881-46cc-9b06-81a1743aa674"/>
<resource>
<MedicationRequest>
<id value="At-Emed-Journey-06-02-Mr-Planeintrag-01"/>
<meta>
<profile
value="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medicationrequest-planeintrag"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_At-Emed-Journey-06-02-Mr-Planeintrag-01"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest At-Emed-Journey-06-02-Mr-Planeintrag-01</b></p><a name="At-Emed-Journey-06-02-Mr-Planeintrag-01"> </a><a name="hcAt-Emed-Journey-06-02-Mr-Planeintrag-01"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-at-elga-emed-medicationrequest-planeintrag.html">At ELGA e-Medikation MedicationRequest Planeintrag</a></p></div><p><b>R5: Period over which the medication is to be taken (new)</b>: 2026-02-27 --> (ongoing)</p><p><b>R5: Full representation of the dosage instructions (new)</b>: </p><div><p>1-0-1-0 | Täglich: 1-0-1-0</p>
</div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS 1}">Planeintrag</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href="#hcAt-Emed-Journey-06-02-Mr-Planeintrag-01/contained-medication-journey-06-02-01">Medication RAMIPRIL HEX TBL 5MG</a></p><p><b>subject</b>: <a href="Patient-At-Emed-Example-Patient-01.html">Anton Mustermann</a></p><p><b>authoredOn</b>: 2026-03-19 12:10:00+0000</p><p><b>requester</b>: <a href="PractitionerRole-At-Emed-Example-PractitionerRole-03.html">Dr. Krankenhaus</a></p><p><b>courseOfTherapyType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy continuous}">Continuous long term therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>AT ELGA e-Medikation Extension Dosierungskategorie</b>: <span title="Codes:{https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory standard}">Standard Administration</span></p><p><b>sequence</b>: 1</p><p><b>patientInstruction</b>: Nehmen Sie die Tablette vor dem Essen mit ausreichend Flüssigkeit ein.</p><p><b>timing</b>: Evening, 2 per 1 day</p><p><b>route</b>: <span title="Codes:{https://termgit.elga.gv.at/CodeSystem/medikationartanwendung 100000073619}">zum Einnehmen</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td> Stück<span style="background: LightGoldenRodYellow"> (Details: UCUM code{Stueck} = '{Stueck}')</span></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication #contained-medication-journey-06-02-01</b></p><a name="At-Emed-Journey-06-02-Mr-Planeintrag-01/contained-medication-journey-06-02-01"> </a><a name="hcAt-Emed-Journey-06-02-Mr-Planeintrag-01/contained-medication-journey-06-02-01"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-at-elga-emed-medication-standard-medikation.html">AT ELGA e-Medikation Medication Medikation</a></p></div><p><b>code</b>: <span title="Codes:{https://termgit.elga.gv.at/CodeSystem/asp-liste 2450836}">RAMIPRIL HEX TBL 5MG</span></p></blockquote></div>
</text>
<contained>
<Medication>
<id value="contained-medication-journey-06-02-01"/>
<meta>
<profile
value="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medication-standard-medikation"/>
</meta>
<code>
<coding>
<system
value="https://termgit.elga.gv.at/CodeSystem/asp-liste"/>
<code value="2450836"/>
<display value="RAMIPRIL HEX TBL 5MG"/>
</coding>
</code>
</Medication>
</contained>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
<valuePeriod>
<start value="2026-02-27"/>
</valuePeriod>
</extension>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
<valueMarkdown value="1-0-1-0 | Täglich: 1-0-1-0"/>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS"/>
<code value="1"/>
<display value="Planeintrag"/>
</coding>
</category>
<reportedBoolean value="false"/>
<medicationReference>
<reference value="#contained-medication-journey-06-02-01"/>
</medicationReference>
<subject>🔗
<reference value="Patient/At-Emed-Example-Patient-01"/>
<display value="Anton Mustermann"/>
</subject>
<authoredOn value="2026-03-19T12:10:00+00:00"/>
<requester>🔗
<reference
value="PractitionerRole/At-Emed-Example-PractitionerRole-03"/>
<display value="Dr. Krankenhaus"/>
</requester>
<courseOfTherapyType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
<code value="continuous"/>
</coding>
</courseOfTherapyType>
<dosageInstruction>
<extension
url="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory"/>
<code value="standard"/>
</coding>
</valueCodeableConcept>
</extension>
<sequence value="1"/>
<patientInstruction
value="Nehmen Sie die Tablette vor dem Essen mit ausreichend Flüssigkeit ein."/>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="EVE"/>
</repeat>
</timing>
<route>
<coding>
<system
value="https://termgit.elga.gv.at/CodeSystem/medikationartanwendung"/>
<code value="100000073619"/>
<display value="zum Einnehmen"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<unit value="Stück"/>
<system value="http://unitsofmeasure.org"/>
<code value="{Stueck}"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
<request>
<method value="PUT"/>
<url value="MedicationRequest/5e947f71-6881-46cc-9b06-81a1743aa674"/>
</request>
</entry>
<entry>
<fullUrl
value="https://example.elga.com/urn:uuid:6852930e-6883-4301-b5c1-c142b746af8f"/>
<resource>
<MedicationRequest>
<id value="At-Emed-Journey-06-02-Mr-Planeintrag-03"/>
<meta>
<profile
value="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medicationrequest-planeintrag"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_At-Emed-Journey-06-02-Mr-Planeintrag-03"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest At-Emed-Journey-06-02-Mr-Planeintrag-03</b></p><a name="At-Emed-Journey-06-02-Mr-Planeintrag-03"> </a><a name="hcAt-Emed-Journey-06-02-Mr-Planeintrag-03"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-at-elga-emed-medicationrequest-planeintrag.html">At ELGA e-Medikation MedicationRequest Planeintrag</a></p></div><p><b>R5: Period over which the medication is to be taken (new)</b>: 2026-03-19 --> (ongoing)</p><p><b>R5: Full representation of the dosage instructions (new)</b>: </p><div><p>1-1-1-1 | 4x täglich 1000 mg</p>
</div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS 1}">Planeintrag</span></p><p><b>reported</b>: false</p><p><b>medication</b>: <a href="#hcAt-Emed-Journey-06-02-Mr-Planeintrag-03/contained-medication-journey-06-02-02-wirkstoff">Medication</a></p><p><b>subject</b>: <a href="Patient-At-Emed-Example-Patient-01.html">Anton Mustermann</a></p><p><b>authoredOn</b>: 2026-03-19 12:10:00+0000</p><p><b>requester</b>: <a href="PractitionerRole-At-Emed-Example-PractitionerRole-03.html">Dr. Krankenhaus</a></p><p><b>courseOfTherapyType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}">Short course (acute) therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>AT ELGA e-Medikation Extension Dosierungskategorie</b>: <span title="Codes:{https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory standard}">Standard Administration</span></p><p><b>sequence</b>: 1</p><p><b>timing</b>: Morning, Noon, Evening, Night, 4 per 1 day</p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>1000 MilliGram<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication #contained-medication-journey-06-02-02-wirkstoff</b></p><a name="At-Emed-Journey-06-02-Mr-Planeintrag-03/contained-medication-journey-06-02-02-wirkstoff"> </a><a name="hcAt-Emed-Journey-06-02-Mr-Planeintrag-03/contained-medication-journey-06-02-02-wirkstoff"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-at-elga-emed-medication-magistrale-zubereitung.html">AT ELGA e-Medikation Medication Magistrale Medikation</a></p></div><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://termgit.elga.gv.at/CodeSystem/medikation-ages-wirkstoffe 4467812}">METAMIZOL NATRIUM MONOHYDRAT</span></td></tr></table></blockquote></div>
</text>
<contained>
<Medication>
<id value="contained-medication-journey-06-02-02-wirkstoff"/>
<meta>
<profile
value="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-medication-magistrale-zubereitung"/>
</meta>
<ingredient>
<itemCodeableConcept>
<coding>
<system
value="https://termgit.elga.gv.at/CodeSystem/medikation-ages-wirkstoffe"/>
<code value="4467812"/>
<display value="METAMIZOL NATRIUM MONOHYDRAT"/>
</coding>
</itemCodeableConcept>
</ingredient>
</Medication>
</contained>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
<valuePeriod>
<start value="2026-03-19"/>
</valuePeriod>
</extension>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction">
<valueMarkdown value="1-1-1-1 | 4x täglich 1000 mg"/>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="https://fhir.hl7.at/elga/emed/r4/CodeSystem/MedicationRequestCategoryCS"/>
<code value="1"/>
<display value="Planeintrag"/>
</coding>
</category>
<reportedBoolean value="false"/>
<medicationReference>
<reference
value="#contained-medication-journey-06-02-02-wirkstoff"/>
</medicationReference>
<subject>🔗
<reference value="Patient/At-Emed-Example-Patient-01"/>
<display value="Anton Mustermann"/>
</subject>
<authoredOn value="2026-03-19T12:10:00+00:00"/>
<requester>🔗
<reference
value="PractitionerRole/At-Emed-Example-PractitionerRole-03"/>
<display value="Dr. Krankenhaus"/>
</requester>
<courseOfTherapyType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
<code value="acute"/>
</coding>
</courseOfTherapyType>
<dosageInstruction>
<extension
url="https://fhir.hl7.at/elga/emed/r4/StructureDefinition/at-elga-emed-extension-dosage-category">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.at/elga/emed/r4/CodeSystem/AtElgaEmedCodeSystemDosageCategory"/>
<code value="standard"/>
</coding>
</valueCodeableConcept>
</extension>
<sequence value="1"/>
<timing>
<repeat>
<frequency value="4"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="MORN"/>
<when value="NOON"/>
<when value="EVE"/>
<when value="NIGHT"/>
</repeat>
</timing>
<doseAndRate>
<doseQuantity>
<value value="1000"/>
<unit value="MilliGram"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
<request>
<method value="POST"/>
<url value="MedicationRequest/6852930e-6883-4301-b5c1-c142b746af8f"/>
</request>
</entry>
</Bundle>