Standardized Medication Profile (SMP) FHIR IG
1.0.0 - STU 1

Standardized Medication Profile (SMP) FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/smp-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: Standardized Medication Profile - Medication

Official URL: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: SMPMedication

A description of a patient medication, may be used for non-prescription medications. Contains specifics about the type and strength that can be used to inform medication reconciliation.

Extended from US Core to require code and status

Usage:

- Refer to this Resource Profile: Standardized Medication Profile - MedicationAdministration and Standardized Medication Profile - MedicationStatement
- Examples for this Resource Profile: Medication/smp-med-1
- CapabilityStatements using this Resource Profile: SMP_Client and SMP_Server

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | USCoreMedicationProfile | Definition of a Medication dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code | S Σ | 1..1 | CodeableConcept | (USCDI) Codes that identify this medication Binding: Medication Clinical Drug (extensible) ele-1: All FHIR elements must have a @value or children
status | ?!S Σ | 1..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.code | extensible | MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard

This structure is derived from USCoreMedicationProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  |  | USCoreMedicationProfile |
code |  | 1..1 | CodeableConcept | (USCDI) Codes that identify this medication
status | S | 1..1 | code | active | inactive | entered-in-error
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | USCoreMedicationProfile | 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
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 | S Σ | 1..1 | CodeableConcept | (USCDI) Codes that identify this medication Binding: Medication Clinical Drug (extensible)
status | ?!S Σ | 1..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 |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
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] |  | 1..1 |  | The actual ingredient or content
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Medication.code | extensible | MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | example | SNOMEDCTFormCodes `http://hl7.org/fhir/ValueSet/medication-form-codes` from the FHIR Standard

This structure is derived from USCoreMedicationProfile

Summary

Mandatory: 1 element
Must-Support: 1 element

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | USCoreMedicationProfile | Definition of a Medication dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code | S Σ | 1..1 | CodeableConcept | (USCDI) Codes that identify this medication Binding: Medication Clinical Drug (extensible) ele-1: All FHIR elements must have a @value or children
status | ?!S Σ | 1..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.code | extensible | MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard

Differential View

This structure is derived from USCoreMedicationProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  |  | USCoreMedicationProfile |
code |  | 1..1 | CodeableConcept | (USCDI) Codes that identify this medication
status | S | 1..1 | code | active | inactive | entered-in-error
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | USCoreMedicationProfile | 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
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 | S Σ | 1..1 | CodeableConcept | (USCDI) Codes that identify this medication Binding: Medication Clinical Drug (extensible)
status | ?!S Σ | 1..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 |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
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] |  | 1..1 |  | The actual ingredient or content
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Medication.code | extensible | MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | example | SNOMEDCTFormCodes `http://hl7.org/fhir/ValueSet/medication-form-codes` from the FHIR Standard

This structure is derived from USCoreMedicationProfile

Summary

Mandatory: 1 element
Must-Support: 1 element

Maturity: 1

Other representations of profile: CSV, Excel, Schematron