IHE Pharmacy Medication Overview
0.1.0 - ci-build International flag

IHE Pharmacy Medication Overview, published by Integrating the Healthcare Enterprise (IHE). 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/IHE/pharm-meow/ and changes regularly. See the Directory of published versions

Logical Model: MedicinalProductLM - Detailed Descriptions

Active as of 2024-06-16

Definitions for the MedicinalProductLM logical model.

Guidance on how to interpret the contents of this table can be found here

0. MedicinalProductLM
Definition

Logical model for prescribed/dispensed medication. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile.

ShortMedicinal product (model)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. MedicinalProductLM.identifier
Definition

The identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings.

ShortThe identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings.
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeBackboneElement(Class)
4. MedicinalProductLM.identifier.medicinalProductIdentifier
Definition

Identifier at the product level - can be MPID or national identifier

ShortIdentifier at the product level - can be MPID or national identifier
Control0..*
TypeElement(II)
6. MedicinalProductLM.identifier.packagedProductIdentifier
Definition

Identifier at the package level - can be PCID or national

ShortIdentifier at the package level - can be PCID or national
Control0..*
TypeElement(II)
8. MedicinalProductLM.identifier.pharmaceuticalProductIdentifier
Definition

Identifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code

ShortIdentifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code
Control0..*
TypeElement(II)
10. MedicinalProductLM.productCode
Definition

Code for the product that is actually being specified, in established terminologies

ShortCode for the product that is actually being specified, in established terminologies
Control0..1
TypeElement(CD)
12. MedicinalProductLM.classification
Definition

Classification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.)

ShortClassification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.)
Control0..*
TypeElement(CD)
14. MedicinalProductLM.packSize
Definition

Overall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries)

ShortOverall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries)
Control0..*
TypeElement(PQ)
16. MedicinalProductLM.productName
Definition

Name of the product (full name, invented name, other)

ShortName of the product (full name, invented name, other)
Control0..*
TypeBackboneElement(Class)
18. MedicinalProductLM.productName.name
Definition

Name of type and language that is relevant for the users

ShortName of type and language that is relevant for the users
Control1..1
TypeElement(ST)
20. MedicinalProductLM.productName.language
Definition

Language of the name

ShortLanguage of the name
Control0..1
TypeElement(CD)
22. MedicinalProductLM.productName.type
Definition

Type of the name (full name, common name, etc)

ShortType of the name (full name, common name, etc)
Control0..1
TypeElement(CD)
24. MedicinalProductLM.doseForm
Definition

Dose form(s) on a product level. Dose form for a single package item is defined below.

ShortDose form(s) on a product level. Dose form for a single package item is defined below.
Control0..1
TypeElement(CD)
26. MedicinalProductLM.item
Definition

A medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined

ShortA medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined
Control0..*
TypeBackboneElement(Class)
28. MedicinalProductLM.item.doseForm
Definition

Dose form

ShortDose form
Control0..1
TypeElement(CD)
30. MedicinalProductLM.item.ingredient
Definition

Ingredients

ShortIngredients
Control1..*
TypeBackboneElement(Class)
32. MedicinalProductLM.item.ingredient.role
Definition

Role (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected.

ShortRole (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected.
Control0..1
TypeElement(CD)
34. MedicinalProductLM.item.ingredient.substance
Definition

Substance

ShortSubstance
Control1..1
TypeElement(CD)
36. MedicinalProductLM.item.ingredient.strengthInfo
Definition

Concentration or presentation strength

ShortConcentration or presentation strength
Control0..*
TypeBackboneElement(Class)
38. MedicinalProductLM.item.ingredient.strengthInfo.strength
Definition

Concentration or presentation strength of the precise active ingredient

ShortConcentration or presentation strength of the precise active ingredient
Control1..1
TypeElement(RTO)
40. MedicinalProductLM.item.ingredient.strengthInfo.strengthType
Definition

Type of strength that is expressed

ShortType of strength that is expressed
Control0..1
TypeElement(CD)
42. MedicinalProductLM.item.ingredient.strengthInfo.strengthSubstance
Definition

Substance that the strength refers to, if different from the main substance

ShortSubstance that the strength refers to, if different from the main substance
Control0..1
TypeElement(CD)
44. MedicinalProductLM.item.unitOfPresentation
Definition

Unit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package.

