HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build CZ

HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: Medication Obligations: (HDR CZ) - medication summary

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medication-medicationsummary-obl-hdr Version: 0.1.0
Standards status: Informative Maturity Level: 0 Computable Name: CZ_MedicationMedicationSummaryObligationsHdr

Profile for Medication Obligations in the Czech Republic Health Data Repository (HDR CZ). - medication summary.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CZ_Medication Czech Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:productName 0..1 string Current trade name (authorised name) of the medicinal product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
.... extension:classification 0..* (Complex) Medication - Classification
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
Binding: ProductClassification (example)
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: DLP_atc (0.3.0) (preferred)
.... extension:sizeOfItem 0..1 Quantity Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
.... extension:unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... extension:packageType 0..1 CodeableConcept Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe)
URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type
Binding: eHDSI Package . (example)
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:device 1..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "device"
...... extension:quantity 1..1 Extension Number of defined devices in te package
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "quantity"
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code OΣ 0..1 CodeableConcept A terminology-based code for the product (e.g. SNOMED CT code)
Binding: DLP_lecivepripravky (0.3.0) (required)
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... 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 O 0..1 CodeableConcept powder | tablets | capsule +
Binding: DLP_formy (0.3.0) (preferred)
ObligationsActor
SHALL:able-to-populate Creator_L3
SHALL:display Consumer_L3

doco Documentation for this format
NameCreator_L3Consumer_L3doco
.. Medication
... Slices for extension
... code
... form

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.extension:classification.​value[x] Base example Product Classification 📦5.0.0 Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept Base preferred Český číselník ATC skupin 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.code Base required Léčivé přípravky 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred Lékové formy 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CZ_Medication Czech Medication
... code O 0..1 CodeableConcept A terminology-based code for the product (e.g. SNOMED CT code)
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... form O 0..1 CodeableConcept powder | tablets | capsule +
ObligationsActor
SHALL:able-to-populate Creator_L3
SHALL:display Consumer_L3
... ingredient
.... item[x] O 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
ObligationsActor
SHALL:able-to-populate Creator_L3
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:able-to-populate Creator_L3

doco Documentation for this format
NameCreator_L3Consumer_L3doco
.. Medication
... code
... form
... ingredient
.... item[x]
.... strength

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CZ_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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:productName 0..1 string Current trade name (authorised name) of the medicinal product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
.... extension:classification 0..* (Complex) Medication - Classification
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
Binding: ProductClassification (example)
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: DLP_atc (0.3.0) (preferred)
.... extension:sizeOfItem 0..1 Quantity Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
.... extension:unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... extension:packageType 0..1 CodeableConcept Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe)
URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type
Binding: eHDSI Package . (example)
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:device 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "device"
....... value[x] 0..1 CodeableConcept Value of extension
Binding: eHDSI Package . (example)
...... extension:quantity 1..1 Extension Number of defined devices in te package
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "quantity"
....... value[x] 0..1 Quantity Value of extension
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
... code OΣ 0..1 CodeableConcept A terminology-based code for the product (e.g. SNOMED CT code)
Binding: DLP_lecivepripravky (0.3.0) (required)
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... 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)(0.4.0)) Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
... form O 0..1 CodeableConcept powder | tablets | capsule +
Binding: DLP_formy (0.3.0) (preferred)
ObligationsActor
SHALL:able-to-populate Creator_L3
SHALL:display Consumer_L3
... amount Σ 0..1 Ratio Amount of the medication (for example, in a package or a vial)
... ingredient 0..* BackboneElement Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for item[x] O 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
ObligationsActor
SHALL:able-to-populate Creator_L3
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (CZ core)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: DLP_lecivelatky (0.3.0) (preferred)
Additional BindingsPurpose
eHDSI Substance . Preferred
.... isActive 0..1 boolean Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:able-to-populate Creator_L3
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:basisOfStrengthSubstance 0..1 CodeableConcept Substance for which the strength is provided (this could be different from the precise active ingredient).
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: SNOMEDCTSubstanceCodes (example)
..... numerator Σ 0..1 Quantity Numerator value
..... denominator Σ 0..1 Quantity Denominator value
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Lot Number
.... expirationDate 0..1 dateTime Expiration Date

doco Documentation for this format
NameCreator_L3Consumer_L3doco
.. Medication
... Slices for extension
... code
... form
.... Slices for item[x]
.... strength
..... Slices for extension

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Medication.extension:classification.​value[x] Base example Product Classification 📦5.0.0 Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept Base preferred Český číselník ATC skupin 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.extension:device.​extension:device.value[x] Base example eHDSI Package . ⏿0.2.0 tx.hl7europe.eu
Medication.code Base required Léčivé přípravky 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred Lékové formy 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.ingredient.​item[x]:itemCodeableConcept Base preferred Value set of DLP Lecive latky 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3

