International Patient Summary Implementation Guide
2.0.0 - STU 2

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: MedicationIPS - JSON Profile

Page standards status: Trial-use | Maturity Level: 2

JSON representation of the Medication-uv-ips resource profile.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "Medication-uv-ips",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition Medication-uv-ips</b></p><a name=\"Medication-uv-ips\"> </a><a name=\"hcMedication-uv-ips\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Medication-uv-ips-definitions.html#Medication\">Medication</a><a name=\"Medication\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/medication.html\">Medication</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Definition of a Medication</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Medication-uv-ips-definitions.html#Medication.code\" title=\"Medication that was administered or was to be administered. \r\n\r\nSeveral kinds of medication coding could be provided as:\r\n\r\n1. The IDMP Pharmaceutical Product Identifier (PhPID), Level 1, [Substance(s)]. Example: Amoxicillin and Clavulanate Potassium; or any other equivalent coded concept;\r\n2. The IDMP Pharmaceutical Product Identifier (PhPID), Level 2 [Substance(s) + Strength + reference strength]. Example: Amoxicillin 875 mg and Clavulanate Potassium 125 mg; or any other equivalent coded concept;\r\n3. The IDMP Pharmaceutical Product Identifier (PhPID), Level 3 [Substance(s) + administrable dose form]. Example: Amoxicillin and Clavulanate Potassium, Oral Tablet; or any other equivalent coded concept;\r\n4. The IDMP Pharmaceutical Product Identifier (PhPID), Level 4 [Substance(s) + strength + reference strength + administrable dose form]. Example: Amoxicillin 875 mg and clavulanate potassium 125 mg, oral tablet; or any other equivalent coded concept 5. The IDMP Medicinal Product Identifier (MPID) or any equivalent Medicinal Product Identifier. IDMP MPID uniquely identifies a Medicinal Product, reflecting (but not replacing) any other authorization numbers allocated by a regulator. MPID implies one (set of) PhPID. The MPID shall use a common segment pattern related to a Medicinal Product, which, when each segment is valued shall define a specific MPID concept.\r\n6. The IDMP Packaged Medicinal Product Identifier (PCID) or any equivalent Packaged Medicinal Product Identifier. Uniquely identifies a Medicinal Product based on its packaging. This implies one MPID can be associated with more than one PCID, if the same Medicinal Product has more than one type of package.\r\n7. Any other kind of code that that identifies, classifies or cluster the administered product (e.g. the medicinal product or the product class)\r\n\r\nThe value sets used for the PhPID, MPID and PCID identifiers are provisional and include only few equivalent concepts used for exemplification purposes, they will be updated with real IDMP identifiers when they will become available.\">code</a><a name=\"Medication.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations and must be supported\">SO</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-CodeableConcept-uv-ips.html\" title=\"CodeableConcept\">CodeableConceptIPS</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Medication that was administered or was to be administered (medication code from any code system)<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-medication-uv-ips.html\" title=\"http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips\" class=\"binding\">Medications - IPS</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span><span title=\"null\" class=\"binding\">: </span><span title=\"null\" class=\"binding\">SNOMED CT medications (Medicinal product) or a code for absent/unknown medication</span><table class=\"binding grid\"><tr><td style=\"font-size: 11px\"><b>Additional Bindings</b></td><td style=\"font-size: 11px\">Purpose</td></tr><tr><td style=\"font-size: 11px\"><a href=\"ValueSet-whoatc-uv-ips.html\" title=\"http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips\">WHO ATC - IPS</a></td><td style=\"font-size: 11px\"><span title=\"Unknown code for purpose\">candidate</span></td></tr></table><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Medication-uv-ips-definitions.html#Medication.form\" title=\"Describes the form of the item.  Powder; tablets; capsule.\r\n\r\nAdministrable Pharmaceutical Dose Form. \r\nThis code represents the form of the medication (e.g. tablet, capsule, liquid)\r\n\r\nSince the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected as reference terminology for representing Pharmaceutical Dose forms;Packages and Route of Administration.\r\n\r\nIt is known that also alternative jurisdictional and international terminologies are known to be used for this concept domain, as NCI or SNOMED CT.\">form</a><a name=\"Medication.form\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations and must be supported\">SO</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-CodeableConcept-uv-ips.html\" title=\"CodeableConcept\">CodeableConceptIPS</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">powder | tablets | capsule +</span><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-medication-form-codes.html\" title=\"http://hl7.org/fhir/ValueSet/medication-form-codes\" class=\"binding\">SNOMEDCTFormCodes</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span><span title=\"null\" class=\"binding\">: </span><span title=\"null\" class=\"binding\">SNOMED Doseform Terms</span><table class=\"binding grid\"><tr><td style=\"font-size: 11px\"><b>Additional Bindings</b></td><td style=\"font-size: 11px\">Purpose</td></tr><tr><td style=\"font-size: 11px\"><a href=\"ValueSet-medicine-doseform.html\" title=\"http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform\">Medicine EDQM Doseform - IPS</a></td><td style=\"font-size: 11px\"><span title=\"Unknown code for purpose\">candidate</span></td></tr></table><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Medication-uv-ips-definitions.html#Medication.ingredient\">ingredient</a><a name=\"Medication.ingredient\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations and must be supported\">SO</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Active or inactive ingredient</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Medication-uv-ips-definitions.html#Medication.ingredient.item[x]\">item[x]</a><a name=\"Medication.ingredient.item_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations and must be supported\">SO</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">The actual ingredient or content</span><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-medicine-active-substances-uv-ips.html\" title=\"http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips\" class=\"binding\">Medicine Active Substances - IPS</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span><span title=\"null\" class=\"binding\">: </span><span title=\"null\" class=\"binding\">SNOMED CT drug substances</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for CodeableConcept Type: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.\">itemCodeableConcept</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a>(<a href=\"StructureDefinition-CodeableConcept-uv-ips.html\" title=\"Codeable Concept (IPS)\">CodeableConceptIPS</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> itemReference</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html#Reference\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/substance.html\">Substance</a> | <a href=\"http://hl7.org/fhir/R4/medication.html\">Medication</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Medication-uv-ips-definitions.html#Medication.ingredient.strength\">strength</a><a name=\"Medication.ingredient.strength\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations and must be supported\">SO</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Ratio\">Ratio</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Quantity of ingredient present</span><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-populate-if-known\" title=\"Obligation Codes: populate if known\">populate-if-known</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Creator.html\">Creator (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHOULD</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0-ballot-tc1/CodeSystem-obligation.html#obligation-display\" title=\"Obligation Codes: display\">display</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-Consumer.html\">Consumer (IPS)</a></td></tr></table></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "pc"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 2,
          "_valueInteger" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/hl7.fhir.uv.ips"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use",
          "_valueCode" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/uv/ips/ImplementationGuide/hl7.fhir.uv.ips"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips",
      "version" : "2.0.0",
      "name" : "MedicationIPS",
      "title" : "Medication (IPS)",
      "status" : "active",
      "experimental" : false,
      "date" : "2024-06-19T10:50:07-05:00",
      "publisher" : "HL7 International / Patient Care",
      "contact" : [
        {
          "name" : "HL7 International / Patient Care",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/patientcare"
            }
          ]
        }
      ],
      "description" : "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.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
              "code" : "001",
              "display" : "World"
            }
          ]
        }
      ],
      "purpose" : "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.",
      "fhirVersion" : "4.0.1",
      "mapping" : [
        {
          "identity" : "script10.6",
          "uri" : "http://ncpdp.org/SCRIPT10_6",
          "name" : "Mapping to NCPDP SCRIPT 10.6"
        },
        {
          "identity" : "rim",
          "uri" : "http://hl7.org/v3",
          "name" : "RIM Mapping"
        },
        {
          "identity" : "w5",
          "uri" : "http://hl7.org/fhir/fivews",
          "name" : "FiveWs Pattern Mapping"
        },
        {
          "identity" : "v2",
          "uri" : "http://hl7.org/v2",
          "name" : "HL7 v2 Mapping"
        }
      ],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Medication",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Medication",
      "derivation" : "constraint",
      "snapshot" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
            "valueString" : "4.0.1"
          }
        ],
        "element" : [
          {
            "id" : "Medication",
            "path" : "Medication",
            "short" : "Definition of a Medication",
            "definition" : "This resource is primarily used 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.",
            "comment" : "IPS Medication",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Medication",
              "min" : 0,
              "max" : "*"
            },
            "constraint" : [
              {
                "key" : "dom-2",
                "severity" : "error",
                "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
                "expression" : "contained.contained.empty()",
                "xpath" : "not(parent::f:contained and f:contained)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-3",
                "severity" : "error",
                "human" : "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",
                "expression" : "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()",
                "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-4",
                "severity" : "error",
                "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
                "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
                "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "key" : "dom-5",
                "severity" : "error",
                "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
                "expression" : "contained.meta.security.empty()",
                "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                    "valueBoolean" : true
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                    "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
                  }
                ],
                "key" : "dom-6",
                "severity" : "warning",
                "human" : "A resource should have narrative for robust management",
                "expression" : "text.`div`.exists()",
                "xpath" : "exists(f:text/h:div)",
                "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Entity. Role, or Act"
              },
              {
                "identity" : "script10.6",
                "map" : "NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed"
              },
              {
                "identity" : "rim",
                "map" : "ManufacturedProduct[classCode=ADMM]"
              }
            ]
          },
          {
            "id" : "Medication.id",
            "path" : "Medication.id",
            "short" : "Logical id of this artifact",
            "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
            "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "id"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "Medication.meta",
            "path" : "Medication.meta",
            "short" : "Metadata about the resource",
            "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.meta",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Meta"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true
          },
          {
            "id" : "Medication.implicitRules",
            "path" : "Medication.implicitRules",
            "short" : "A set of rules under which this content was created",
            "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
            "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.implicitRules",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "uri"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
            "isSummary" : true
          },
          {
            "id" : "Medication.language",
            "path" : "Medication.language",
            "short" : "Language of the resource content",
            "definition" : "The base language in which the resource is written.",
            "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Resource.language",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "code"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
                  "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                  "valueString" : "Language"
                }
              ],
              "strength" : "preferred",
              "description" : "A human language.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
            }
          },
          {
            "id" : "Medication.text",
            "path" : "Medication.text",
            "short" : "Text summary of the resource, for human interpretation",
            "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
            "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
            "alias" : [
              "narrative",
              "html",
              "xhtml",
              "display"
            ],
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "DomainResource.text",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Narrative"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "Act.text?"
              }
            ]
          },
          {
            "id" : "Medication.contained",
            "path" : "Medication.contained",
            "short" : "Contained, inline Resources",
            "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
            "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
            "alias" : [
              "inline resources",
              "anonymous resources",
              "contained resources"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.contained",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Resource"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Medication.extension",
            "path" : "Medication.extension",
            "short" : "Additional content defined by implementations",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Medication.modifierExtension",
            "path" : "Medication.modifierExtension",
            "short" : "Extensions that cannot be ignored",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "DomainResource.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Medication.identifier",
            "path" : "Medication.identifier",
            "short" : "Business identifier for this medication",
            "definition" : "Business identifier for this medication.",
            "comment" : "The serial number could be included as an identifier.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Medication.identifier",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Identifier"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "w5",
                "map" : "FiveWs.identifier"
              },
              {
                "identity" : "rim",
                "map" : ".id"
              }
            ]
          },
          {
            "id" : "Medication.code",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.code",
            "short" : "Medication that was administered or was to be administered (medication code from any code system)",
            "definition" : "Medication that was administered or was to be administered. \r\n\r\nSeveral kinds of medication coding could be provided as:\r\n\r\n1. The IDMP Pharmaceutical Product Identifier (PhPID), Level 1, [Substance(s)]. Example: Amoxicillin and Clavulanate Potassium; or any other equivalent coded concept;\r\n2. The IDMP Pharmaceutical Product Identifier (PhPID), Level 2 [Substance(s) + Strength + reference strength]. Example: Amoxicillin 875 mg and Clavulanate Potassium 125 mg; or any other equivalent coded concept;\r\n3. The IDMP Pharmaceutical Product Identifier (PhPID), Level 3 [Substance(s) + administrable dose form]. Example: Amoxicillin and Clavulanate Potassium, Oral Tablet; or any other equivalent coded concept;\r\n4. The IDMP Pharmaceutical Product Identifier (PhPID), Level 4 [Substance(s) + strength + reference strength + administrable dose form]. Example: Amoxicillin 875 mg and clavulanate potassium 125 mg, oral tablet; or any other equivalent coded concept 5. The IDMP Medicinal Product Identifier (MPID) or any equivalent Medicinal Product Identifier. IDMP MPID uniquely identifies a Medicinal Product, reflecting (but not replacing) any other authorization numbers allocated by a regulator. MPID implies one (set of) PhPID. The MPID shall use a common segment pattern related to a Medicinal Product, which, when each segment is valued shall define a specific MPID concept.\r\n6. The IDMP Packaged Medicinal Product Identifier (PCID) or any equivalent Packaged Medicinal Product Identifier. Uniquely identifies a Medicinal Product based on its packaging. This implies one MPID can be associated with more than one PCID, if the same Medicinal Product has more than one type of package.\r\n7. Any other kind of code that that identifies, classifies or cluster the administered product (e.g. the medicinal product or the product class)\r\n\r\nThe value sets used for the PhPID, MPID and PCID identifiers are provisional and include only few equivalent concepts used for exemplification purposes, they will be updated with real IDMP identifiers when they will become available.",
            "comment" : "Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Medication.code",
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              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept",
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                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
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            ],
            "constraint" : [
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                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
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            "mustSupport" : true,
            "isModifier" : false,
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            "binding" : {
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                {
                  "extension" : [
                    {
                      "url" : "key",
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                      "url" : "purpose",
                      "valueCode" : "candidate"
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                    {
                      "url" : "valueSet",
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                    },
                    {
                      "url" : "documentation",
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                    }
                  ],
                  "url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
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              ],
              "strength" : "preferred",
              "description" : "SNOMED CT medications (Medicinal product) or a code for absent/unknown medication",
              "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips"
            },
            "mapping" : [
              {
                "identity" : "script10.6",
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              },
              {
                "identity" : "w5",
                "map" : "FiveWs.class"
              },
              {
                "identity" : "v2",
                "map" : "RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"
              },
              {
                "identity" : "rim",
                "map" : ".code"
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            ]
          },
          {
            "id" : "Medication.status",
            "path" : "Medication.status",
            "short" : "active | inactive | entered-in-error",
            "definition" : "A code to indicate if the medication is in active use.",
            "comment" : "This status is intended to identify if the medication in a local system is in active use within a drug database or inventory.  For example, a pharmacy system may create a new drug file record for a compounded product \"ABC Hospital Special Cream\" with an active status.  At some point in the future, it may be determined that the drug record was created with an error and the status is changed to \"entered in error\".   This status is not intended to specify if a medication is part of a particular formulary.  It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.status",
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              "max" : "1"
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            "type" : [
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                "code" : "code"
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            ],
            "constraint" : [
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                "key" : "ele-1",
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                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "This element changes the interpretation of all descriptive attributes.",
            "isSummary" : true,
            "binding" : {
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                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
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              ],
              "strength" : "required",
              "description" : "A coded concept defining if the medication is in active use.",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medication-status|4.0.1"
            },
            "mapping" : [
              {
                "identity" : "rim",
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            ]
          },
          {
            "id" : "Medication.manufacturer",
            "path" : "Medication.manufacturer",
            "short" : "Manufacturer of the item",
            "definition" : "Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.manufacturer",
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              "max" : "1"
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            "type" : [
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Organization"
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              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
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                "human" : "All FHIR elements must have a @value or children",
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                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
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            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
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                "identity" : "script10.6",
                "map" : "no mapping"
              },
              {
                "identity" : "w5",
                "map" : "FiveWs.actor"
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                "identity" : "v2",
                "map" : "RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"
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              {
                "identity" : "rim",
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              }
            ]
          },
          {
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            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
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                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
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                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
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                    "url" : "code",
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                  {
                    "url" : "actor",
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                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
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                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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                "extension" : [
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                    "url" : "code",
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                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.form",
            "short" : "powder | tablets | capsule +",
            "definition" : "Describes the form of the item.  Powder; tablets; capsule.\r\n\r\nAdministrable Pharmaceutical Dose Form. \r\nThis code represents the form of the medication (e.g. tablet, capsule, liquid)\r\n\r\nSince the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected as reference terminology for representing Pharmaceutical Dose forms;Packages and Route of Administration.\r\n\r\nIt is known that also alternative jurisdictional and international terminologies are known to be used for this concept domain, as NCI or SNOMED CT.",
            "comment" : "When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.form",
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            "type" : [
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            "constraint" : [
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            "binding" : {
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                  "extension" : [
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                      "url" : "key",
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                    },
                    {
                      "url" : "purpose",
                      "valueCode" : "candidate"
                    },
                    {
                      "url" : "valueSet",
                      "valueCanonical" : "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
                    },
                    {
                      "url" : "documentation",
                      "valueMarkdown" : "EDQM Doseform Terms"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
                }
              ],
              "strength" : "preferred",
              "description" : "SNOMED Doseform Terms",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medication-form-codes"
            },
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "coding.code =  //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"
              },
              {
                "identity" : "v2",
                "map" : "RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"
              },
              {
                "identity" : "rim",
                "map" : ".formCode"
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            ]
          },
          {
            "id" : "Medication.amount",
            "path" : "Medication.amount",
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            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.amount",
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              "max" : "1"
            },
            "type" : [
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                "code" : "Ratio"
              }
            ],
            "constraint" : [
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                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
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              }
            ],
            "isModifier" : false,
            "isSummary" : true,
            "mapping" : [
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                "identity" : "rim",
                "map" : ".quantity"
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              {
                "extension" : [
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                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
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                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
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                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
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                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
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                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
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                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
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                ],
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              }
            ],
            "path" : "Medication.ingredient",
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            "definition" : "Identifies a particular constituent of interest in the product.",
            "comment" : "The ingredients need not be a complete list.  If an ingredient is not specified, this does not indicate whether an ingredient is present or absent.  If an ingredient is specified it does not mean that all ingredients are specified.  It is possible to specify both inactive and active ingredients.",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Medication.ingredient",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
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                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : ".scopesRole[typeCode=INGR]"
              }
            ]
          },
          {
            "id" : "Medication.ingredient.id",
            "path" : "Medication.ingredient.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Medication.ingredient.extension",
            "path" : "Medication.ingredient.extension",
            "short" : "Additional content defined by implementations",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Medication.ingredient.modifierExtension",
            "path" : "Medication.ingredient.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Medication.ingredient.item[x]",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.ingredient.item[x]",
            "short" : "The actual ingredient or content",
            "definition" : "The actual ingredient - either a substance (simple ingredient) or another medication of a medication.",
            "comment" : "The IDMP ISO 11238 standard addresses the identification and exchange of regulated information on substances. \r\nThe Global Ingredient Archival System (GInAS) will provide a common global identifier for all of the substances used in medicinal products, providing a definition of substances globally consistent with this standard.\r\nThose identifiers however are yet available for concrete usage, therefore in this version of the template, SNOMED CT has been chosen as reference terminology also for the active substances.\r\nThis choice will be revised based on the availability and the maturity of GInAS.",
            "requirements" : "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Medication.ingredient.item[x]",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "CodeableConcept",
                "profile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
                ]
              },
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Substance"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Medication"
                ]
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "binding" : {
              "strength" : "preferred",
              "description" : "SNOMED CT drug substances",
              "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips"
            },
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
              },
              {
                "identity" : "v2",
                "map" : "RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"
              },
              {
                "identity" : "rim",
                "map" : ".player"
              }
            ]
          },
          {
            "id" : "Medication.ingredient.isActive",
            "path" : "Medication.ingredient.isActive",
            "short" : "Active ingredient indicator",
            "definition" : "Indication of whether this ingredient affects the therapeutic action of the drug.",
            "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.ingredient.isActive",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "boolean"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "NA"
              }
            ]
          },
          {
            "id" : "Medication.ingredient.strength",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  },
                  {
                    "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips|2.0.0"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.ingredient.strength",
            "short" : "Quantity of ingredient present",
            "definition" : "Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.ingredient.strength",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Ratio"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mustSupport" : true,
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "//element(*,DrugCodedType)/Strength"
              },
              {
                "identity" : "v2",
                "map" : "RXC-3-Component Amount & RXC-4-Component Units  if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"
              },
              {
                "identity" : "rim",
                "map" : ".quantity"
              }
            ]
          },
          {
            "id" : "Medication.batch",
            "path" : "Medication.batch",
            "short" : "Details about packaged medications",
            "definition" : "Information that only applies to packages (not products).",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.batch",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "no mapping"
              },
              {
                "identity" : "rim",
                "map" : ".player[classCode=CONT]"
              }
            ]
          },
          {
            "id" : "Medication.batch.id",
            "path" : "Medication.batch.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Medication.batch.extension",
            "path" : "Medication.batch.extension",
            "short" : "Additional content defined by implementations",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Medication.batch.modifierExtension",
            "path" : "Medication.batch.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Medication.batch.lotNumber",
            "path" : "Medication.batch.lotNumber",
            "short" : "Identifier assigned to batch",
            "definition" : "The assigned lot number of a batch of the specified product.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.batch.lotNumber",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "no mapping"
              },
              {
                "identity" : "v2",
                "map" : "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"
              },
              {
                "identity" : "rim",
                "map" : ".id"
              }
            ]
          },
          {
            "id" : "Medication.batch.expirationDate",
            "path" : "Medication.batch.expirationDate",
            "short" : "When batch will expire",
            "definition" : "When this specific batch of product will expire.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Medication.batch.expirationDate",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "script10.6",
                "map" : "no mapping"
              },
              {
                "identity" : "v2",
                "map" : "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"
              },
              {
                "identity" : "rim",
                "map" : "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "Medication",
            "path" : "Medication",
            "comment" : "IPS Medication"
          },
          {
            "id" : "Medication.code",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.code",
            "short" : "Medication that was administered or was to be administered (medication code from any code system)",
