IHE Pharmacy Medication Overview
0.1.0 - ci-build
IHE Pharmacy Medication Overview
0.1.0 - ci-build
IHE Pharmacy Medication Overview, published by Integrating the Healthcare Enterprise (IHE). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-meow/ and changes regularly. See the Directory of published versions
| Active as of 2026-05-14 |
Definitions for the MedicationTreatmentLineLM logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationTreatmentLineLM | |
| Definition | Logical model for representing one line/medication in medication overview. Base definition for all types defined in FHIR type system. |
| Short | Medication Treatment Line (model)Base for all types and resources |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. MedicationTreatmentLineLM.identifier | |
| Definition | Unique business identifier(s) for the medication treatment line |
| Short | Unique business identifier(s) for the medication treatment line |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| 4. MedicationTreatmentLineLM.subject | |
| Definition | The patient for whom the medication treatment line applies |
| Short | The patient for whom the medication treatment line applies |
| Control | 1..1 |
| Type | Reference(Patient) |
| 6. MedicationTreatmentLineLM.medication[x] | |
| Definition | Medicinal product for which the treatment line refers to. Identification or sufficient description of the product. |
| Short | Medicinal product for which the treatment line refers to. Identification or sufficient description of the product. |
| Control | 1..1 |
| Type | Choice of: CodeableConcept, Reference(Medicinal product (model)) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 8. MedicationTreatmentLineLM.status | |
| Definition | Status of the record, not the status of the treatment. |
| Short | Status of the treatment line entry |
| Control | 1..1 |
| Binding | The codes SHALL be taken from MedicationStatementStatusCodes (required to http://hl7.org/fhir/ValueSet/medication-statement-status) |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. MedicationTreatmentLineLM.version | |
| Definition | Business version of the treatment line |
| Short | Business version of the treatment line |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. MedicationTreatmentLineLM.timestamp | |
| Definition | Timestamp of the version of the treatment line |
| Short | Timestamp of the version of the treatment line |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. MedicationTreatmentLineLM.treatmentStatus | |
| Definition | The state of the actual treatment - taking, not taken... |
| Short | The state of the actual treatment - taking, not taken... |
| Control | 0..1 |
| Type | CodeableConcept |
| 16. MedicationTreatmentLineLM.treatmentStatusReasonCode | |
| Definition | The reason - coded - for the treatment status - i.e. adverse events, refusal... |
| Short | The reason - coded - for the treatment status - i.e. adverse events, refusal... |
| Control | 0..1 |
| Type | CodeableConcept |
| 18. MedicationTreatmentLineLM.treatmentStatusReasonText | |
| Definition | The reason - free text - for the treatment status - i.e. adverse events, refusal... |
| Short | The reason - free text - for the treatment status - i.e. adverse events, refusal... |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. MedicationTreatmentLineLM.effectivePeriod | |
| Definition | The period of time the treatment is in effect |
| Short | The period of time the treatment is in effect |
| Control | 0..1 |
| Type | Period |
| 22. MedicationTreatmentLineLM.verificationInformation | |
| Definition | Verification of medication line. The overview is verified as a whole, but each line is equipped with the information. The actual functional meaning and impact of this validation depends on the implementation. |
| Short | Verification of medication line |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. MedicationTreatmentLineLM.verificationInformation.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | idstring |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 26. MedicationTreatmentLineLM.verificationInformation.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.verificationInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 28. MedicationTreatmentLineLM.verificationInformation.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 30. MedicationTreatmentLineLM.verificationInformation.verifier | |
| Definition | HCP (or device, if authorized) verifying the treatments/overview |
| Short | HCP (or device, if authorized) verifying the treatments/overview |
| Control | 1..1 |
| Type | Reference |
| 32. MedicationTreatmentLineLM.verificationInformation.verificationTime | |
| Definition | The date and time when this medication treatment line was verified |
| Short | The date and time when this medication treatment line was verified |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 34. MedicationTreatmentLineLM.category | |
| Definition | Whatever category for the treatment line. Categorisation of treatment lines is implementation-specific. |
| Short | Whatever category for the treatment line. Categorisation of treatment lines is implementation-specific. |
| Control | 0..* |
| Type | CodeableConcept |
| 36. MedicationTreatmentLineLM.medicationTreatment | |
| Definition | Reference or identifier of the group of lines that belong together |
| Short | Reference or identifier of the group of lines that belong together |
| Control | 0..* |
| Type | Reference(Medication Treatment (model)) |
| 38. MedicationTreatmentLineLM.indication | |
| Definition | Reason why the product has been prescribed to the patient, or why the patient claims to be taking it |
| Short | Reason why the product has been prescribed to the patient, or why the patient claims to be taking it |
| Control | 0..* |
| Type | CodeableConcept |
| 40. MedicationTreatmentLineLM.indicationText | |
| Definition | Textual explanation for why the medication has been prescribed or why the patient is taking it. This might not be allowed by some implementations. |
| Short | Textual explanation for why the medication has been prescribed or why the patient is taking it. This might not be allowed by some implementations. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 42. MedicationTreatmentLineLM.intendedUse | |
| Definition | Intended Use of the medication - prophylaxis, therapy... |
| Short | Intended Use of the medication - prophylaxis, therapy... |
| Control | 0..1 |
| Type | CodeableConcept |
| 44. MedicationTreatmentLineLM.usageInstructions | |
| Definition | Instructions about requested or actual administration of the product. This is repeatable to support complex or concurrent dosage instructions. e.g. take 1 per day for 3 weeks; 2x PRN |
| Short | Instructions about administration of the product |
| Control | 0..* |
| Type | http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/DosagingInformation |
| 46. MedicationTreatmentLineLM.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 48. MedicationTreatmentLineLM.comment | |
| Definition | Comment on the individual line |
| Short | Comment on the individual line |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 50. MedicationTreatmentLineLM.comment.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | idstring |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 52. MedicationTreatmentLineLM.comment.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.comment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 54. MedicationTreatmentLineLM.comment.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 56. MedicationTreatmentLineLM.comment.author | |
| Definition | Author of the comment (Pharmacist, doctor, social carer, patient, device, related person) |
| Short | Author of the comment (Pharmacist, doctor, social carer, patient, device, related person) |
| Control | 1..1 |
| Type | Reference |
| 58. MedicationTreatmentLineLM.comment.date | |
| Definition | time of comment |
| Short | time of comment |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 60. MedicationTreatmentLineLM.comment.commentText | |
| Definition | content of the comment |
| Short | content of the comment |
| Control | 1..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 62. MedicationTreatmentLineLM.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Control | 0..1 |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 64. MedicationTreatmentLineLM.substitution.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | idstring |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 66. MedicationTreatmentLineLM.substitution.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.substitution.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 68. MedicationTreatmentLineLM.substitution.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 70. MedicationTreatmentLineLM.substitution.substitutionType | |
| Definition | The type of substitution that is allowed. |
| Short | The type of substitution that is allowed. |
| Control | 1..1 |
| Type | CodeableConcept |
| 72. MedicationTreatmentLineLM.substitution.substitutionTypeReason | |
| Definition | Coded reason for the substitution requirement |
| Short | Coded reason for the substitution requirement |
| Control | 0..1 |
| Type | CodeableConcept |
| 74. MedicationTreatmentLineLM.substitution.substitutionTypeReasonText | |
| Definition | Textual reason for the substitution requirement |
| Short | Textual reason for the substitution requirement |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 76. MedicationTreatmentLineLM.recordingMetadata | |
| Definition | Metadata about reporting/authoring of the treatment line |
| Short | Metadata about reporting/authoring of the treatment line |
| Control | 1..1 |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 78. MedicationTreatmentLineLM.recordingMetadata.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | idstring |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 80. MedicationTreatmentLineLM.recordingMetadata.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.recordingMetadata.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 82. MedicationTreatmentLineLM.recordingMetadata.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 84. MedicationTreatmentLineLM.recordingMetadata.recorder | |
