CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
• Mappings
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Data Type Profile: Dosage (MedicationStatement / MedicationDispense)

Definition of the main dosage element (used in MedicationStatement / MedicationDispense)

Usage:

• Use this DataType Constraint: PML MedicationDispense, DIS MedicationDispense, PMLC MedicationStatement, PML Changed MedicationStatement... Show 3 more, PADV Changed MedicationStatement, PML MedicationStatement and MTP MedicationStatement

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 CHEMEDDosage

Name	Flags	Card.	Type	Description & Constraints
Dosage	C	0..*	CHEMEDDosage	CH EMED Dosage (MedicationStatement / MedicationDispense) base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
text	SD	0..1	string	Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided.
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
patientInstruction		0..1	string	Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage)
timing
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
event	D	0..*	dateTime	✕ This element is not supported
repeat
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
bounds[x]		0..1	Period	Length/Range of lengths, or (Start and/or end) limits
count	D	0..1	positiveInt	✕ This element is not supported
countMax	D	0..1	positiveInt	✕ This element is not supported
duration	D	0..1	decimal	✕ This element is not supported
durationMax	D	0..1	decimal	✕ This element is not supported
durationUnit	D	0..1	code	✕ This element is not supported
frequency	D	0..1	positiveInt	✕ This element is not supported
frequencyMax	D	0..1	positiveInt	✕ This element is not supported
period	D	0..1	decimal	✕ This element is not supported
periodMax	D	0..1	decimal	✕ This element is not supported
periodUnit	D	0..1	code	✕ This element is not supported
dayOfWeek	D	0..*	code	✕ This element is not supported
timeOfDay	D	0..*	time	✕ This element is not supported
when	C	0..*	code	... It shall only contain values from Event Timings only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'.
offset	D	0..1	unsignedInt	✕ This element is not supported
code	D	0..1	CodeableConcept	✕ This element is not supported
asNeeded[x]		0..1	boolean	Take "as needed" (for x)
Slices for asNeeded[x]				Content/Rules for all slices
asNeeded[x]:asNeededBoolean		0..1	boolean	In reserve (to be taken by the patient only if the need arises - e.g. pains)
site	D	0..1	CodeableConcept	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
route		0..1	CodeableConcept	Route of administration
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
method	D	0..1	CodeableConcept	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
doseAndRate
type	D	0..1	CodeableConcept	✕ This element is not supported
Slices for dose[x]		0..1	CHCoreRangeWithEmedUnits, CHCoreQuantityWithEmedUnits	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator)
dose[x]:doseRange		0..1	CHEMEDEPRAmountRange	Set of values bounded by low and high
rate[x]		0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator
maxDosePerPeriod		0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator
maxDosePerAdministration		0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator)
maxDosePerLifetime	D	0..1	CHEMEDEPRAmountQuantity	✕ This element is not supported
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
base-dosage-text	warning	Dosage	It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0
only-standard-event-timings	error	Dosage.timing.repeat.when	The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT'

Name	Flags	Card.	Type	Description & Constraints
Dosage	C	0..*	CHEMEDDosage	CH EMED Dosage (MedicationStatement / MedicationDispense) ele-1: All FHIR elements must have a @value or children ch-dosage-4: For split dosage timing event and dose/rate are required base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣD	0..1	string	Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. ele-1: All FHIR elements must have a @value or children
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
patientInstruction	SΣ	0..1	string	Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) ele-1: All FHIR elements must have a @value or children
timing	Σ	0..1	Timing	When medication should be administered ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
event	ΣD	0..*	dateTime	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
repeat	ΣC	0..1	Element	When the event is to occur ele-1: All FHIR elements must have a @value or children tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for bounds[x]	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
bounds[x]:boundsPeriod	SΣ	0..1	Period	Start and/or end of treatment ele-1: All FHIR elements must have a @value or children
count	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
countMax	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
duration	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
durationMax	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
durationUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children
frequency	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
frequencyMax	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
period	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
periodMax	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
periodUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children
dayOfWeek	ΣD	0..*	code	✕ This element is not supported Binding: DaysOfWeek (required) ele-1: All FHIR elements must have a @value or children
timeOfDay	ΣD	0..*	time	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
when	SΣC	0..*	code	... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ele-1: All FHIR elements must have a @value or children ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'.
offset	ΣD	0..1	unsignedInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. ele-1: All FHIR elements must have a @value or children
Slices for asNeeded[x]	Σ	0..1	boolean	Take "as needed" (for x) Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	In reserve (to be taken by the patient only if the need arises - e.g. pains) ele-1: All FHIR elements must have a @value or children
site	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
route	Σ	0..1	CodeableConcept	Route of administration Binding: EDQM - RouteOfAdministration (required) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
method	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: EDQM - Administration Method (required) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	Σ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
doseAndRate	Σ	0..1	Element	Amount of medication administered ele-1: All FHIR elements must have a @value or children
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified. ele-1: All FHIR elements must have a @value or children
Slices for dose[x]	SΣ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
doseRange			Range(CHCoreRangeWithEmedUnits)
doseQuantity			Quantity(CHCoreQuantityWithEmedUnits)
dose[x]:doseQuantity	SC	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	SC	0..1	CHEMEDEPRAmountRange	Set of values bounded by low and high ele-1: All FHIR elements must have a @value or children rng-2: If present, low SHALL have a lower value than high
rate[x]	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerPeriod	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	C	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	CD	0..1	CHEMEDEPRAmountQuantity	✕ This element is not supported ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
Dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Dosage.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
Dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
Dosage.route	required	RouteOfAdministrationEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration
Dosage.method	required	AdministrationMethodEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod
Dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
base-dosage-text	warning	Dosage	It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0
ch-dosage-4	error	Dosage	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()
only-standard-event-timings	error	Dosage.timing.repeat.when	The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT'
qty-3	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod	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())
rng-2	error	Dosage.doseAndRate.dose[x]:doseRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	Dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Name	Flags	Card.	Type	Description & Constraints
Dosage	C	0..*	CHEMEDDosage	CH EMED Dosage (MedicationStatement / MedicationDispense) ch-dosage-4: For split dosage timing event and dose/rate are required base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
sequence	ΣC	0..1	integer	The order of the dosage instructions ch-dosage-1: No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element)
text	SΣD	0..1	string	Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided.
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the concept
patientInstruction	SΣ	0..1	string	Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage)
timing	Σ	0..1	Timing	When medication should be administered
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
event	ΣD	0..*	dateTime	✕ This element is not supported
repeat	ΣC	0..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for bounds[x]	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
bounds[x]:boundsPeriod	SΣ	0..1	Period	Start and/or end of treatment
count	ΣD	0..1	positiveInt	✕ This element is not supported
countMax	ΣD	0..1	positiveInt	✕ This element is not supported
duration	ΣD	0..1	decimal	✕ This element is not supported
durationMax	ΣD	0..1	decimal	✕ This element is not supported
durationUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	ΣD	0..1	positiveInt	✕ This element is not supported
frequencyMax	ΣD	0..1	positiveInt	✕ This element is not supported
period	ΣD	0..1	decimal	✕ This element is not supported
periodMax	ΣD	0..1	decimal	✕ This element is not supported
periodUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	ΣD	0..*	code	✕ This element is not supported Binding: DaysOfWeek (required)
timeOfDay	ΣD	0..*	time	✕ This element is not supported
when	SΣC	0..*	code	... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'.
offset	ΣD	0..1	unsignedInt	✕ This element is not supported
code	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1	boolean	Take "as needed" (for x) Slice: Unordered, Closed by type:$this
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	In reserve (to be taken by the patient only if the need arises - e.g. pains)
site	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the concept
route	Σ	0..1	CodeableConcept	Route of administration Binding: EDQM - RouteOfAdministration (required)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported 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	1..1	string	Plain text representation of the concept
method	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: EDQM - Administration Method (required)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	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	1..1	string	Plain text representation of the concept
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this
doseRange			Range(CHCoreRangeWithEmedUnits)
doseQuantity			Quantity(CHCoreQuantityWithEmedUnits)
dose[x]:doseQuantity	SC	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	SC	0..1	CHEMEDEPRAmountRange	Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high
rate[x]	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerPeriod	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	C	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	CD	0..1	CHEMEDEPRAmountQuantity	✕ This element is not supported qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
Dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Dosage.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
Dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
Dosage.route	required	RouteOfAdministrationEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration
Dosage.method	required	AdministrationMethodEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod
Dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
base-dosage-text	warning	Dosage	It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0
ch-dosage-1	error	Dosage.sequence	No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element) : $this.count() = 0 or $this = 1
ch-dosage-4	error	Dosage	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()
only-standard-event-timings	error	Dosage.timing.repeat.when	The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT'
qty-3	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod	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())
rng-2	error	Dosage.doseAndRate.dose[x]:doseRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	Dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from CHEMEDDosage

Summary

Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Amount Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity)
• Amount Range (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-range)
• Ratio (Amount / Time) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-ratio-amount-per-time)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Dosage.doseAndRate.dose[x]

Differential View

This structure is derived from CHEMEDDosage

Name	Flags	Card.	Type	Description & Constraints
Dosage	C	0..*	CHEMEDDosage	CH EMED Dosage (MedicationStatement / MedicationDispense) base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
text	SD	0..1	string	Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided.
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
patientInstruction		0..1	string	Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage)
timing
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
event	D	0..*	dateTime	✕ This element is not supported
repeat
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
bounds[x]		0..1	Period	Length/Range of lengths, or (Start and/or end) limits
count	D	0..1	positiveInt	✕ This element is not supported
countMax	D	0..1	positiveInt	✕ This element is not supported
duration	D	0..1	decimal	✕ This element is not supported
durationMax	D	0..1	decimal	✕ This element is not supported
durationUnit	D	0..1	code	✕ This element is not supported
frequency	D	0..1	positiveInt	✕ This element is not supported
frequencyMax	D	0..1	positiveInt	✕ This element is not supported
period	D	0..1	decimal	✕ This element is not supported
periodMax	D	0..1	decimal	✕ This element is not supported
periodUnit	D	0..1	code	✕ This element is not supported
dayOfWeek	D	0..*	code	✕ This element is not supported
timeOfDay	D	0..*	time	✕ This element is not supported
when	C	0..*	code	... It shall only contain values from Event Timings only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'.
offset	D	0..1	unsignedInt	✕ This element is not supported
code	D	0..1	CodeableConcept	✕ This element is not supported
asNeeded[x]		0..1	boolean	Take "as needed" (for x)
Slices for asNeeded[x]				Content/Rules for all slices
asNeeded[x]:asNeededBoolean		0..1	boolean	In reserve (to be taken by the patient only if the need arises - e.g. pains)
site	D	0..1	CodeableConcept	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
route		0..1	CodeableConcept	Route of administration
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
method	D	0..1	CodeableConcept	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
doseAndRate
type	D	0..1	CodeableConcept	✕ This element is not supported
Slices for dose[x]		0..1	CHCoreRangeWithEmedUnits, CHCoreQuantityWithEmedUnits	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator)
dose[x]:doseRange		0..1	CHEMEDEPRAmountRange	Set of values bounded by low and high
rate[x]		0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator
maxDosePerPeriod		0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator
maxDosePerAdministration		0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator)
maxDosePerLifetime	D	0..1	CHEMEDEPRAmountQuantity	✕ This element is not supported
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
base-dosage-text	warning	Dosage	It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0
only-standard-event-timings	error	Dosage.timing.repeat.when	The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Dosage	C	0..*	CHEMEDDosage	CH EMED Dosage (MedicationStatement / MedicationDispense) ele-1: All FHIR elements must have a @value or children ch-dosage-4: For split dosage timing event and dose/rate are required base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣD	0..1	string	Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. ele-1: All FHIR elements must have a @value or children
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
patientInstruction	SΣ	0..1	string	Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) ele-1: All FHIR elements must have a @value or children
timing	Σ	0..1	Timing	When medication should be administered ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
event	ΣD	0..*	dateTime	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
repeat	ΣC	0..1	Element	When the event is to occur ele-1: All FHIR elements must have a @value or children tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for bounds[x]	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
bounds[x]:boundsPeriod	SΣ	0..1	Period	Start and/or end of treatment ele-1: All FHIR elements must have a @value or children
count	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
countMax	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
duration	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
durationMax	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
durationUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children
frequency	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
frequencyMax	ΣD	0..1	positiveInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
period	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
periodMax	ΣD	0..1	decimal	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
periodUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children
dayOfWeek	ΣD	0..*	code	✕ This element is not supported Binding: DaysOfWeek (required) ele-1: All FHIR elements must have a @value or children
timeOfDay	ΣD	0..*	time	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
when	SΣC	0..*	code	... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ele-1: All FHIR elements must have a @value or children ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'.
offset	ΣD	0..1	unsignedInt	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. ele-1: All FHIR elements must have a @value or children
Slices for asNeeded[x]	Σ	0..1	boolean	Take "as needed" (for x) Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	In reserve (to be taken by the patient only if the need arises - e.g. pains) ele-1: All FHIR elements must have a @value or children
site	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
route	Σ	0..1	CodeableConcept	Route of administration Binding: EDQM - RouteOfAdministration (required) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
method	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: EDQM - Administration Method (required) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	Σ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
doseAndRate	Σ	0..1	Element	Amount of medication administered ele-1: All FHIR elements must have a @value or children
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified. ele-1: All FHIR elements must have a @value or children
Slices for dose[x]	SΣ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
doseRange			Range(CHCoreRangeWithEmedUnits)
doseQuantity			Quantity(CHCoreQuantityWithEmedUnits)
dose[x]:doseQuantity	SC	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	SC	0..1	CHEMEDEPRAmountRange	Set of values bounded by low and high ele-1: All FHIR elements must have a @value or children rng-2: If present, low SHALL have a lower value than high
rate[x]	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerPeriod	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	C	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	CD	0..1	CHEMEDEPRAmountQuantity	✕ This element is not supported ele-1: All FHIR elements must have a @value or children qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
Dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Dosage.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
Dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
Dosage.route	required	RouteOfAdministrationEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration
Dosage.method	required	AdministrationMethodEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod
Dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
base-dosage-text	warning	Dosage	It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0
ch-dosage-4	error	Dosage	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()
only-standard-event-timings	error	Dosage.timing.repeat.when	The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT'
qty-3	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod	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())
rng-2	error	Dosage.doseAndRate.dose[x]:doseRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	Dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Dosage	C	0..*	CHEMEDDosage	CH EMED Dosage (MedicationStatement / MedicationDispense) ch-dosage-4: For split dosage timing event and dose/rate are required base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
sequence	ΣC	0..1	integer	The order of the dosage instructions ch-dosage-1: No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element)
text	SΣD	0..1	string	Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided.
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the concept
patientInstruction	SΣ	0..1	string	Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage)
timing	Σ	0..1	Timing	When medication should be administered
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
event	ΣD	0..*	dateTime	✕ This element is not supported
repeat	ΣC	0..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for bounds[x]	Σ	0..1	Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this
bounds[x]:boundsPeriod	SΣ	0..1	Period	Start and/or end of treatment
count	ΣD	0..1	positiveInt	✕ This element is not supported
countMax	ΣD	0..1	positiveInt	✕ This element is not supported
duration	ΣD	0..1	decimal	✕ This element is not supported
durationMax	ΣD	0..1	decimal	✕ This element is not supported
durationUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	ΣD	0..1	positiveInt	✕ This element is not supported
frequencyMax	ΣD	0..1	positiveInt	✕ This element is not supported
period	ΣD	0..1	decimal	✕ This element is not supported
periodMax	ΣD	0..1	decimal	✕ This element is not supported
periodUnit	ΣD	0..1	code	✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	ΣD	0..*	code	✕ This element is not supported Binding: DaysOfWeek (required)
timeOfDay	ΣD	0..*	time	✕ This element is not supported
when	SΣC	0..*	code	... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'.
offset	ΣD	0..1	unsignedInt	✕ This element is not supported
code	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	Σ	0..1	boolean	Take "as needed" (for x) Slice: Unordered, Closed by type:$this
asNeeded[x]:asNeededBoolean	Σ	0..1	boolean	In reserve (to be taken by the patient only if the need arises - e.g. pains)
site	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the concept
route	Σ	0..1	CodeableConcept	Route of administration Binding: EDQM - RouteOfAdministration (required)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported 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	1..1	string	Plain text representation of the concept
method	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: EDQM - Administration Method (required)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	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	1..1	string	Plain text representation of the concept
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣ	0..1		Amount of medication per dose Slice: Unordered, Closed by type:$this
doseRange			Range(CHCoreRangeWithEmedUnits)
doseQuantity			Quantity(CHCoreQuantityWithEmedUnits)
dose[x]:doseQuantity	SC	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
dose[x]:doseRange	SC	0..1	CHEMEDEPRAmountRange	Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high
rate[x]	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerPeriod	C	0..1	CHEMEDEPRRatioAmountPerTime	A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	C	0..1	CHEMEDEPRAmountQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	CD	0..1	CHEMEDEPRAmountQuantity	✕ This element is not supported qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
Dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Dosage.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
Dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
Dosage.route	required	RouteOfAdministrationEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration
Dosage.method	required	AdministrationMethodEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod
Dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
base-dosage-text	warning	Dosage	It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0
ch-dosage-1	error	Dosage.sequence	No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element) : $this.count() = 0 or $this = 1
ch-dosage-4	error	Dosage	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-emed-event-timing	warning	Dosage.timing.repeat.when	For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT'
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()
only-standard-event-timings	error	Dosage.timing.repeat.when	The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT'
qty-3	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod	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())
rng-2	error	Dosage.doseAndRate.dose[x]:doseRange	If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high)
sqty-1	error	Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	Dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from CHEMEDDosage

Summary

Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Amount Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity)
• Amount Range (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-range)
• Ratio (Amount / Time) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-ratio-amount-per-time)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Dosage.doseAndRate.dose[x]