International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: Medication (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: MedicationIPS

This profile represents the constraints applied to the Medication resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A medication is described in the patient summary as an instance of a Medication resource constrained by this profile.

This profile constrains the representation of a medication, in the context of the international patient summary as specified by the IPS project of HL7 International.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... code SΣ 1..1 CodeableConceptIPS Medication that was administered or was to be administered (medication code from any code system)
Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication

Additional BindingsPurpose
WHO ATC - IPS candidate

ele-1: All FHIR elements must have a @value or children
... form S 0..1 CodeableConceptIPS powder | tablets | capsule +
Binding: Medicine Doseform - IPS (preferred)
ele-1: All FHIR elements must have a @value or children
... ingredient S 0..* BackboneElement Active or inactive ingredient
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... item[x] S 1..1 The actual ingredient or content
Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances


ele-1: All FHIR elements must have a @value or children
..... itemCodeableConcept CodeableConcept(CodeableConceptIPS)
..... itemReference Reference(Substance | Medication)
.... strength S 0..1 Ratio Quantity of ingredient present
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codepreferredMedicationsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredMedicineDoseFormUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform
from this IG
Medication.ingredient.item[x]preferredMedicineActiveSubstancesUvIps
http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
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()

 

Other representations of profile: CSV, Excel, Schematron