| Definition | Person entering the statement by initiating a treatment or documenting a statement by a patient or another professional. The recorder may be different from the author. |
| Short | Person entering the statement by initiating a treatment or documenting a statement by a patient or another professional. The recorder may be different from the author. |
| Control | 1..1 |
| Type | Reference |
| 86. MedicationTreatmentLineLM.recordingMetadata.recordedTime | |
| Definition | Time of creation of the treatment line |
| Short | Time of creation of the treatment line |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 88. MedicationTreatmentLineLM.recordingMetadata.patientReported | |
| Definition | The treatment line has been documented according to patient's statement |
| Short | The treatment line has been documented according to patient's statement |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 90. MedicationTreatmentLineLM.recordingMetadata.responsibleAuthor | |
| Definition | HCP who takes the clinical decision for the medication treatment line. If an author is not present, the responsibility of the medication line is with the recorder. |
| Short | HCP who takes the clinical decision for the medication treatment line. If an author is not present, the responsibility of the medication line is with the recorder. |
| Control | 0..1 |
| Type | Reference(Practitioner (model)) |
| 92. MedicationTreatmentLineLM.recordingMetadata.authoringTime | |
| Definition | The time the clinical decision was made by the responsibleAuthor. Normally, the same time as recording time when it's the same person. |
| Short | The time the clinical decision was made by the responsibleAuthor. Normally, the same time as recording time when it's the same person. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 94. MedicationTreatmentLineLM.derivedFrom | |
| Definition | Any data object that this treatment line is derived from |
| Short | Any data object that this treatment line is derived from |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 96. MedicationTreatmentLineLM.derivedFrom.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | idstring |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 98. MedicationTreatmentLineLM.derivedFrom.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.derivedFrom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 100. MedicationTreatmentLineLM.derivedFrom.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 102. MedicationTreatmentLineLM.derivedFrom.request | |
| Definition | Prescriptions that have been the source for creating the unverified treatment line |
| Short | Prescriptions that have been the source for creating the unverified treatment line |
| Control | 0..* |
| Type | Reference |
| 104. MedicationTreatmentLineLM.derivedFrom.statement | |
| Definition | Medication-related statements from patients, pharmacists, or other HCPs, that are the source for creating the unverified treatment line |
| Short | Medication-related statements from patients, pharmacists, or other HCPs, that are the source for creating the unverified treatment line |
| Control | 0..* |
| Type | Reference |
| 106. MedicationTreatmentLineLM.derivedFrom.dispensation | |
| Definition | Related dispensations that are not necessarily related to existing prescriptions/requests/statements. |
| Short | Related dispensations that are not necessarily related to existing prescriptions/requests/statements. |
| Control | 0..* |
| Type | Reference |
| 108. MedicationTreatmentLineLM.derivedFrom.administration | |
| Definition | Related administrations that are not necessarily related to existing prescriptions/requests/statements. |
| Short | Related administrations that are not necessarily related to existing prescriptions/requests/statements. |
| Control | 0..* |
| Type | Reference |
| 110. MedicationTreatmentLineLM.derivedFrom.other | |
| Definition | Other related sources of information - CarePlan, Immunizations, Documents (e.g. Discharge letters)... |
| Short | Other related sources of information - CarePlan, Immunizations, Documents (e.g. Discharge letters)... |
| Control | 0..* |
| Type | Reference |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationTreatmentLineLM | |
| Definition | Logical model for representing one line/medication in medication overview. |
| Short | Medication Treatment Line (model) |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. MedicationTreatmentLineLM.identifier | |
| Definition | Unique business identifier(s) for the medication treatment line |
| Short | Unique business identifier(s) for the medication treatment line |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| 4. MedicationTreatmentLineLM.subject | |
| Definition | The patient for whom the medication treatment line applies |
| Short | The patient for whom the medication treatment line applies |
| Control | 1..1 |
| Type | Reference(Patient) |
| 6. MedicationTreatmentLineLM.medication[x] | |
| Definition | Medicinal product for which the treatment line refers to. Identification or sufficient description of the product. |
| Short | Medicinal product for which the treatment line refers to. Identification or sufficient description of the product. |
| Control | 1..1 |
| Type | Choice of: CodeableConcept, Reference(Medicinal product (model)) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 8. MedicationTreatmentLineLM.status | |
| Definition | Status of the record, not the status of the treatment. |
| Short | Status of the treatment line entry |
| Control | 1..1 |
| Binding | The codes SHALL be taken from MedicationStatementStatusCodes (required to http://hl7.org/fhir/ValueSet/medication-statement-status) |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. MedicationTreatmentLineLM.version | |
| Definition | Business version of the treatment line |
| Short | Business version of the treatment line |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. MedicationTreatmentLineLM.timestamp | |
| Definition | Timestamp of the version of the treatment line |
| Short | Timestamp of the version of the treatment line |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. MedicationTreatmentLineLM.treatmentStatus | |
| Definition | The state of the actual treatment - taking, not taken... |
| Short | The state of the actual treatment - taking, not taken... |
| Control | 0..1 |
| Type | CodeableConcept |
| 16. MedicationTreatmentLineLM.treatmentStatusReasonCode | |
| Definition | The reason - coded - for the treatment status - i.e. adverse events, refusal... |
| Short | The reason - coded - for the treatment status - i.e. adverse events, refusal... |
| Control | 0..1 |
| Type | CodeableConcept |
| 18. MedicationTreatmentLineLM.treatmentStatusReasonText | |
| Definition | The reason - free text - for the treatment status - i.e. adverse events, refusal... |
| Short | The reason - free text - for the treatment status - i.e. adverse events, refusal... |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. MedicationTreatmentLineLM.effectivePeriod | |
| Definition | The period of time the treatment is in effect |
| Short | The period of time the treatment is in effect |
| Control | 0..1 |
| Type | Period |
| 22. MedicationTreatmentLineLM.verificationInformation | |
| Definition | Verification of medication line. The overview is verified as a whole, but each line is equipped with the information. The actual functional meaning and impact of this validation depends on the implementation. |
| Short | Verification of medication line |
| Control | 0..* |
| Type | BackboneElement |
| 24. MedicationTreatmentLineLM.verificationInformation.verifier | |
| Definition | HCP (or device, if authorized) verifying the treatments/overview |
| Short | HCP (or device, if authorized) verifying the treatments/overview |
| Control | 1..1 |
| Type | Reference |
| 26. MedicationTreatmentLineLM.verificationInformation.verificationTime | |
| Definition | The date and time when this medication treatment line was verified |
| Short | The date and time when this medication treatment line was verified |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 28. MedicationTreatmentLineLM.category | |
| Definition | Whatever category for the treatment line. Categorisation of treatment lines is implementation-specific. |
| Short | Whatever category for the treatment line. Categorisation of treatment lines is implementation-specific. |
| Control | 0..* |
| Type | CodeableConcept |
| 30. MedicationTreatmentLineLM.medicationTreatment | |
| Definition | Reference or identifier of the group of lines that belong together |
| Short | Reference or identifier of the group of lines that belong together |
| Control | 0..* |
| Type | Reference(Medication Treatment (model)) |
| 32. MedicationTreatmentLineLM.indication | |
| Definition | Reason why the product has been prescribed to the patient, or why the patient claims to be taking it |
| Short | Reason why the product has been prescribed to the patient, or why the patient claims to be taking it |
| Control | 0..* |
| Type | CodeableConcept |
| 34. MedicationTreatmentLineLM.indicationText | |
| Definition | Textual explanation for why the medication has been prescribed or why the patient is taking it. This might not be allowed by some implementations. |
| Short | Textual explanation for why the medication has been prescribed or why the patient is taking it. This might not be allowed by some implementations. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. MedicationTreatmentLineLM.intendedUse | |
| Definition | Intended Use of the medication - prophylaxis, therapy... |
| Short | Intended Use of the medication - prophylaxis, therapy... |
| Control | 0..1 |
| Type | CodeableConcept |
| 38. MedicationTreatmentLineLM.usageInstructions | |
| Definition | Instructions about requested or actual administration of the product. This is repeatable to support complex or concurrent dosage instructions. e.g. take 1 per day for 3 weeks; 2x PRN |
| Short | Instructions about administration of the product |
| Control | 0..* |
| Type | http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/DosagingInformation |
| 40. MedicationTreatmentLineLM.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 42. MedicationTreatmentLineLM.comment | |
| Definition | Comment on the individual line |
| Short | Comment on the individual line |
| Control | 0..* |
| Type | BackboneElement |
| 44. MedicationTreatmentLineLM.comment.author | |
| Definition | Author of the comment (Pharmacist, doctor, social carer, patient, device, related person) |
| Short | Author of the comment (Pharmacist, doctor, social carer, patient, device, related person) |
| Control | 1..1 |
| Type | Reference |
| 46. MedicationTreatmentLineLM.comment.date | |
| Definition | time of comment |
| Short | time of comment |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 48. MedicationTreatmentLineLM.comment.commentText | |
| Definition | content of the comment |
| Short | content of the comment |
| Control | 1..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 50. MedicationTreatmentLineLM.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Control | 0..1 |
| Type | BackboneElement |
| 52. MedicationTreatmentLineLM.substitution.substitutionType | |
| Definition | The type of substitution that is allowed. |
| Short | The type of substitution that is allowed. |
| Control | 1..1 |
| Type | CodeableConcept |
| 54. MedicationTreatmentLineLM.substitution.substitutionTypeReason | |
| Definition | Coded reason for the substitution requirement |
| Short | Coded reason for the substitution requirement |
| Control | 0..1 |
| Type | CodeableConcept |
| 56. MedicationTreatmentLineLM.substitution.substitutionTypeReasonText | |
| Definition | Textual reason for the substitution requirement |
| Short | Textual reason for the substitution requirement |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 58. MedicationTreatmentLineLM.recordingMetadata | |
| Definition | Metadata about reporting/authoring of the treatment line |
| Short | Metadata about reporting/authoring of the treatment line |
| Control | 1..1 |
| Type | BackboneElement |
| 60. MedicationTreatmentLineLM.recordingMetadata.recorder | |
| Definition | Person entering the statement by initiating a treatment or documenting a statement by a patient or another professional. The recorder may be different from the author. |
| Short | Person entering the statement by initiating a treatment or documenting a statement by a patient or another professional. The recorder may be different from the author. |
| Control | 1..1 |
| Type | Reference |
| 62. MedicationTreatmentLineLM.recordingMetadata.recordedTime | |
| Definition | Time of creation of the treatment line |
| Short | Time of creation of the treatment line |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 64. MedicationTreatmentLineLM.recordingMetadata.patientReported | |
| Definition | The treatment line has been documented according to patient's statement |
| Short | The treatment line has been documented according to patient's statement |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 66. MedicationTreatmentLineLM.recordingMetadata.responsibleAuthor | |
| Definition | HCP who takes the clinical decision for the medication treatment line. If an author is not present, the responsibility of the medication line is with the recorder. |
| Short | HCP who takes the clinical decision for the medication treatment line. If an author is not present, the responsibility of the medication line is with the recorder. |
| Control | 0..1 |
| Type | Reference(Practitioner (model)) |
| 68. MedicationTreatmentLineLM.recordingMetadata.authoringTime | |
| Definition | The time the clinical decision was made by the responsibleAuthor. Normally, the same time as recording time when it's the same person. |
| Short | The time the clinical decision was made by the responsibleAuthor. Normally, the same time as recording time when it's the same person. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 70. MedicationTreatmentLineLM.derivedFrom | |
| Definition | Any data object that this treatment line is derived from |
| Short | Any data object that this treatment line is derived from |
| Control | 0..* |
| Type | BackboneElement |
| 72. MedicationTreatmentLineLM.derivedFrom.request | |
| Definition | Prescriptions that have been the source for creating the unverified treatment line |
| Short | Prescriptions that have been the source for creating the unverified treatment line |
| Control | 0..* |
| Type | Reference |
| 74. MedicationTreatmentLineLM.derivedFrom.statement | |
| Definition | Medication-related statements from patients, pharmacists, or other HCPs, that are the source for creating the unverified treatment line |
| Short | Medication-related statements from patients, pharmacists, or other HCPs, that are the source for creating the unverified treatment line |
| Control | 0..* |
| Type | Reference |
| 76. MedicationTreatmentLineLM.derivedFrom.dispensation | |
| Definition | Related dispensations that are not necessarily related to existing prescriptions/requests/statements. |
| Short | Related dispensations that are not necessarily related to existing prescriptions/requests/statements. |
| Control | 0..* |
| Type | Reference |
| 78. MedicationTreatmentLineLM.derivedFrom.administration | |
| Definition | Related administrations that are not necessarily related to existing prescriptions/requests/statements. |
| Short | Related administrations that are not necessarily related to existing prescriptions/requests/statements. |
| Control | 0..* |
| Type | Reference |
| 80. MedicationTreatmentLineLM.derivedFrom.other | |
| Definition | Other related sources of information - CarePlan, Immunizations, Documents (e.g. Discharge letters)... |
| Short | Other related sources of information - CarePlan, Immunizations, Documents (e.g. Discharge letters)... |
| Control | 0..* |
| Type | Reference |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationTreatmentLineLM | |
| Definition | Logical model for representing one line/medication in medication overview. |
| Short | Medication Treatment Line (model) |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. MedicationTreatmentLineLM.identifier | |
| Definition | Unique business identifier(s) for the medication treatment line |
| Short | Unique business identifier(s) for the medication treatment line |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| 4. MedicationTreatmentLineLM.subject | |
| Definition | The patient for whom the medication treatment line applies |
| Short | The patient for whom the medication treatment line applies |
| Control | 1..1 |
| Type | Reference(Patient) |
| 6. MedicationTreatmentLineLM.medication[x] | |
| Definition | Medicinal product for which the treatment line refers to. Identification or sufficient description of the product. |
| Short | Medicinal product for which the treatment line refers to. Identification or sufficient description of the product. |
| Control | 1..1 |
| Type | Choice of: CodeableConcept, Reference(Medicinal product (model)) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 8. MedicationTreatmentLineLM.status | |
| Definition | Status of the record, not the status of the treatment. |
| Short | Status of the treatment line entry |
| Control | 1..1 |
| Binding | The codes SHALL be taken from MedicationStatementStatusCodes (required to http://hl7.org/fhir/ValueSet/medication-statement-status) |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. MedicationTreatmentLineLM.version | |
| Definition | Business version of the treatment line |
| Short | Business version of the treatment line |
| Note | This is a business version Id, not a resource version Id (see discussion) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. MedicationTreatmentLineLM.timestamp | |
| Definition | Timestamp of the version of the treatment line |
| Short | Timestamp of the version of the treatment line |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. MedicationTreatmentLineLM.treatmentStatus | |
| Definition | The state of the actual treatment - taking, not taken... |
| Short | The state of the actual treatment - taking, not taken... |
| Control | 0..1 |
| Type | CodeableConcept |
| 16. MedicationTreatmentLineLM.treatmentStatusReasonCode | |
| Definition | The reason - coded - for the treatment status - i.e. adverse events, refusal... |
| Short | The reason - coded - for the treatment status - i.e. adverse events, refusal... |
| Control | 0..1 |
| Type | CodeableConcept |
| 18. MedicationTreatmentLineLM.treatmentStatusReasonText | |
| Definition | The reason - free text - for the treatment status - i.e. adverse events, refusal... |
| Short | The reason - free text - for the treatment status - i.e. adverse events, refusal... |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. MedicationTreatmentLineLM.effectivePeriod | |
| Definition | The period of time the treatment is in effect |
| Short | The period of time the treatment is in effect |
| Control | 0..1 |
| Type | Period |
| 22. MedicationTreatmentLineLM.verificationInformation | |
| Definition | Verification of medication line. The overview is verified as a whole, but each line is equipped with the information. The actual functional meaning and impact of this validation depends on the implementation. |
| Short | Verification of medication line |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. MedicationTreatmentLineLM.verificationInformation.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 26. MedicationTreatmentLineLM.verificationInformation.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.verificationInformation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 28. MedicationTreatmentLineLM.verificationInformation.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 30. MedicationTreatmentLineLM.verificationInformation.verifier | |
| Definition | HCP (or device, if authorized) verifying the treatments/overview |
| Short | HCP (or device, if authorized) verifying the treatments/overview |
| Control | 1..1 |
| Type | Reference |
| 32. MedicationTreatmentLineLM.verificationInformation.verificationTime | |
| Definition | The date and time when this medication treatment line was verified |
| Short | The date and time when this medication treatment line was verified |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 34. MedicationTreatmentLineLM.category | |
| Definition | Whatever category for the treatment line. Categorisation of treatment lines is implementation-specific. |
| Short | Whatever category for the treatment line. Categorisation of treatment lines is implementation-specific. |
| Control | 0..* |
| Type | CodeableConcept |
| 36. MedicationTreatmentLineLM.medicationTreatment | |
| Definition | Reference or identifier of the group of lines that belong together |
| Short | Reference or identifier of the group of lines that belong together |
| Control | 0..* |
| Type | Reference(Medication Treatment (model)) |
| 38. MedicationTreatmentLineLM.indication | |
| Definition | Reason why the product has been prescribed to the patient, or why the patient claims to be taking it |
| Short | Reason why the product has been prescribed to the patient, or why the patient claims to be taking it |
| Control | 0..* |
| Type | CodeableConcept |
| 40. MedicationTreatmentLineLM.indicationText | |
| Definition | Textual explanation for why the medication has been prescribed or why the patient is taking it. This might not be allowed by some implementations. |
| Short | Textual explanation for why the medication has been prescribed or why the patient is taking it. This might not be allowed by some implementations. |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 42. MedicationTreatmentLineLM.intendedUse | |
| Definition | Intended Use of the medication - prophylaxis, therapy... |
| Short | Intended Use of the medication - prophylaxis, therapy... |
| Control | 0..1 |
| Type | CodeableConcept |
| 44. MedicationTreatmentLineLM.usageInstructions | |
| Definition | Instructions about requested or actual administration of the product. This is repeatable to support complex or concurrent dosage instructions. e.g. take 1 per day for 3 weeks; 2x PRN |
| Short | Instructions about administration of the product |
| Control | 0..* |
| Type | http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/DosagingInformation |
| 46. MedicationTreatmentLineLM.preparationInstructions | |
| Definition | Additional instructions about preparation or dispense |
| Short | Additional instructions about preparation or dispense |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 48. MedicationTreatmentLineLM.comment | |
| Definition | Comment on the individual line |
| Short | Comment on the individual line |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 50. MedicationTreatmentLineLM.comment.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 52. MedicationTreatmentLineLM.comment.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.comment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 54. MedicationTreatmentLineLM.comment.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 56. MedicationTreatmentLineLM.comment.author | |
| Definition | Author of the comment (Pharmacist, doctor, social carer, patient, device, related person) |
| Short | Author of the comment (Pharmacist, doctor, social carer, patient, device, related person) |
| Control | 1..1 |
| Type | Reference |
| 58. MedicationTreatmentLineLM.comment.date | |
| Definition | time of comment |
| Short | time of comment |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 60. MedicationTreatmentLineLM.comment.commentText | |
| Definition | content of the comment |
| Short | content of the comment |
| Control | 1..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 62. MedicationTreatmentLineLM.substitution | |
| Definition | Whether and which type of substitution is allowed for this medication treatment line |
| Short | Whether and which type of substitution is allowed for this medication treatment line |
| Control | 0..1 |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 64. MedicationTreatmentLineLM.substitution.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 66. MedicationTreatmentLineLM.substitution.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.substitution.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 68. MedicationTreatmentLineLM.substitution.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 70. MedicationTreatmentLineLM.substitution.substitutionType | |
| Definition | The type of substitution that is allowed. |
| Short | The type of substitution that is allowed. |
| Control | 1..1 |
| Type | CodeableConcept |
| 72. MedicationTreatmentLineLM.substitution.substitutionTypeReason | |
| Definition | Coded reason for the substitution requirement |
| Short | Coded reason for the substitution requirement |
| Control | 0..1 |
| Type | CodeableConcept |
| 74. MedicationTreatmentLineLM.substitution.substitutionTypeReasonText | |
| Definition | Textual reason for the substitution requirement |
| Short | Textual reason for the substitution requirement |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 76. MedicationTreatmentLineLM.recordingMetadata | |
| Definition | Metadata about reporting/authoring of the treatment line |
| Short | Metadata about reporting/authoring of the treatment line |
| Control | 1..1 |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 78. MedicationTreatmentLineLM.recordingMetadata.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 80. MedicationTreatmentLineLM.recordingMetadata.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.recordingMetadata.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 82. MedicationTreatmentLineLM.recordingMetadata.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 84. MedicationTreatmentLineLM.recordingMetadata.recorder | |
| Definition | Person entering the statement by initiating a treatment or documenting a statement by a patient or another professional. The recorder may be different from the author. |
| Short | Person entering the statement by initiating a treatment or documenting a statement by a patient or another professional. The recorder may be different from the author. |
| Control | 1..1 |
| Type | Reference |
| 86. MedicationTreatmentLineLM.recordingMetadata.recordedTime | |
| Definition | Time of creation of the treatment line |
| Short | Time of creation of the treatment line |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 88. MedicationTreatmentLineLM.recordingMetadata.patientReported | |
| Definition | The treatment line has been documented according to patient's statement |
| Short | The treatment line has been documented according to patient's statement |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 90. MedicationTreatmentLineLM.recordingMetadata.responsibleAuthor | |
| Definition | HCP who takes the clinical decision for the medication treatment line. If an author is not present, the responsibility of the medication line is with the recorder. |
| Short | HCP who takes the clinical decision for the medication treatment line. If an author is not present, the responsibility of the medication line is with the recorder. |
| Control | 0..1 |
| Type | Reference(Practitioner (model)) |
| 92. MedicationTreatmentLineLM.recordingMetadata.authoringTime | |
| Definition | The time the clinical decision was made by the responsibleAuthor. Normally, the same time as recording time when it's the same person. |
| Short | The time the clinical decision was made by the responsibleAuthor. Normally, the same time as recording time when it's the same person. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 94. MedicationTreatmentLineLM.derivedFrom | |
| Definition | Any data object that this treatment line is derived from |
| Short | Any data object that this treatment line is derived from |
| Control | 0..* |
| Type | BackboneElement |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 96. MedicationTreatmentLineLM.derivedFrom.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 98. MedicationTreatmentLineLM.derivedFrom.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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. |
| Short | Additional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MedicationTreatmentLineLM.derivedFrom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 100. MedicationTreatmentLineLM.derivedFrom.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 102. MedicationTreatmentLineLM.derivedFrom.request | |
| Definition | Prescriptions that have been the source for creating the unverified treatment line |
| Short | Prescriptions that have been the source for creating the unverified treatment line |
| Control | 0..* |
| Type | Reference |
| 104. MedicationTreatmentLineLM.derivedFrom.statement | |
| Definition | Medication-related statements from patients, pharmacists, or other HCPs, that are the source for creating the unverified treatment line |
| Short | Medication-related statements from patients, pharmacists, or other HCPs, that are the source for creating the unverified treatment line |
| Control | 0..* |
| Type | Reference |
| 106. MedicationTreatmentLineLM.derivedFrom.dispensation | |
| Definition | Related dispensations that are not necessarily related to existing prescriptions/requests/statements. |
| Short | Related dispensations that are not necessarily related to existing prescriptions/requests/statements. |
| Control | 0..* |
| Type | Reference |
| 108. MedicationTreatmentLineLM.derivedFrom.administration | |
| Definition | Related administrations that are not necessarily related to existing prescriptions/requests/statements. |
| Short | Related administrations that are not necessarily related to existing prescriptions/requests/statements. |
| Control | 0..* |
| Type | Reference |
| 110. MedicationTreatmentLineLM.derivedFrom.other | |
| Definition | Other related sources of information - CarePlan, Immunizations, Documents (e.g. Discharge letters)... |
| Short | Other related sources of information - CarePlan, Immunizations, Documents (e.g. Discharge letters)... |
| Control | 0..* |
| Type | Reference |
IG © 2022+ Integrating the Healthcare Enterprise (IHE). Package ihe.pharm.meow#0.1.0 based on FHIR 5.0.0. Generated 2026-05-14
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