            "definition" : "Medication that was administered or was to be administered. \r\n\r\nSeveral kinds of medication coding could be provided as:\r\n\r\n1. The IDMP Pharmaceutical Product Identifier (PhPID), Level 1, [Substance(s)]. Example: Amoxicillin and Clavulanate Potassium; or any other equivalent coded concept;\r\n2. The IDMP Pharmaceutical Product Identifier (PhPID), Level 2 [Substance(s) + Strength + reference strength]. Example: Amoxicillin 875 mg and Clavulanate Potassium 125 mg; or any other equivalent coded concept;\r\n3. The IDMP Pharmaceutical Product Identifier (PhPID), Level 3 [Substance(s) + administrable dose form]. Example: Amoxicillin and Clavulanate Potassium, Oral Tablet; or any other equivalent coded concept;\r\n4. The IDMP Pharmaceutical Product Identifier (PhPID), Level 4 [Substance(s) + strength + reference strength + administrable dose form]. Example: Amoxicillin 875 mg and clavulanate potassium 125 mg, oral tablet; or any other equivalent coded concept 5. The IDMP Medicinal Product Identifier (MPID) or any equivalent Medicinal Product Identifier. IDMP MPID uniquely identifies a Medicinal Product, reflecting (but not replacing) any other authorization numbers allocated by a regulator. MPID implies one (set of) PhPID. The MPID shall use a common segment pattern related to a Medicinal Product, which, when each segment is valued shall define a specific MPID concept.\r\n6. The IDMP Packaged Medicinal Product Identifier (PCID) or any equivalent Packaged Medicinal Product Identifier. Uniquely identifies a Medicinal Product based on its packaging. This implies one MPID can be associated with more than one PCID, if the same Medicinal Product has more than one type of package.\r\n7. Any other kind of code that that identifies, classifies or cluster the administered product (e.g. the medicinal product or the product class)\r\n\r\nThe value sets used for the PhPID, MPID and PCID identifiers are provisional and include only few equivalent concepts used for exemplification purposes, they will be updated with real IDMP identifiers when they will become available.",
            "min" : 1,
            "type" : [
              {
                "code" : "CodeableConcept",
                "profile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
                ]
              }
            ],
            "mustSupport" : true,
            "binding" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "key",
                      "valueId" : "ips-medication-code-whoatc"
                    },
                    {
                      "url" : "purpose",
                      "valueCode" : "candidate"
                    },
                    {
                      "url" : "valueSet",
                      "valueCanonical" : "http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips"
                    },
                    {
                      "url" : "documentation",
                      "valueMarkdown" : "WHO ATC classification"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
                }
              ],
              "strength" : "preferred",
              "description" : "SNOMED CT medications (Medicinal product) or a code for absent/unknown medication",
              "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips"
            }
          },
          {
            "id" : "Medication.form",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.form",
            "definition" : "Describes the form of the item.  Powder; tablets; capsule.\r\n\r\nAdministrable Pharmaceutical Dose Form. \r\nThis code represents the form of the medication (e.g. tablet, capsule, liquid)\r\n\r\nSince the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected as reference terminology for representing Pharmaceutical Dose forms;Packages and Route of Administration.\r\n\r\nIt is known that also alternative jurisdictional and international terminologies are known to be used for this concept domain, as NCI or SNOMED CT.",
            "type" : [
              {
                "code" : "CodeableConcept",
                "profile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
                ]
              }
            ],
            "mustSupport" : true,
            "binding" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "key",
                      "valueId" : "ips-medicine-doseform"
                    },
                    {
                      "url" : "purpose",
                      "valueCode" : "candidate"
                    },
                    {
                      "url" : "valueSet",
                      "valueCanonical" : "http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform"
                    },
                    {
                      "url" : "documentation",
                      "valueMarkdown" : "EDQM Doseform Terms"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
                }
              ],
              "strength" : "preferred",
              "description" : "SNOMED Doseform Terms",
              "valueSet" : "http://hl7.org/fhir/ValueSet/medication-form-codes"
            }
          },
          {
            "id" : "Medication.ingredient",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.ingredient",
            "mustSupport" : true
          },
          {
            "id" : "Medication.ingredient.item[x]",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.ingredient.item[x]",
            "comment" : "The IDMP ISO 11238 standard addresses the identification and exchange of regulated information on substances. \r\nThe Global Ingredient Archival System (GInAS) will provide a common global identifier for all of the substances used in medicinal products, providing a definition of substances globally consistent with this standard.\r\nThose identifiers however are yet available for concrete usage, therefore in this version of the template, SNOMED CT has been chosen as reference terminology also for the active substances.\r\nThis choice will be revised based on the availability and the maturity of GInAS.",
            "type" : [
              {
                "code" : "CodeableConcept",
                "profile" : [
                  🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
                ]
              },
              {
                "code" : "Reference",
                "targetProfile" : [
                  🔗 "http://hl7.org/fhir/StructureDefinition/Substance"🔗 ,
                  "http://hl7.org/fhir/StructureDefinition/Medication"
                ]
              }
            ],
            "mustSupport" : true,
            "binding" : {
              "strength" : "preferred",
              "description" : "SNOMED CT drug substances",
              "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips"
            }
          },
          {
            "id" : "Medication.ingredient.strength",
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:populate-if-known"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHALL:handle"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              },
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCode" : "SHOULD:display"
                  },
                  {
                    "url" : "actor",
                    "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
              }
            ],
            "path" : "Medication.ingredient.strength",
            "mustSupport" : true
          }
        ]
      }
    }