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 2024-10-26 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.

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
.... 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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... 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
... identifier S 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... code S 0..1 CodeableConcept A terminology-based code for the product
... 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.
... totalVolume S 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.
... 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
.... 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)
.... isActive S 0..1 boolean Active ingredient indicator
.... strength[x] S 0..1 Ratio, CodeableConcept, Quantity Quantity of ingredient present
..... Slices for extension Content/Rules for all slices
...... strengthSubstance 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
...... 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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
.... 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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... 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
... identifier SΣ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... 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.

... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.

... marketingAuthorizationHolder SΣ 0..1 Reference(Organization) Organization that has authorization to market medication
... 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.

... 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.
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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: SNOMEDCTMedicationCodes (example)
.... isActive S 0..1 boolean Active ingredient indicator
.... strength[x] S 0..1 Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.

..... strength[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... strengthSubstance 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
....... 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
..... 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.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
.... 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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... 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
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... 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.

... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.

... marketingAuthorizationHolder SΣ 0..1 Reference(Organization) Organization that has authorization to market medication
... 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.

... 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.
... 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item 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: SNOMEDCTMedicationCodes (example)
.... isActive S 0..1 boolean Active ingredient indicator
.... strength[x] S 0..1 Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.

..... strength[x]All Types Content/Rules for all Types
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... strengthSubstance 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
....... 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
..... strengthRatio Ratio
..... strengthCodeableConcept CodeableConcept
..... strengthQuantity Quantity
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire
... definition 0..1 Reference(MedicationKnowledge) Knowledge about this medication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
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.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-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()

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
.... 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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... 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
... identifier S 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... code S 0..1 CodeableConcept A terminology-based code for the product
... 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.
... totalVolume S 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.
... 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
.... 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)
.... isActive S 0..1 boolean Active ingredient indicator
.... strength[x] S 0..1 Ratio, CodeableConcept, Quantity Quantity of ingredient present
..... Slices for extension Content/Rules for all slices
...... strengthSubstance 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
...... 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

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
.... 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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... 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
... identifier SΣ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... 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.

... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.

... marketingAuthorizationHolder SΣ 0..1 Reference(Organization) Organization that has authorization to market medication
... 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.

... 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.
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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: SNOMEDCTMedicationCodes (example)
.... isActive S 0..1 boolean Active ingredient indicator
.... strength[x] S 0..1 Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.

..... strength[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... strengthSubstance 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
....... 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
..... 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.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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
.... 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
.... 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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... 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
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... 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.

... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.

... marketingAuthorizationHolder SΣ 0..1 Reference(Organization) Organization that has authorization to market medication
... 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.

... 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.
... 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item 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: SNOMEDCTMedicationCodes (example)
.... isActive S 0..1 boolean Active ingredient indicator
.... strength[x] S 0..1 Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.

..... strength[x]All Types Content/Rules for all Types
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... strengthSubstance 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
....... 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
..... strengthRatio Ratio
..... strengthCodeableConcept CodeableConcept
..... strengthQuantity Quantity
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire
... definition 0..1 Reference(MedicationKnowledge) Knowledge about this medication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
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.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-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()

 

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