Resumen Clínico de Paciente de Chile (IPS-CL), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
• Mappings
• Examples
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Resource Profile: Medicamento (IPS-CL)

Este perfil representa las restricciones aplicadas al recurso Medicamento por la Guía de Implementación FHIR del Resumen Internacional del Paciente (IPS), basada en FHIR R4. Un medicamento se describe en el resumen del paciente como una instancia de un recurso Medicamento restringido por este perfil.

Usage:

• Use this Resource Profile: Bundle Resumen Clínico
• Refer to this Resource Profile: Solicitud de medicación (IPS-CL) and Declaración de medicación (IPS-CL)
• Examples for this Resource Profile: Medication/MedicamentoCLEjemplo

Formal Views of Profile Content

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

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

This structure is derived from CoreMedicamentoCl

Name	Flags	Card.	Type	Description & Constraints
Medication			CoreMedicamentoCl
code		1..1	CodeableConceptIPS	Medicación administrada o que se iba a administrar (código de medicación de cualquier sistema de códigos) Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido Additional Bindings Purpose WHO ATC - IPS candidate http://minsal.cl/term/TFC candidate
form		0..1	CodeableConceptIPS	Describe la forma del producto: Polvo, cápsula, comprimido, etc. Binding: Medicine Doseform - IPS (preferred)
ingredient
item[x]		1..1		Componente del fármaco Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
strength		0..1	RatioIPS	Una proporción de dos valores de Cantidad: un numerador y un denominador
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.form	preferred	MedicineDoseFormUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform
Medication.ingredient.item[x]	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CoreMedicamentoCl	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
Slices for extension				Content/Rules for all slices
NombreComercial	S	0..1	string	Nombre Comercial Fármaco URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/NombreComercial ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
identifier	SΣ	0..*	Identifier	Identificador de Medicamento ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	usual | official | temp | secondary | old Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	Sistema de identificación ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Valor del identificador ele-1: All FHIR elements must have a @value or children Example General: 123456
code	S	1..1	CodeableConceptIPS	Medicación administrada o que se iba a administrar (código de medicación de cualquier sistema de códigos) Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido Additional Bindings Purpose WHO ATC - IPS candidate http://minsal.cl/term/TFC candidate ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
manufacturer	SΣ	0..1	Reference(CL Organización)	Laboratorio ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Nombre del laboratorio farmacéutico ele-1: All FHIR elements must have a @value or children
form	S	0..1	CodeableConceptIPS	Describe la forma del producto: Polvo, cápsula, comprimido, etc. Binding: Medicine Doseform - IPS (preferred) ele-1: All FHIR elements must have a @value or children
ingredient	S	0..*	BackboneElement	Componentes del medicamento ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for item[x]	S	1..1		Componente del fármaco Slice: Unordered, Closed by type:$this Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias ele-1: All FHIR elements must have a @value or children
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: SNOMEDCTMedicationCodes (example) ele-1: All FHIR elements must have a @value or children
item[x]:itemReference		0..1	Reference(Substance | CL Medicamento)	The actual ingredient or content ele-1: All FHIR elements must have a @value or children
isActive	S	0..1	boolean	Determinación si el componente es componente activo o no ele-1: All FHIR elements must have a @value or children
strength	SC	0..1	RatioIPS	Una proporción de dos valores de Cantidad: un numerador y un denominador ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
numerator	SΣ	0..1	Quantity	Valor del Numerador ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
denominator	SΣ	0..1	Quantity	Valor del Denominador ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Medication.code	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	preferred	MedicineDoseFormUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform
Medication.ingredient.item[x]	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.ingredient.strength.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Medication.ingredient.strength.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CoreMedicamentoCl	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
NombreComercial	S	0..1	string	Nombre Comercial Fármaco URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/NombreComercial
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador de Medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	0..1	code	usual | official | temp | secondary | old Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	Sistema de identificación Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Valor del identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
code	S	1..1	CodeableConceptIPS	Medicación administrada o que se iba a administrar (código de medicación de cualquier sistema de códigos) Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido Additional Bindings Purpose WHO ATC - IPS candidate http://minsal.cl/term/TFC candidate
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	SΣ	0..1	Reference(CL Organización)	Laboratorio
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del laboratorio farmacéutico
form	S	0..1	CodeableConceptIPS	Describe la forma del producto: Polvo, cápsula, comprimido, etc. Binding: Medicine Doseform - IPS (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Componentes del medicamento
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
Slices for item[x]	S	1..1		Componente del fármaco Slice: Unordered, Closed by type:$this Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: SNOMEDCTMedicationCodes (example)
item[x]:itemReference		0..1	Reference(Substance | CL Medicamento)	The actual ingredient or content
isActive	S	0..1	boolean	Determinación si el componente es componente activo o no
strength	SC	0..1	RatioIPS	Una proporción de dos valores de Cantidad: un numerador y un denominador rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣ	0..1	Quantity	Valor del Numerador
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Valor del Numerador
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unidad del Numerador
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
denominator	SΣ	0..1	Quantity	Valor del Denominador
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Valor del Denominador
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unidad del Denominador
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Medication.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Medication.code	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.manufacturer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Medication.form	preferred	MedicineDoseFormUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform
Medication.ingredient.item[x]	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.ingredient.strength.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Medication.ingredient.strength.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from CoreMedicamentoCl

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

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

Maturity: 1

Differential View

This structure is derived from CoreMedicamentoCl

Name	Flags	Card.	Type	Description & Constraints
Medication			CoreMedicamentoCl
code		1..1	CodeableConceptIPS	Medicación administrada o que se iba a administrar (código de medicación de cualquier sistema de códigos) Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido Additional Bindings Purpose WHO ATC - IPS candidate http://minsal.cl/term/TFC candidate
form		0..1	CodeableConceptIPS	Describe la forma del producto: Polvo, cápsula, comprimido, etc. Binding: Medicine Doseform - IPS (preferred)
ingredient
item[x]		1..1		Componente del fármaco Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
strength		0..1	RatioIPS	Una proporción de dos valores de Cantidad: un numerador y un denominador
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.form	preferred	MedicineDoseFormUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform
Medication.ingredient.item[x]	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CoreMedicamentoCl	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
Slices for extension				Content/Rules for all slices
NombreComercial	S	0..1	string	Nombre Comercial Fármaco URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/NombreComercial ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
identifier	SΣ	0..*	Identifier	Identificador de Medicamento ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	usual | official | temp | secondary | old Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	Sistema de identificación ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Valor del identificador ele-1: All FHIR elements must have a @value or children Example General: 123456
code	S	1..1	CodeableConceptIPS	Medicación administrada o que se iba a administrar (código de medicación de cualquier sistema de códigos) Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido Additional Bindings Purpose WHO ATC - IPS candidate http://minsal.cl/term/TFC candidate ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
manufacturer	SΣ	0..1	Reference(CL Organización)	Laboratorio ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Nombre del laboratorio farmacéutico ele-1: All FHIR elements must have a @value or children
form	S	0..1	CodeableConceptIPS	Describe la forma del producto: Polvo, cápsula, comprimido, etc. Binding: Medicine Doseform - IPS (preferred) ele-1: All FHIR elements must have a @value or children
ingredient	S	0..*	BackboneElement	Componentes del medicamento ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for item[x]	S	1..1		Componente del fármaco Slice: Unordered, Closed by type:$this Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias ele-1: All FHIR elements must have a @value or children
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: SNOMEDCTMedicationCodes (example) ele-1: All FHIR elements must have a @value or children
item[x]:itemReference		0..1	Reference(Substance | CL Medicamento)	The actual ingredient or content ele-1: All FHIR elements must have a @value or children
isActive	S	0..1	boolean	Determinación si el componente es componente activo o no ele-1: All FHIR elements must have a @value or children
strength	SC	0..1	RatioIPS	Una proporción de dos valores de Cantidad: un numerador y un denominador ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
numerator	SΣ	0..1	Quantity	Valor del Numerador ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
denominator	SΣ	0..1	Quantity	Valor del Denominador ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Medication.code	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	preferred	MedicineDoseFormUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform
Medication.ingredient.item[x]	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.ingredient.strength.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Medication.ingredient.strength.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CoreMedicamentoCl	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
NombreComercial	S	0..1	string	Nombre Comercial Fármaco URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/NombreComercial
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador de Medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	0..1	code	usual | official | temp | secondary | old Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	Sistema de identificación Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	Valor del identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
code	S	1..1	CodeableConceptIPS	Medicación administrada o que se iba a administrar (código de medicación de cualquier sistema de códigos) Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido Additional Bindings Purpose WHO ATC - IPS candidate http://minsal.cl/term/TFC candidate
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	SΣ	0..1	Reference(CL Organización)	Laboratorio
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Nombre del laboratorio farmacéutico
form	S	0..1	CodeableConceptIPS	Describe la forma del producto: Polvo, cápsula, comprimido, etc. Binding: Medicine Doseform - IPS (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Componentes del medicamento
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
Slices for item[x]	S	1..1		Componente del fármaco Slice: Unordered, Closed by type:$this Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: SNOMEDCTMedicationCodes (example)
item[x]:itemReference		0..1	Reference(Substance | CL Medicamento)	The actual ingredient or content
isActive	S	0..1	boolean	Determinación si el componente es componente activo o no
strength	SC	0..1	RatioIPS	Una proporción de dos valores de Cantidad: un numerador y un denominador rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣ	0..1	Quantity	Valor del Numerador
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Valor del Numerador
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unidad del Numerador
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
denominator	SΣ	0..1	Quantity	Valor del Denominador
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Valor del Denominador
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unidad del Denominador
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Medication.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Medication.code	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.manufacturer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Medication.form	preferred	MedicineDoseFormUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform
Medication.ingredient.item[x]	preferred	MedicationsUvIps http://hl7.org/fhir/uv/ips/ValueSet/medication-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.ingredient.strength.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Medication.ingredient.strength.denominator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from CoreMedicamentoCl

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron