HL7 Czech Base and Core Implementation Guide
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HL7 Czech Base and Core Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions

Resource Profile: Medication (CZ)

Official URL: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication Version: 0.3.0-ballot
Draft as of 2025-08-15 Computable Name: CZ_Medication

Czech national profile for a medication.

A medication for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Czech 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 Business identifier for this medication
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization (CZ core)) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: Value set of DLP formy (preferred)
... 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, Closed by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (CZ)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Value set of DLP Lecive latky (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.coderequiredCZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs
From this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
From the FHIR Standard
Medication.formpreferredCZ_DLPFormyVs(a valid code from Codesystem DLP formy)
https://hl7.cz/fhir/core/ValueSet/cz-dlpformy-vs
From this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredCZ_DLPLecivelatkyVs(a valid code from Codesystem of DLP Lecive latky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivelatky-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Czech Medication
... identifier 1..* Identifier Business identifier for this medication
... code 0..1 CodeableConcept Codes that identify this medication
Binding: Value set of DLP Lecive pripravky (required)
Additional BindingsPurpose
Value set of DLP ATC candidate
... manufacturer 0..1 Reference(Organization (CZ core)) Manufacturer of the item
... ingredient 0..* BackboneElement Active or inactive ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(Medication (CZ)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Value set of DLP Lecive latky (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.coderequiredCZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs
From this IG
Medication.formpreferredCZ_DLPFormyVs(a valid code from Codesystem DLP formy)
https://hl7.cz/fhir/core/ValueSet/cz-dlpformy-vs
From this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredCZ_DLPLecivelatkyVs(a valid code from Codesystem of DLP Lecive latky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivelatky-vs
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Czech Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for this medication
... code Σ 0..1 CodeableConcept Codes that identify this medication
Binding: Value set of DLP Lecive pripravky (required)
Additional BindingsPurpose
Value set of DLP ATC candidate
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization (CZ core)) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: Value set of DLP formy (preferred)
... amount Σ 0..1 Ratio Amount of drug in package
... 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, Closed by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (CZ)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Value set of DLP Lecive latky (preferred)
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Medication.coderequiredCZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs
From this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
From the FHIR Standard
Medication.formpreferredCZ_DLPFormyVs(a valid code from Codesystem DLP formy)
https://hl7.cz/fhir/core/ValueSet/cz-dlpformy-vs
From this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredCZ_DLPLecivelatkyVs(a valid code from Codesystem of DLP Lecive latky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivelatky-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Medication

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Czech 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 Business identifier for this medication
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization (CZ core)) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: Value set of DLP formy (preferred)
... 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, Closed by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (CZ)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Value set of DLP Lecive latky (preferred)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.coderequiredCZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs
From this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
From the FHIR Standard
Medication.formpreferredCZ_DLPFormyVs(a valid code from Codesystem DLP formy)
https://hl7.cz/fhir/core/ValueSet/cz-dlpformy-vs
From this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredCZ_DLPLecivelatkyVs(a valid code from Codesystem of DLP Lecive latky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivelatky-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Czech Medication
... identifier 1..* Identifier Business identifier for this medication
... code 0..1 CodeableConcept Codes that identify this medication
Binding: Value set of DLP Lecive pripravky (required)
Additional BindingsPurpose
Value set of DLP ATC candidate
... manufacturer 0..1 Reference(Organization (CZ core)) Manufacturer of the item
... ingredient 0..* BackboneElement Active or inactive ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(Medication (CZ)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Value set of DLP Lecive latky (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.coderequiredCZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs
From this IG
Medication.formpreferredCZ_DLPFormyVs(a valid code from Codesystem DLP formy)
https://hl7.cz/fhir/core/ValueSet/cz-dlpformy-vs
From this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredCZ_DLPLecivelatkyVs(a valid code from Codesystem of DLP Lecive latky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivelatky-vs
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Czech Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for this medication
... code Σ 0..1 CodeableConcept Codes that identify this medication
Binding: Value set of DLP Lecive pripravky (required)
Additional BindingsPurpose
Value set of DLP ATC candidate
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization (CZ core)) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: Value set of DLP formy (preferred)
... amount Σ 0..1 Ratio Amount of drug in package
... 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, Closed by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (CZ)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Value set of DLP Lecive latky (preferred)
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Medication.coderequiredCZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs
From this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
From the FHIR Standard
Medication.formpreferredCZ_DLPFormyVs(a valid code from Codesystem DLP formy)
https://hl7.cz/fhir/core/ValueSet/cz-dlpformy-vs
From this IG
Medication.ingredient.item[x]:itemCodeableConceptpreferredCZ_DLPLecivelatkyVs(a valid code from Codesystem of DLP Lecive latky)
https://hl7.cz/fhir/core/ValueSet/cz-dlplecivelatky-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Medication

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

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