HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build CZ

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

## Resource Profile: Medication: Obligations

Official URL: https://hl7.cz/fhir/img/StructureDefinition/cz-medication-obl-img | Version: 0.1.0-ballot | Highlight text changes?
Draft as of 2026-05-26 | Computable Name: CZ_MedicationObligationsImg

This profile defines obligations for a medication in FHIR for the purpose of this guide.

Usages:

- This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

- Key Elements Table
- Differential Table
- Snapshot Table
- Obligations
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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: Český číselník ATC skupin (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
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 | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD: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: Lékové formy (preferred)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
batch | O | 0..1 | BackboneElement | Details about packaged medications
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
Slices for extension |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
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 vnull
Medication.code | Base | required | Léčivé přípravky | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull
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 vnull

#### 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()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
code | O | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
form | O | 0..1 | CodeableConcept | powder | tablets | capsule +
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
batch | O | 0..1 | BackboneElement | Details about packaged medications
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation 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: Český číselník ATC skupin (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 | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD: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)) | 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: Lékové formy (preferred)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD: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] |  | 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 core)) | The actual ingredient or content
item[x]:itemCodeableConcept |  | 0..1 | CodeableConcept | The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred)
Additional Bindings | Purpose
eHDSI Substance | Preferred
isActive |  | 0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
strength |  | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
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 | O | 0..1 | BackboneElement | Details about packaged medications
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
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
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
Slices for extension |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
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 vnull
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 vnull
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 vnull
Medication.ingredient.​item[x]:itemCodeableConcept | Base | preferred | Value set of DLP Lecive latky | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull

#### 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()`

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
Slices for extension |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
Documentation for this format

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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: Český číselník ATC skupin (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
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 | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD: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: Lékové formy (preferred)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
batch | O | 0..1 | BackboneElement | Details about packaged medications
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
Slices for extension |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
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 vnull
Medication.code | Base | required | Léčivé přípravky | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull
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 vnull

#### 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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
code | O | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
form | O | 0..1 | CodeableConcept | powder | tablets | capsule +
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
batch | O | 0..1 | BackboneElement | Details about packaged medications
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
Documentation for this format

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation 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: Český číselník ATC skupin (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 | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) Binding: Léčivé přípravky (required)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD: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)) | 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: Lékové formy (preferred)
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD: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] |  | 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 core)) | The actual ingredient or content
item[x]:itemCodeableConcept |  | 0..1 | CodeableConcept | The actual ingredient or content Binding: Value set of DLP Lecive latky (preferred)
Additional Bindings | Purpose
eHDSI Substance | Preferred
isActive |  | 0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
strength |  | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
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 | O | 0..1 | BackboneElement | Details about packaged medications
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
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
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
Slices for extension |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
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 vnull
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 vnull
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 vnull
Medication.ingredient.​item[x]:itemCodeableConcept | Base | preferred | Value set of DLP Lecive latky | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull

#### 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()`

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
Medication |  |  |  |
Slices for extension |  |  |  |
code | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
form | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
batch | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
Documentation for this format

Summary

Other representations of profile: CSV, Excel, Schematron