Implementation Guide CH VACD, published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-vacd/ and changes regularly. See the Directory of published versions

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

Resource Profile: CH VACD Medication For Immunization

Definition of the medication for immunization.

Usage:

• Use this Resource Profile: CH VACD Immunization Administration Document and CH VACD Vaccination Record Document
• Refer to this Resource Profile: CH VACD Extension Immunization Medication Reference
• Examples for this Resource Profile: Medication/TC-IMMUN-MEDIC-BOOSTRIX, Medication/TC-IMMUN-MEDIC-FSMEIMMCC, Medication/TC-IMMUN-MEDIC-GARDASIL9, Medication/TC-IMMUN-MEDIC-HAVRIX1440 and Medication/TC-IMMUN-MEDIC-PRIORIX

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from CHCoreMedication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CHCoreMedication	CH VACD Medication
identifier		1..*	Identifier	Observation item ID
code
coding		0..*	Coding	Code of the medication
Slices for coding				Content/Rules for all slices
coding:GTIN	S	0..*	Coding	GTIN for Swiss products
text	S	1..1	string	Medication name
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
coding	S	1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
amount		0..1	CHCoreRatioWithEmedUnits	Package size
ingredient
Slices for item[x]		1..1	CodeableConcept, Reference(Substance | CH Core Medication)	The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
coding		0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	S	1..1	string	Ingredient name
strength	S	0..1	CHCoreRatioWithEmedUnits	Dose per unit
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CHCoreMedication	CH VACD Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Observation item ID
code	Σ	0..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..*	Coding	GTIN for Swiss products
system	Σ	1..1	uri	Global Trade Item Number (GS1) Fixed Value: urn:oid:2.51.1.1
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:ATC	Σ	0..*	Coding	ATC for foreign products
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification Fixed Value: http://www.whocc.no/atc
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	1..1	string	Medication name
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.
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
amount	C	0..1	CHCoreRatioWithEmedUnits	Package size rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Active or inactive ingredient
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, Open by type:$this Binding: ActivePharmaceuticalIngredient (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CH Core Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred)
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CHCoreMedication	CH VACD 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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Observation item ID
code	Σ	0..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..*	Coding	GTIN for Swiss products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Global Trade Item Number (GS1) Fixed Value: urn:oid:2.51.1.1
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ATC	Σ	0..*	Coding	ATC for foreign products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification Fixed Value: http://www.whocc.no/atc
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Medication name
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)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
amount	C	0..1	CHCoreRatioWithEmedUnits	Package size rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Active or inactive ingredient
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, Open by type:$this Binding: ActivePharmaceuticalIngredient (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CH Core Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
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	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from CHCoreMedication

Summary

Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 5 elements

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from CHCoreMedication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CHCoreMedication	CH VACD Medication
identifier		1..*	Identifier	Observation item ID
code
coding		0..*	Coding	Code of the medication
Slices for coding				Content/Rules for all slices
coding:GTIN	S	0..*	Coding	GTIN for Swiss products
text	S	1..1	string	Medication name
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
coding	S	1..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
amount		0..1	CHCoreRatioWithEmedUnits	Package size
ingredient
Slices for item[x]		1..1	CodeableConcept, Reference(Substance | CH Core Medication)	The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
coding		0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	S	1..1	string	Ingredient name
strength	S	0..1	CHCoreRatioWithEmedUnits	Dose per unit
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CHCoreMedication	CH VACD Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Observation item ID
code	Σ	0..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..*	Coding	GTIN for Swiss products
system	Σ	1..1	uri	Global Trade Item Number (GS1) Fixed Value: urn:oid:2.51.1.1
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:ATC	Σ	0..*	Coding	ATC for foreign products
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification Fixed Value: http://www.whocc.no/atc
code	Σ	1..1	code	Symbol in syntax defined by the system
text	SΣ	1..1	string	Medication name
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.
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
amount	C	0..1	CHCoreRatioWithEmedUnits	Package size rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Active or inactive ingredient
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, Open by type:$this Binding: ActivePharmaceuticalIngredient (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CH Core Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred)
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CHCoreMedication	CH VACD 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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Observation item ID
code	Σ	0..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..*	Coding	GTIN for Swiss products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Global Trade Item Number (GS1) Fixed Value: urn:oid:2.51.1.1
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ATC	Σ	0..*	Coding	ATC for foreign products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification Fixed Value: http://www.whocc.no/atc
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Medication name
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)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
amount	C	0..1	CHCoreRatioWithEmedUnits	Package size rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Active or inactive ingredient
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, Open by type:$this Binding: ActivePharmaceuticalIngredient (preferred)
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CH Core Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
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	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from CHCoreMedication

Summary

Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 5 elements

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron