Generated Narrative: StructureDefinition DrugKnowledge Name Flags Card. Type Description & Constraints MedicationKnowledge 0..* MedicationKnowledge Definition of Medication Knowledge #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:CatalogReference 0..* Reference(Catalog Header) Reference to a catalog URL: http://hl7.org/fhir/uv/order-catalog/StructureDefinition/CatalogReference #xD; code 1..1 CodeableConcept Code that identifies this medication #xD; intendedJurisdiction S 0..* CodeableConcept Codes that identify the different jurisdictions for which the information of this resource was created #xD; indicationGuideline S 0..* BackboneElement Guidelines or protocols for administration of the medication for an indication #xD; indication S 0..* CodeableReference(ClinicalUseDefinition) Indication for use that applies to the specific administration guideline #xD; clinicalUseIssue S 0..* Reference(ClinicalUseDefinition) Potential clinical issue with or between medication(s) #xD; definitional S 0..1 BackboneElement Minimal definition information about the medication #xD; doseForm S 0..1 CodeableConcept powder | tablets | capsule + #xD; drugCharacteristic #xD; value[x] 1..1 CodeableConcept, string, SimpleQuantity(5.0.0), base64Binary, Attachment Description of the characteristic #xD; Documentation for this format
HL7 International / Orders and Observations
This profile constrains the base resource MedicationKnowledge to represent an item in a catalog of medications.
Information about a medication that is used to support knowledge.
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
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.
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 its narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
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.
Contained resources do not have a 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.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
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.
Must have either extensions or value[x], not both
This extension to PlanDefinition, MedicationKnowledge and DeviceDefinition conveys the reference to a catalog containing the extended resource
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 managable, 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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.
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/R5/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Business identifier for this medication.
This is a business identifier, not a resource identifier (see discussion).
A code that specifies this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.
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).
A coded concept that defines the type of a medication.
coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription
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
A code to indicate if the medication referred to by this MedicationKnowledge is in active use within the drug database or inventory system. The status refers to the validity about the information of the medication and not to its medicinal properties.
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.
This element changes the interpretation of all descriptive attributes.
A coded concept defining if the medication is in active use.
Creator or owner of the knowledge or information about the medication
The creator or owner of the knowledge or information about the medication.
Codes that identify the different jurisdictions for which the information of this resource was created
Lists the jurisdictions that this medication knowledge was written for.
The codes could have varying granularity from a country or group of countries down to a specific district.
A name associated with the medication being described
All of the names for a medication, for example, the name(s) given to a medication in different countries. For example, acetaminophen and paracetamol or salbutamol and albuterol.
Associated or related medication information
Associated or related medications. For example, if the medication is a branded product (e.g. Crestor), this is the Therapeutic Moeity (e.g. Rosuvastatin) or if this is a generic medication (e.g. Rosuvastatin), this would link to a branded product (e.g. Crestor.
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Additional content defined by implementations
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 managable, 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.
Extensions that cannot be ignored even if unrecognized
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 managable, 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
The category of the associated medication knowledge reference.
Associated documentation about the associated medication knowledge
Associated documentation about the associated medication knowledge.
The set of medication resources that are associated with this medication
Links to associated medications that could be prescribed, dispensed or administered.
Category of the medication or product (e.g. branded product, therapeutic moeity, generic product, innovator product, etc.).
Associated documentation about the medication
Associated documentation about the medication.
The category of documentation about the medication. (e.g. professional monograph, patient education monograph).
The instructions for preparing the medication
The instructions for preparing the medication.
The date range for which the cost is effective
The date range for which the cost information of the medication is effective.
The category of the cost information. For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.
The source or owner for the price information
The source or owner that assigns the price to the medication.
The price or category of the cost of the medication
The price or representation of the cost (for example, Band A, Band B or $, $$) of the medication.
A coded concept defining the category of a medication.
Program under which a medication is reviewed
The program under which the medication is reviewed.
