NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. 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/PROJ-PHILHEALTH-EA-NHDR/nhdr-fhir-ig-review-project-2/ and changes regularly. See the Directory of published versions

## Resource Profile: PH Medication

Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Medication | Version: 0.1.0
Standards status: Draft | Computable Name: PH_Medication
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

### Usage Notes

- This profile is aligned with the national health data strategy in the Philippines.
- Medication coding will transition to SNOMED CT once officially implemented in the country.
- Other supported terminologies may include applicable FDA drug codes and relevant FHIR-based terminologies

Usages:

- Refer to this Profile: PH Medication, PH MedicationAdministration, PH MedicationDispense, PH MedicationRequest and PH MedicationStatement

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:packaging |  | 0..* | CodeableConcept | Detailed description on the medication packaging URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging Binding: Drug Codes (required)
extension:type |  | 0..1 | CodeableConcept | Medication Type URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
code | Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: Drug Codes (required)
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: OrderableDrugForm (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | required | Drug Codes | 📦0.1.0 | This IG
Medication.form | Base | required | OrderableDrugForm | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Medication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
lastUpdated |  | 0..1 | instant | When the resource was uploaded to the NHDR.
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..0 |  | Language of the resource content
text |  | 0..0 |  | Text summary of the resource, for human interpretation
contained |  | 0..0 |  | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:packaging |  | 0..* | CodeableConcept | Detailed description on the medication packaging URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging Binding: Drug Codes (required)
extension:type |  | 0..1 | CodeableConcept | Medication Type URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
modifierExtension |  | 0..0 |  | Extension
code |  | 0..1 | CodeableConcept | Codes that identify this medication Binding: Drug Codes (required)
status |  | 0..0 |  | active | inactive | entered-in-error
manufacturer |  | 0..0 |  | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: OrderableDrugForm (required)
amount |  | 0..0 |  | Amount of drug in package
ingredient |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
Slices for item[x] |  | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemReference |  | 0..1 | Reference(Substance | PH Medication) | The actual ingredient or content
isActive |  | 0..0 |  | Active ingredient indicator
batch |  | 0..0 |  | Details about packaged medications
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | required | Drug Codes | 📦0.1.0 | This IG
Medication.form | Base | required | OrderableDrugForm | 📦3.0.0 | THO v7.1

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
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
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource was uploaded to the NHDR.
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:packaging |  | 0..* | CodeableConcept | Detailed description on the medication packaging URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging Binding: Drug Codes (required)
extension:type |  | 0..1 | CodeableConcept | Medication Type URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: Drug Codes (required)
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: OrderableDrugForm (required)
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
Slices for item[x] |  | 1..1 |  | The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Substance | PH Medication) | The actual ingredient or content
strength |  | 0..1 | Ratio | Quantity of ingredient present
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Medication.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Medication.code | Base | required | Drug Codes | 📦0.1.0 | This IG
Medication.form | Base | required | OrderableDrugForm | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Medication

Summary

Prohibited: 13 elements

Structures

This structure refers to these other structures:

- PH Medication (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Medication)

Extensions

This structure refers to these extensions:

- https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
- https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
- https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
- https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType

Slices

This structure defines the following Slices:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:packaging |  | 0..* | CodeableConcept | Detailed description on the medication packaging URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging Binding: Drug Codes (required)
extension:type |  | 0..1 | CodeableConcept | Medication Type URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
code | Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: Drug Codes (required)
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: OrderableDrugForm (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | required | Drug Codes | 📦0.1.0 | This IG
Medication.form | Base | required | OrderableDrugForm | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Medication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
lastUpdated |  | 0..1 | instant | When the resource was uploaded to the NHDR.
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..0 |  | Language of the resource content
text |  | 0..0 |  | Text summary of the resource, for human interpretation
contained |  | 0..0 |  | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:packaging |  | 0..* | CodeableConcept | Detailed description on the medication packaging URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging Binding: Drug Codes (required)
extension:type |  | 0..1 | CodeableConcept | Medication Type URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
modifierExtension |  | 0..0 |  | Extension
code |  | 0..1 | CodeableConcept | Codes that identify this medication Binding: Drug Codes (required)
status |  | 0..0 |  | active | inactive | entered-in-error
manufacturer |  | 0..0 |  | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: OrderableDrugForm (required)
amount |  | 0..0 |  | Amount of drug in package
ingredient |  |  |  |
id |  | 0..0 |  | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension
modifierExtension |  | 0..0 |  | Extension
Slices for item[x] |  | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemReference |  | 0..1 | Reference(Substance | PH Medication) | The actual ingredient or content
isActive |  | 0..0 |  | Active ingredient indicator
batch |  | 0..0 |  | Details about packaged medications
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | required | Drug Codes | 📦0.1.0 | This IG
Medication.form | Base | required | OrderableDrugForm | 📦3.0.0 | THO v7.1

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
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
extension:hfRecordedDate |  | 0..1 | dateTime | The recorded date indicating when the record was uploaded by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
extension:hfLastUpdated |  | 0..* | dateTime | The date indicating when the record was last updated by the health facility. URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource was uploaded to the NHDR.
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:packaging |  | 0..* | CodeableConcept | Detailed description on the medication packaging URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging Binding: Drug Codes (required)
extension:type |  | 0..1 | CodeableConcept | Medication Type URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: Drug Codes (required)
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: OrderableDrugForm (required)
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
Slices for item[x] |  | 1..1 |  | The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Substance | PH Medication) | The actual ingredient or content
strength |  | 0..1 | Ratio | Quantity of ingredient present
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Medication.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Medication.code | Base | required | Drug Codes | 📦0.1.0 | This IG
Medication.form | Base | required | OrderableDrugForm | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Medication

Summary

Prohibited: 13 elements

Structures

This structure refers to these other structures:

- PH Medication (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Medication)

Extensions

This structure refers to these extensions:

- https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
- https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
- https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
- https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType

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