ShortUnit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package.
Control0..1
TypeElement(CD)
46. MedicinalProductLM.item.containedQuantity
Definition

Manufactured item quantity for liquids (3ml/vial)

ShortManufactured item quantity for liquids (3ml/vial)
Control0..1
TypeElement(PQ)
48. MedicinalProductLM.item.amount
Definition

Number of such manufactured items in this product (5 vials)

ShortNumber of such manufactured items in this product (5 vials)
Control0..1
TypeElement(PQ)
50. MedicinalProductLM.device
Definition

Administration device included in the product

ShortAdministration device included in the product
Control0..*
TypeBackboneElement(Class)
52. MedicinalProductLM.device.deviceQuantity
Definition

Number of such devices

ShortNumber of such devices
Control1..1
TypeElement(PQ)
54. MedicinalProductLM.device.device
Definition

Device coded

ShortDevice coded
Control1..1
TypeElement(CD)

Guidance on how to interpret the contents of this table can be found here

0. MedicinalProductLM
Definition

Logical model for prescribed/dispensed medication. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile.


Base definition for all types defined in FHIR type system.

ShortMedicinal product (model)Base for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. MedicinalProductLM.identifier
Definition

The identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings.

ShortThe identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings.
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeBackboneElement(Class)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicinalProductLM.identifier.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. MedicinalProductLM.identifier.medicinalProductIdentifier
Definition

Identifier at the product level - can be MPID or national identifier

ShortIdentifier at the product level - can be MPID or national identifier
Control0..*
TypeElement(II)
8. MedicinalProductLM.identifier.packagedProductIdentifier
Definition

Identifier at the package level - can be PCID or national

ShortIdentifier at the package level - can be PCID or national
Control0..*
TypeElement(II)
10. MedicinalProductLM.identifier.pharmaceuticalProductIdentifier
Definition

Identifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code

ShortIdentifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code
Control0..*
TypeElement(II)
12. MedicinalProductLM.productCode
Definition

Code for the product that is actually being specified, in established terminologies

ShortCode for the product that is actually being specified, in established terminologies
Control0..1
TypeElement(CD)
14. MedicinalProductLM.classification
Definition

Classification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.)

ShortClassification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.)
Control0..*
TypeElement(CD)
16. MedicinalProductLM.packSize
Definition

Overall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries)

ShortOverall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries)
Control0..*
TypeElement(PQ)
18. MedicinalProductLM.productName
Definition

Name of the product (full name, invented name, other)

ShortName of the product (full name, invented name, other)
Control0..*
TypeBackboneElement(Class)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicinalProductLM.productName.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. MedicinalProductLM.productName.name
Definition

Name of type and language that is relevant for the users

ShortName of type and language that is relevant for the users
Control1..1
TypeElement(ST)
24. MedicinalProductLM.productName.language
Definition

Language of the name

ShortLanguage of the name
Control0..1
TypeElement(CD)
26. MedicinalProductLM.productName.type
Definition

Type of the name (full name, common name, etc)

ShortType of the name (full name, common name, etc)
Control0..1
TypeElement(CD)
28. MedicinalProductLM.doseForm
Definition

Dose form(s) on a product level. Dose form for a single package item is defined below.

ShortDose form(s) on a product level. Dose form for a single package item is defined below.
Control0..1
TypeElement(CD)
30. MedicinalProductLM.item
Definition

A medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined

ShortA medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined
Control0..*
TypeBackboneElement(Class)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. MedicinalProductLM.item.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. MedicinalProductLM.item.doseForm
Definition

Dose form

ShortDose form
Control0..1
TypeElement(CD)
36. MedicinalProductLM.item.ingredient
Definition

Ingredients

ShortIngredients
Control1..*
TypeBackboneElement(Class)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. MedicinalProductLM.item.ingredient.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. MedicinalProductLM.item.ingredient.role
Definition

Role (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected.

ShortRole (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected.
Control0..1
TypeElement(CD)
42. MedicinalProductLM.item.ingredient.substance
Definition

Substance

ShortSubstance
Control1..1
TypeElement(CD)
44. MedicinalProductLM.item.ingredient.strengthInfo
Definition

Concentration or presentation strength

ShortConcentration or presentation strength
Control0..*
TypeBackboneElement(Class)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. MedicinalProductLM.item.ingredient.strengthInfo.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
48. MedicinalProductLM.item.ingredient.strengthInfo.strength
Definition

Concentration or presentation strength of the precise active ingredient

ShortConcentration or presentation strength of the precise active ingredient
Control1..1
TypeElement(RTO)
50. MedicinalProductLM.item.ingredient.strengthInfo.strengthType
Definition

Type of strength that is expressed

ShortType of strength that is expressed
Control0..1
TypeElement(CD)
52. MedicinalProductLM.item.ingredient.strengthInfo.strengthSubstance
Definition

Substance that the strength refers to, if different from the main substance

ShortSubstance that the strength refers to, if different from the main substance
Control0..1
TypeElement(CD)
54. MedicinalProductLM.item.unitOfPresentation
Definition

Unit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package.

ShortUnit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package.
Control0..1
TypeElement(CD)
56. MedicinalProductLM.item.containedQuantity
Definition

Manufactured item quantity for liquids (3ml/vial)

ShortManufactured item quantity for liquids (3ml/vial)
Control0..1
TypeElement(PQ)
58. MedicinalProductLM.item.amount
Definition

Number of such manufactured items in this product (5 vials)

ShortNumber of such manufactured items in this product (5 vials)
Control0..1
TypeElement(PQ)
60. MedicinalProductLM.device
Definition

Administration device included in the product

ShortAdministration device included in the product
Control0..*
TypeBackboneElement(Class)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. MedicinalProductLM.device.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. MedicinalProductLM.device.deviceQuantity
Definition

Number of such devices

ShortNumber of such devices
Control1..1
TypeElement(PQ)
66. MedicinalProductLM.device.device
Definition

Device coded

ShortDevice coded
Control1..1
TypeElement(CD)

Guidance on how to interpret the contents of this table can be found here

0. MedicinalProductLM
Definition

Logical model for prescribed/dispensed medication. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile.

ShortMedicinal product (model)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. MedicinalProductLM.identifier
Definition

The identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings.

ShortThe identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings.
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeBackboneElement(Class)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicinalProductLM.identifier.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
This element is affected by the following invariants: ele-1
Typeid
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. MedicinalProductLM.identifier.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on MedicinalProductLM.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. MedicinalProductLM.identifier.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. MedicinalProductLM.identifier.medicinalProductIdentifier
    Definition

    Identifier at the product level - can be MPID or national identifier

    ShortIdentifier at the product level - can be MPID or national identifier
    Control0..*
    TypeElement(II)
    12. MedicinalProductLM.identifier.packagedProductIdentifier
    Definition

    Identifier at the package level - can be PCID or national

    ShortIdentifier at the package level - can be PCID or national
    Control0..*
    TypeElement(II)
    14. MedicinalProductLM.identifier.pharmaceuticalProductIdentifier
    Definition

    Identifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code

    ShortIdentifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code
    Control0..*
    TypeElement(II)
    16. MedicinalProductLM.productCode
    Definition

    Code for the product that is actually being specified, in established terminologies

    ShortCode for the product that is actually being specified, in established terminologies
    Control0..1
    TypeElement(CD)
    18. MedicinalProductLM.classification
    Definition

    Classification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.)

    ShortClassification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.)
    Control0..*
    TypeElement(CD)
    20. MedicinalProductLM.packSize
    Definition

    Overall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries)

    ShortOverall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries)
    Control0..*
    TypeElement(PQ)
    22. MedicinalProductLM.productName
    Definition

    Name of the product (full name, invented name, other)

    ShortName of the product (full name, invented name, other)
    Control0..*
    TypeBackboneElement(Class)
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. MedicinalProductLM.productName.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    This element is affected by the following invariants: ele-1
    Typeid
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    26. MedicinalProductLM.productName.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on MedicinalProductLM.productName.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 28. MedicinalProductLM.productName.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      30. MedicinalProductLM.productName.name
      Definition

      Name of type and language that is relevant for the users

      ShortName of type and language that is relevant for the users
      Control1..1
      TypeElement(ST)
      32. MedicinalProductLM.productName.language
      Definition

      Language of the name

      ShortLanguage of the name
      Control0..1
      TypeElement(CD)
      34. MedicinalProductLM.productName.type
      Definition

      Type of the name (full name, common name, etc)

      ShortType of the name (full name, common name, etc)
      Control0..1
      TypeElement(CD)
      36. MedicinalProductLM.doseForm
      Definition

      Dose form(s) on a product level. Dose form for a single package item is defined below.

