Medication Prescription and Delivery (MPD)
0.1.0 - ci-build International flag

Medication Prescription and Delivery (MPD), 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-mpd/ and changes regularly. See the Directory of published versions

Resource Profile: IHE Medication

Official URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/IHEMedication Version: 0.1.0
Active as of 2024-12-31 Computable Name: IHEMedication

Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property

Medication for clinical use cases. This could be a branded product or a generic concept, also allowing describing pack size and components of complex products.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... productName 0..1 string Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-productname
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... classification 0..* CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-classification
Binding: ProductClassification (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... sizeOfItem 0..1 Quantity Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-sizeofitem
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-device
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
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 Identifier for the medicinal product, its generic representation, or packaged product.
ele-1: All FHIR elements must have a @value or children
... code SΣ 0..1 CodeableConcept A terminology-based code for the product
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.


ele-1: All FHIR elements must have a @value or children
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.


ele-1: All FHIR elements must have a @value or children
... marketingAuthorizationHolder SΣ 0..1 Reference(Organization) Organization that has authorization to market medication
ele-1: All FHIR elements must have a @value or children
... doseForm S 0..1 CodeableConcept Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form.
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.


ele-1: All FHIR elements must have a @value or children
... totalVolume SΣ 0..1 Quantity Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ele-1: All FHIR elements must have a @value or children
... ingredient S 0..* BackboneElement Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
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
.... item S 1..1 CodeableReference(Substance | IHE Medication) Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets)
Binding: SNOMEDCTSubstanceCodes (example)
ele-1: All FHIR elements must have a @value or children
.... isActive S 0..1 boolean Active ingredient indicator
ele-1: All FHIR elements must have a @value or children
.... strength[x] S 0..1 Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.


ele-1: All FHIR elements must have a @value or children
..... strength[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... basisOfStrengthSubstance 0..1 CodeableConcept Substance for which the strength is provided (this could be different from the precise active ingredient).
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: SNOMEDCTSubstanceCodes (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... strengthType 0..1 CodeableConcept Type of the given strength (concentration strength, presentation strength, or other)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-strengthtype
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... strengthRatio Ratio
..... strengthCodeableConcept CodeableConcept
..... strengthQuantity Quantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedicationStatusCodes
http://hl7.org/fhir/ValueSet/medication-status|5.0.0
from the FHIR Standard
Medication.doseFormexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.itemexampleSNOMEDCTSubstanceCodes
http://hl7.org/fhir/ValueSet/substance-codes
from the FHIR Standard
Medication.ingredient.strength[x]preferredMedicationIngredientStrengthCodes
http://hl7.org/fhir/ValueSet/medication-ingredientstrength
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron