International Patient Summary Implementation Guide
2.0.0 -

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

## Resource Profile: Medication (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips | Version: 2.0.0
Standards status: Trial-use Active as of 2024-06-19 | Maturity Level: 3 | Computable Name: MedicationIPS

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

Usages:

- Use this Profile: Bundle (IPS)
- Refer to this Profile: MedicationRequest (IPS) and MedicationStatement (IPS)
- Examples for this Profile: Medication/eumfh-39-07-1
- CapabilityStatements using this Profile: IPS Server Capability Statement

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
code | SO Σ | 1..1 | CodeableConceptIPS | Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Additional Bindings | Purpose
WHO ATC - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form | SO | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
Medicine EDQM Doseform - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
item[x] | SO | 1..1 |  | The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Documentation for this format

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | preferred | Medications - IPS | 📦2.0.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | SNOMED CT Form Codes | 📦4.0.1 | FHIR Std.
Medication.ingredient.​item[x] | Base | preferred | Medicine Active Substances - IPS | 📦2.0.0 | This IG

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
code | SO | 1..1 | CodeableConceptIPS | Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Additional Bindings | Purpose
WHO ATC - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
form | SO | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
Medicine EDQM Doseform - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
item[x] | SO | 1..1 |  | The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Documentation for this format

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | preferred | Medications - IPS | 📦2.0.0 | This IG
Medication.form | Base | preferred | SNOMED CT Form Codes | 📦4.0.1 | FHIR Std.
Medication.ingredient.​item[x] | Base | preferred | Medicine Active Substances - IPS | 📦2.0.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | SO Σ | 1..1 | CodeableConceptIPS | Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Additional Bindings | Purpose
WHO ATC - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form | SO | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
Medicine EDQM Doseform - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
item[x] | SO | 1..1 |  | The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 0..1 | boolean | Active ingredient indicator
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | preferred | Medications - IPS | 📦2.0.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | SNOMED CT Form Codes | 📦4.0.1 | FHIR Std.
Medication.ingredient.​item[x] | Base | preferred | Medicine Active Substances - IPS | 📦2.0.0 | This IG

#### Constraints

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

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

Summary

Mandatory: 1 element
Must-Support: 5 elements

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Maturity: 3

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
code | SO Σ | 1..1 | CodeableConceptIPS | Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Additional Bindings | Purpose
WHO ATC - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form | SO | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
Medicine EDQM Doseform - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
item[x] | SO | 1..1 |  | The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Documentation for this format

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | preferred | Medications - IPS | 📦2.0.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | SNOMED CT Form Codes | 📦4.0.1 | FHIR Std.
Medication.ingredient.​item[x] | Base | preferred | Medicine Active Substances - IPS | 📦2.0.0 | This IG

#### Constraints

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

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
code | SO | 1..1 | CodeableConceptIPS | Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Additional Bindings | Purpose
WHO ATC - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
form | SO | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
Medicine EDQM Doseform - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
item[x] | SO | 1..1 |  | The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Documentation for this format

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | preferred | Medications - IPS | 📦2.0.0 | This IG
Medication.form | Base | preferred | SNOMED CT Form Codes | 📦4.0.1 | FHIR Std.
Medication.ingredient.​item[x] | Base | preferred | Medicine Active Substances - IPS | 📦2.0.0 | This IG

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | SO Σ | 1..1 | CodeableConceptIPS | Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Additional Bindings | Purpose
WHO ATC - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form | SO | 0..1 | CodeableConceptIPS | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
Medicine EDQM Doseform - IPS | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
item[x] | SO | 1..1 |  | The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 0..1 | boolean | Active ingredient indicator
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | preferred | Medications - IPS | 📦2.0.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | SNOMED CT Form Codes | 📦4.0.1 | FHIR Std.
Medication.ingredient.​item[x] | Base | preferred | Medicine Active Substances - IPS | 📦2.0.0 | This IG

#### Constraints

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

Name | Creator (IPS) | Consumer (IPS)
--- | --- | ---
Medication |  |
code | SHALL:populate-if-known | SHALL:handle SHOULD:display
form | SHALL:populate-if-known | SHALL:handle SHOULD:display
ingredient | SHALL:populate-if-known | SHALL:handle SHOULD:display
item[x] | SHALL:populate-if-known | SHALL:handle SHOULD:display
strength | SHALL:populate-if-known | SHALL:handle SHOULD:display
Documentation for this format

Summary

Mandatory: 1 element
Must-Support: 5 elements

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Maturity: 3

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