      ShortDose form(s) on a product level. Dose form for a single package item is defined below.
      Control0..1
      TypeElement(CD)
      38. MedicinalProductLM.item
      Definition

      A medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined

      ShortA medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined
      Control0..*
      TypeBackboneElement(Class)
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. MedicinalProductLM.item.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      This element is affected by the following invariants: ele-1
      Typeid
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      42. MedicinalProductLM.item.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on MedicinalProductLM.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 44. MedicinalProductLM.item.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        46. MedicinalProductLM.item.doseForm
        Definition

        Dose form

        ShortDose form
        Control0..1
        TypeElement(CD)
        48. MedicinalProductLM.item.ingredient
        Definition

        Ingredients

        ShortIngredients
        Control1..*
        TypeBackboneElement(Class)
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. MedicinalProductLM.item.ingredient.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typeid
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        52. MedicinalProductLM.item.ingredient.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on MedicinalProductLM.item.ingredient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 54. MedicinalProductLM.item.ingredient.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          56. MedicinalProductLM.item.ingredient.role
          Definition

          Role (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected.

          ShortRole (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected.
          Control0..1
          TypeElement(CD)
          58. MedicinalProductLM.item.ingredient.substance
          Definition

          Substance

          ShortSubstance
          Control1..1
          TypeElement(CD)
          60. MedicinalProductLM.item.ingredient.strengthInfo
          Definition

          Concentration or presentation strength

          ShortConcentration or presentation strength
          Control0..*
          TypeBackboneElement(Class)
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. MedicinalProductLM.item.ingredient.strengthInfo.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          This element is affected by the following invariants: ele-1
          Typeid
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          64. MedicinalProductLM.item.ingredient.strengthInfo.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on MedicinalProductLM.item.ingredient.strengthInfo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 66. MedicinalProductLM.item.ingredient.strengthInfo.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            68. MedicinalProductLM.item.ingredient.strengthInfo.strength
            Definition

            Concentration or presentation strength of the precise active ingredient

            ShortConcentration or presentation strength of the precise active ingredient
            Control1..1
            TypeElement(RTO)
            70. MedicinalProductLM.item.ingredient.strengthInfo.strengthType
            Definition

            Type of strength that is expressed

            ShortType of strength that is expressed
            Control0..1
            TypeElement(CD)
            72. MedicinalProductLM.item.ingredient.strengthInfo.strengthSubstance
            Definition

            Substance that the strength refers to, if different from the main substance

            ShortSubstance that the strength refers to, if different from the main substance
            Control0..1
            TypeElement(CD)
            74. MedicinalProductLM.item.unitOfPresentation
            Definition

            Unit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package.

            ShortUnit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package.
            Control0..1
            TypeElement(CD)
            76. MedicinalProductLM.item.containedQuantity
            Definition

            Manufactured item quantity for liquids (3ml/vial)

            ShortManufactured item quantity for liquids (3ml/vial)
            Control0..1
            TypeElement(PQ)
            78. MedicinalProductLM.item.amount
            Definition

            Number of such manufactured items in this product (5 vials)

            ShortNumber of such manufactured items in this product (5 vials)
            Control0..1
            TypeElement(PQ)
            80. MedicinalProductLM.device
            Definition

            Administration device included in the product

            ShortAdministration device included in the product
            Control0..*
            TypeBackboneElement(Class)
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. MedicinalProductLM.device.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            This element is affected by the following invariants: ele-1
            Typeid
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            84. MedicinalProductLM.device.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on MedicinalProductLM.device.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 86. MedicinalProductLM.device.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              88. MedicinalProductLM.device.deviceQuantity
              Definition

              Number of such devices

              ShortNumber of such devices
              Control1..1
              TypeElement(PQ)
              90. MedicinalProductLM.device.device
              Definition

              Device coded

              ShortDevice coded
              Control1..1
              TypeElement(CD)