Cross Border Data Exchange IG
1.0.0 - CI Build International flag

Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions

Resource Profile: Medication - IEHR

Official URL: http://interopehrate.eu/fhir/StructureDefinition/Medication-IEHR Version: 1.0.0
Draft as of 2024-04-08 Computable Name: MedicationIEHR

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 C 0..* Medication Definition of a Medication
iehr-1: If the original code could not be translated it must be present
... code 1..1 CodeableConcept Codes that identify this medication
Binding: CombinedMedication - IEHR (required)
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
Binding: WHO ATC - IPS (required)
..... item[x]:itemCodeableConcept 1..1 CodeableConcept The actual ingredient or content
Binding: WHO ATC - IPS (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.coderequiredCombinedMedicationIEHR
http://interopehrate.eu/fhir/ValueSet/CombinedMedication-IEHR
from this IG
Medication.ingredient.item[x]requiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptrequiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips

Constraints

IdGradePath(s)DetailsRequirements
iehr-1errorMedicationIf the original code could not be translated it must be present
: (code.coding.exists(code = 'OTH') and code.coding.all(extension.exists(url = 'http://interopehrate.eu/fhir/StructureDefinition/AutomaticallyGenerated-Extension-IEHR' and value = 'true'))).not()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication C 0..* Medication Definition of a Medication
iehr-1: If the original code could not be translated it must be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Codes that identify this medication
Binding: CombinedMedication - IEHR (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.coderequiredCombinedMedicationIEHR
http://interopehrate.eu/fhir/ValueSet/CombinedMedication-IEHR
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()
iehr-1errorMedicationIf the original code could not be translated it must be present
: (code.coding.exists(code = 'OTH') and code.coding.all(extension.exists(url = 'http://interopehrate.eu/fhir/StructureDefinition/AutomaticallyGenerated-Extension-IEHR' and value = 'true'))).not()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication C 0..* Medication Definition of a Medication
iehr-1: If the original code could not be translated it must be present
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code Σ 1..1 CodeableConcept Codes that identify this medication
Binding: CombinedMedication - IEHR (required)
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.

... amount Σ 0..1 Ratio Amount of drug in package
... ingredient 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Open by type:$this
Binding: WHO ATC - IPS (required)
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemCodeableConcept 1..1 CodeableConcept The actual ingredient or content
Binding: WHO ATC - IPS (required)
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.coderequiredCombinedMedicationIEHR
http://interopehrate.eu/fhir/ValueSet/CombinedMedication-IEHR
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.item[x]requiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptrequiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()
iehr-1errorMedicationIf the original code could not be translated it must be present
: (code.coding.exists(code = 'OTH') and code.coding.all(extension.exists(url = 'http://interopehrate.eu/fhir/StructureDefinition/AutomaticallyGenerated-Extension-IEHR' and value = 'true'))).not()

This structure is derived from Medication

Summary

Mandatory: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.ingredient.item[x]

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication C 0..* Medication Definition of a Medication
iehr-1: If the original code could not be translated it must be present
... code 1..1 CodeableConcept Codes that identify this medication
Binding: CombinedMedication - IEHR (required)
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
Binding: WHO ATC - IPS (required)
..... item[x]:itemCodeableConcept 1..1 CodeableConcept The actual ingredient or content
Binding: WHO ATC - IPS (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.coderequiredCombinedMedicationIEHR
http://interopehrate.eu/fhir/ValueSet/CombinedMedication-IEHR
from this IG
Medication.ingredient.item[x]requiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptrequiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips

Constraints

IdGradePath(s)DetailsRequirements
iehr-1errorMedicationIf the original code could not be translated it must be present
: (code.coding.exists(code = 'OTH') and code.coding.all(extension.exists(url = 'http://interopehrate.eu/fhir/StructureDefinition/AutomaticallyGenerated-Extension-IEHR' and value = 'true'))).not()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication C 0..* Medication Definition of a Medication
iehr-1: If the original code could not be translated it must be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Codes that identify this medication
Binding: CombinedMedication - IEHR (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.coderequiredCombinedMedicationIEHR
http://interopehrate.eu/fhir/ValueSet/CombinedMedication-IEHR
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()
iehr-1errorMedicationIf the original code could not be translated it must be present
: (code.coding.exists(code = 'OTH') and code.coding.all(extension.exists(url = 'http://interopehrate.eu/fhir/StructureDefinition/AutomaticallyGenerated-Extension-IEHR' and value = 'true'))).not()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication C 0..* Medication Definition of a Medication
iehr-1: If the original code could not be translated it must be present
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code Σ 1..1 CodeableConcept Codes that identify this medication
Binding: CombinedMedication - IEHR (required)
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.

... amount Σ 0..1 Ratio Amount of drug in package
... ingredient 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Open by type:$this
Binding: WHO ATC - IPS (required)
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemCodeableConcept 1..1 CodeableConcept The actual ingredient or content
Binding: WHO ATC - IPS (required)
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.coderequiredCombinedMedicationIEHR
http://interopehrate.eu/fhir/ValueSet/CombinedMedication-IEHR
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.item[x]requiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips
Medication.ingredient.item[x]:itemCodeableConceptrequiredWhoAtcUvIps
http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()
iehr-1errorMedicationIf the original code could not be translated it must be present
: (code.coding.exists(code = 'OTH') and code.coding.all(extension.exists(url = 'http://interopehrate.eu/fhir/StructureDefinition/AutomaticallyGenerated-Extension-IEHR' and value = 'true'))).not()

This structure is derived from Medication

Summary

Mandatory: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.ingredient.item[x]

 

Other representations of profile: CSV, Excel, Schematron