Type of program under which the medication is monitored
Type of program under which the medication is monitored.
Guidelines or protocols for administration of the medication for an indication
Guidelines or protocols that are applicable for the administration of the medication based on indication.
Indication for use that applies to the specific administration guideline
Indication or reason for use of the medication that applies to the specific administration guideline.
The guidelines for the dosage of the medication for the indication.
The overall intention of the treatment, for example, prophylactic, supporative, curative, etc.
Dosage for the medication for the specific guidelines
Dosage for the medication for the specific guidelines.
The type or category of dosage for a given medication (for example, prophylaxis, maintenance, therapeutic, etc.).
Type of treatment the guideline applies to
The type of the treatment that the guideline applies to, for example, long term therapy, first line treatment, etc.
Characteristics of the patient that are relevant to the administration guidelines
Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).
Categorization of specific characteristic that is relevant to the administration guideline
The categorization of the specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).
The specific characteristic (e.g. height, weight, gender, etc.).
Categorization of the medication within a formulary or classification system
Categorization of the medication within a formulary or classification system.
The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)
The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification).
Either a textual source of the classification or a reference to an online source.
Specific category assigned to the medication
Specific category assigned to the medication (e.g. anti-infective, anti-hypertensive, antibiotic, etc.).
Information that only applies to packages (not products).
The packaged medication that is being priced
A reference to a PackagedProductDefinition that provides the details of the product that is in the packaging and is being priced.
Potential clinical issue with or between medication(s)
Potential clinical issue with or between medication(s) (for example, drug-drug interaction, drug-disease contraindication, drug-allergy interaction, etc.).
Information on how the medication should be stored, for example, refrigeration temperatures and length of stability at a given temperature.
Reference to additional information about the storage guidelines.
Duration that the medication remains stable if the environmentalSetting is respected.
Setting or value of environment for adequate storage
Describes a setting/value on the environment for the adequate storage of the medication and other substances. Environment settings may involve temperature, humidity, or exposure to light.
Identifies the category or type of setting (e.g., type of location, temperature, humidity).
Value associated to the setting. E.g., 40° – 50°F for temperature.
Regulatory information about a medication
Regulatory information about a medication.
Specifies the authority of the regulation
The authority that is specifying the regulations.
Specifies if changes are allowed when dispensing a medication from a regulatory perspective
Specifies if changes are allowed when dispensing a medication from a regulatory perspective.
Specifies the type of substitution allowed
Specifies the type of substitution allowed.
Specifies if regulation allows for changes in the medication when dispensing
Specifies if regulation allows for changes in the medication when dispensing.
Specifies the schedule of a medication in jurisdiction
Specifies the schedule of a medication in jurisdiction.
The maximum number of units of the medication that can be dispensed in a period
The maximum number of units of the medication that can be dispensed in a period.
The maximum number of units of the medication that can be dispensed
The maximum number of units of the medication that can be dispensed.
The period that applies to the maximum number of units
The period that applies to the maximum number of units.
Minimal definition information about the medication
Along with the link to a Medicinal Product Definition resource, this information provides common definitional elements that are needed to understand the specific medication that is being described.
Definitional resources that provide more information about this medication
Associated definitions for this medication.
Describes the form of the item. Powder; tablets; capsule.
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.
The intended or approved route of administration
The intended or approved route of administration.
Identifies a particular constituent of interest in the product.
A reference to the resource that provides information about the ingredient.
A code that defines the type of ingredient, active, base, etc
Indication of whether this ingredient affects the therapeutic action of the drug.
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 but can also be expressed a quantity when the denominator is assumed to be 1 tablet.
Specifies descriptive properties of the medicine
Specifies descriptive properties of the medicine, such as color, shape, imprints, etc.
Code specifying the type of characteristic of medication
A code specifying which characteristic of the medicine is being described (for example, colour, shape, imprint).
The description should be provided as a CodeableConcept, SimpleQuantity or an image. The description can be a string only when these others are not available.