HL7 Czech Base and Core FHIR IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Medication (CZ core)

Czech national profile for a medication.

Usages:

• Refer to this Profile: Medication (CZ core) and Medication Statement (CZ core)
• Examples for this Profile: Medication/med-1

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Czech Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:productName		0..1	string	Current trade name (authorised name) of the medicinal product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this Binding: ProductClassification (example)
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Český číselník ATC skupin (preferred)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
extension:quantity		1..1	Extension	Number of defined devices in te package
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
code	Σ	0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization (CZ core))	Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Lékové formy (preferred)
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemReference		0..1	Reference(Medication (CZ core))	The actual ingredient or content
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred) Additional Bindings Purpose eHDSI Substance Preferred
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:classification.​value[x]	Base	example	Product Classification	📦5.0.0	Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept	Base	preferred	Český číselník ATC skupin	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.code	Base	required	Léčivé přípravky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Lékové formy	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept	Base	preferred	Value set of DLP Lecive latky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Czech Medication
Slices for extension				Content/Rules for all slices
extension:classification		0..*	MedicationClassification	Medication - Classification
extension		0..0		Extension
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Český číselník ATC skupin (preferred)
identifier		1..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
code		0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
manufacturer		0..1	Reference(Organization (CZ core))	Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Lékové formy (preferred)
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
Slices for item[x]				Content/Rules for all slices
item[x]:itemReference		0..1	Reference(Medication (CZ core))	The actual ingredient or content
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:classification.​value[x]:valueCodeableConcept	Base	preferred	Český číselník ATC skupin	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.code	Base	required	Léčivé přípravky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.form	Base	preferred	Lékové formy	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept	Base	preferred	Value set of DLP Lecive latky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Czech Medication
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Current trade name (authorised name) of the medicinal product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this Binding: ProductClassification (example)
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Český číselník ATC skupin (preferred)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
code	Σ	0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization (CZ core))	Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Lékové formy (preferred)
amount	Σ	0..1	Ratio	Amount of the medication (for example, in a package or a vial)
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemReference		0..1	Reference(Medication (CZ core))	The actual ingredient or content
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred) Additional Bindings Purpose eHDSI Substance Preferred
isActive		0..1	boolean	Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
strength		0..1	Ratio	Amount of substance in product (presentation or concentration strength)
id		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
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator	Σ	0..1	Quantity	Numerator value
denominator	Σ	0..1	Quantity	Denominator value
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Lot Number
expirationDate		0..1	dateTime	Expiration Date
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Medication.extension:classification.​value[x]	Base	example	Product Classification	📦5.0.0	Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept	Base	preferred	Český číselník ATC skupin	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿0.2.0	tx.hl7europe.eu
Medication.code	Base	required	Léčivé přípravky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Lékové formy	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept	Base	preferred	Value set of DLP Lecive latky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Medication (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/medication-cz-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.extension.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Czech Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:productName		0..1	string	Current trade name (authorised name) of the medicinal product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this Binding: ProductClassification (example)
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Český číselník ATC skupin (preferred)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
extension:quantity		1..1	Extension	Number of defined devices in te package
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
code	Σ	0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization (CZ core))	Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Lékové formy (preferred)
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemReference		0..1	Reference(Medication (CZ core))	The actual ingredient or content
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred) Additional Bindings Purpose eHDSI Substance Preferred
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:classification.​value[x]	Base	example	Product Classification	📦5.0.0	Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept	Base	preferred	Český číselník ATC skupin	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.code	Base	required	Léčivé přípravky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Lékové formy	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept	Base	preferred	Value set of DLP Lecive latky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Czech Medication
Slices for extension				Content/Rules for all slices
extension:classification		0..*	MedicationClassification	Medication - Classification
extension		0..0		Extension
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Český číselník ATC skupin (preferred)
identifier		1..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
code		0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
manufacturer		0..1	Reference(Organization (CZ core))	Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Lékové formy (preferred)
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
Slices for item[x]				Content/Rules for all slices
item[x]:itemReference		0..1	Reference(Medication (CZ core))	The actual ingredient or content
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:classification.​value[x]:valueCodeableConcept	Base	preferred	Český číselník ATC skupin	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.code	Base	required	Léčivé přípravky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.form	Base	preferred	Lékové formy	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept	Base	preferred	Value set of DLP Lecive latky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Czech Medication
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Current trade name (authorised name) of the medicinal product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this Binding: ProductClassification (example)
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Český číselník ATC skupin (preferred)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
code	Σ	0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization (CZ core))	Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: Lékové formy (preferred)
amount	Σ	0..1	Ratio	Amount of the medication (for example, in a package or a vial)
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemReference		0..1	Reference(Medication (CZ core))	The actual ingredient or content
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred) Additional Bindings Purpose eHDSI Substance Preferred
isActive		0..1	boolean	Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
strength		0..1	Ratio	Amount of substance in product (presentation or concentration strength)
id		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
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator	Σ	0..1	Quantity	Numerator value
denominator	Σ	0..1	Quantity	Denominator value
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Lot Number
expirationDate		0..1	dateTime	Expiration Date
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Medication.extension:classification.​value[x]	Base	example	Product Classification	📦5.0.0	Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept	Base	preferred	Český číselník ATC skupin	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿0.2.0	tx.hl7europe.eu
Medication.code	Base	required	Léčivé přípravky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Lékové formy	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept	Base	preferred	Value set of DLP Lecive latky	📦0.3.0	HL7 Czech Terminology Implementation Guide vnull

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Medication (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/medication-cz-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.extension.value[x]

Other representations of profile: CSV, Excel, Schematron