Constraints

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

Summary

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CZ_Medication Czech Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:productName 0..1 string Current trade name (authorised name) of the medicinal product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
.... extension:classification 0..* (Complex) Medication - Classification
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
Binding: ProductClassification (example)
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: DLP_atc (0.3.0) (preferred)
.... extension:sizeOfItem 0..1 Quantity Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
.... extension:unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... extension:packageType 0..1 CodeableConcept Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe)
URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type
Binding: eHDSI Package . (example)
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:device 1..1 Extension Extension
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "device"
...... extension:quantity 1..1 Extension Number of defined devices in te package
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "quantity"
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code OΣ 0..1 CodeableConcept A terminology-based code for the product (e.g. SNOMED CT code)
Binding: DLP_lecivepripravky (0.3.0) (required)
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... 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 O 0..1 CodeableConcept powder | tablets | capsule +
Binding: DLP_formy (0.3.0) (preferred)
ObligationsActor
SHALL:able-to-populate Creator_L3
SHALL:display Consumer_L3

doco Documentation for this format
NameCreator_L3Consumer_L3doco
.. Medication
... Slices for extension
... code
... form

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.extension:classification.​value[x] Base example Product Classification 📦5.0.0 Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept Base preferred Český číselník ATC skupin 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.code Base required Léčivé přípravky 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred Lékové formy 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3

Constraints

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

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CZ_Medication Czech Medication
... code O 0..1 CodeableConcept A terminology-based code for the product (e.g. SNOMED CT code)
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... form O 0..1 CodeableConcept powder | tablets | capsule +
ObligationsActor
SHALL:able-to-populate Creator_L3
SHALL:display Consumer_L3
... ingredient
.... item[x] O 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
ObligationsActor
SHALL:able-to-populate Creator_L3
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:able-to-populate Creator_L3

doco Documentation for this format
NameCreator_L3Consumer_L3doco
.. Medication
... code
... form
... ingredient
.... item[x]
.... strength

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CZ_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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:productName 0..1 string Current trade name (authorised name) of the medicinal product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
.... extension:classification 0..* (Complex) Medication - Classification
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
Binding: ProductClassification (example)
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: DLP_atc (0.3.0) (preferred)
.... extension:sizeOfItem 0..1 Quantity Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
.... extension:unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... extension:packageType 0..1 CodeableConcept Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe)
URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type
Binding: eHDSI Package . (example)
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:device 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "device"
....... value[x] 0..1 CodeableConcept Value of extension
Binding: eHDSI Package . (example)
...... extension:quantity 1..1 Extension Number of defined devices in te package
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "quantity"
....... value[x] 0..1 Quantity Value of extension
..... url 1..1 uri "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
... code OΣ 0..1 CodeableConcept A terminology-based code for the product (e.g. SNOMED CT code)
Binding: DLP_lecivepripravky (0.3.0) (required)
ObligationsActor
SHALL:populate-if-known Creator_L3
SHALL:display Consumer_L3
... 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)(0.4.0)) Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
... form O 0..1 CodeableConcept powder | tablets | capsule +
Binding: DLP_formy (0.3.0) (preferred)
ObligationsActor
SHALL:able-to-populate Creator_L3
SHALL:display Consumer_L3
... amount Σ 0..1 Ratio Amount of the medication (for example, in a package or a vial)
... ingredient 0..* BackboneElement Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for item[x] O 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
ObligationsActor
SHALL:able-to-populate Creator_L3
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (CZ core)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: DLP_lecivelatky (0.3.0) (preferred)
Additional BindingsPurpose
eHDSI Substance . Preferred
.... isActive 0..1 boolean Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:able-to-populate Creator_L3
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:basisOfStrengthSubstance 0..1 CodeableConcept Substance for which the strength is provided (this could be different from the precise active ingredient).
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: SNOMEDCTSubstanceCodes (example)
..... numerator Σ 0..1 Quantity Numerator value
..... denominator Σ 0..1 Quantity Denominator value
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Lot Number
.... expirationDate 0..1 dateTime Expiration Date

doco Documentation for this format
NameCreator_L3Consumer_L3doco
.. Medication
... Slices for extension
... code
... form
.... Slices for item[x]
.... strength
..... Slices for extension

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Medication.extension:classification.​value[x] Base example Product Classification 📦5.0.0 Medication Prescription and Dispense v1.0
Medication.extension:classification.​value[x]:valueCodeableConcept Base preferred Český číselník ATC skupin 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.extension:device.​extension:device.value[x] Base example eHDSI Package . ⏿0.2.0 tx.hl7europe.eu
Medication.code Base required Léčivé přípravky 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred Lékové formy 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3
Medication.ingredient.​item[x]:itemCodeableConcept Base preferred Value set of DLP Lecive latky 📍0.3.0 HL7 Czech Terminology Implementation Guide v0.3

Constraints

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

Summary

Maturity: 0

 

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