Medication Scheme Implementation Guide
1.0.0 - draft
Medication Scheme Implementation Guide
1.0.0 - draft
Medication Scheme Implementation Guide, published by TEHIK. 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/TEHIK-EE/ig-ee-medication-scheme/ and changes regularly. See the Directory of published versions
| Official URL: https://fhir.ee/StructureDefinition/ee-tis-medication-epc | Version: 1.0.0 | |||
| Draft as of 2024-02-14 | Computable Name: EETISMedicationEPC | |||
Ravim. Medication resource as it is presented today in Estonian e-Prescription center (Retseptikeskus). Used on prescriptions NOT on dispensations.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 |
1..* | 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 | |
   extension:atc |
1..1 | CodeableConcept | Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:sizeOfItem |
0..1 | SimpleQuantity | Size of medicinal product item (3ml). E.g. total volume of packaged medication is 30ml but it includes 10 items 3ml each. URL: https://fhir.ee/StructureDefinition/ee-tis-size-of-item ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 extension:name |
0..1 | string | Registered name for the medicinal product. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 identifier |
Σ | 0..1 | Identifier | Package code when medication is prescribed based on specific package ele-1: All FHIR elements must have a @value or children |
| doseForm |
1..1 | CodeableConcept | Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred) ele-1: All FHIR elements must have a @value or children | |
| totalVolume |
Σ | 1..1 | SimpleQuantity | If the certain medication (brand name) is chosen then total volume is the amount of medication in package. If based on just active ingredient then total volume is same as in MedicationStatement TotalPrescribedAmount. ele-1: All FHIR elements must have a @value or children |
| value |
Σ | 1..1 | decimal | Total volume of medication. ele-1: All FHIR elements must have a @value or children |
 code |
ΣC | 0..1 | code | Unit for total volume ele-1: All FHIR elements must have a @value or children |
 ingredient |
1..* | BackboneElement | Active or inactive ingredient 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 |
1..1 | CodeableReference(Substance | Medication) | Active ingredient from Ravimiameti value set Binding: Toimeainete loend (preferred) ele-1: All FHIR elements must have a @value or children | |
| isActive |
1..1 | boolean | Active ingredient indicator ele-1: All FHIR elements must have a @value or children | |
| value |
0..1 | boolean | Primitive value for boolean Required Pattern: true | |
| strength[x] |
1..1 | Ratio | Strenght ratio of the active ingredient ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Medication.doseForm | preferred | Ravimvormid_VS (a valid code from Ravimvorm)https://fhir.ee/ValueSet/ravimvormidfrom this IG | |
| Medication.ingredient.item | preferred | Toimeained_VS (a valid code from Toimeained)https://fhir.ee/ValueSet/toimeainedfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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 |
|---|---|---|---|---|
| Medication |
Medication | |||
 meta |
||||
| versionId |
0..1 | id | Version specific identifier Example versionId: 1 | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:atc |
1..1 | CodeableConcept | Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification | |
| extension:sizeOfItem |
0..1 | SimpleQuantity | Size of medicinal product item (3ml). E.g. total volume of packaged medication is 30ml but it includes 10 items 3ml each. URL: https://fhir.ee/StructureDefinition/ee-tis-size-of-item | |
| extension:name |
0..1 | string | Registered name for the medicinal product. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name | |
| identifier |
0..1 | Identifier | Package code when medication is prescribed based on specific package | |
| code |
0..0 | |||
| status |
0..0 | |||
| marketingAuthorizationHolder |
0..0 | |||
| doseForm |
1..1 | CodeableConcept | Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred) | |
| totalVolume |
1..1 | SimpleQuantity | If the certain medication (brand name) is chosen then total volume is the amount of medication in package. If based on just active ingredient then total volume is same as in MedicationStatement TotalPrescribedAmount. | |
| value |
1..1 | decimal | Total volume of medication. | |
| unit |
0..0 | |||
| code |
0..1 | code | Unit for total volume | |
| ingredient |
1..* | BackboneElement | Active or inactive ingredient | |
| item |
1..1 | CodeableReference(Substance | Medication) | Active ingredient from Ravimiameti value set Binding: Toimeainete loend (preferred) | |
| isActive |
1..1 | boolean | Active ingredient indicator | |
| value |
0..1 | boolean | Primitive value for boolean Required Pattern: true | |
| strength[x] |
1..1 | Ratio | Strenght ratio of the active ingredient | |
| batch |
0..0 | |||
| definition |
0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Medication.doseForm | preferred | Ravimvormid_VS (a valid code from Ravimvorm)https://fhir.ee/ValueSet/ravimvormidfrom this IG | |
| Medication.ingredient.item | preferred | Toimeained_VS (a valid code from Toimeained)https://fhir.ee/ValueSet/toimeainedfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier Example versionId: 1 | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| 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: AllSecurityLabels (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". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:atc |
1..1 | CodeableConcept | Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification | |||||
| extension:sizeOfItem |
0..1 | SimpleQuantity | Size of medicinal product item (3ml). E.g. total volume of packaged medication is 30ml but it includes 10 items 3ml each. URL: https://fhir.ee/StructureDefinition/ee-tis-size-of-item | |||||
| extension:name |
0..1 | string | Registered name for the medicinal product. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..1 | Identifier | Package code when medication is prescribed based on specific package | ||||
| doseForm |
1..1 | CodeableConcept | Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred) | |||||
| totalVolume |
Σ | 1..1 | SimpleQuantity | If the certain medication (brand name) is chosen then total volume is the amount of medication in package. If based on just active ingredient then total volume is same as in MedicationStatement TotalPrescribedAmount. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 1..1 | decimal | Total volume of medication. | ||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code |
ΣC | 0..1 | code | Unit for total volume | ||||
| ingredient |
1..* | 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 | ||||
| item |
1..1 | CodeableReference(Substance | Medication) | Active ingredient from Ravimiameti value set Binding: Toimeainete loend (preferred) | |||||
| isActive |
1..1 | boolean | Active ingredient indicator | |||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| value |
0..1 | boolean | Primitive value for boolean Required Pattern: true | |||||
| strength[x] |
1..1 | Ratio | Strenght ratio of the active ingredient | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI |
| Medication.meta.security | extensible | AllSecurityLabelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | |
| Medication.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | |
| Medication.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| Medication.doseForm | preferred | Ravimvormid_VS (a valid code from Ravimvorm)https://fhir.ee/ValueSet/ravimvormidfrom this IG | |
| Medication.ingredient.item | preferred | Toimeained_VS (a valid code from Toimeained)https://fhir.ee/ValueSet/toimeainedfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 |
1..* | 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 | |
| extension:atc |
1..1 | CodeableConcept | Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:sizeOfItem |
0..1 | SimpleQuantity | Size of medicinal product item (3ml). E.g. total volume of packaged medication is 30ml but it includes 10 items 3ml each. URL: https://fhir.ee/StructureDefinition/ee-tis-size-of-item ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:name |
0..1 | string | Registered name for the medicinal product. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| identifier |
Σ | 0..1 | Identifier | Package code when medication is prescribed based on specific package ele-1: All FHIR elements must have a @value or children |
| doseForm |
1..1 | CodeableConcept | Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred) ele-1: All FHIR elements must have a @value or children | |
| totalVolume |
Σ | 1..1 | SimpleQuantity | If the certain medication (brand name) is chosen then total volume is the amount of medication in package. If based on just active ingredient then total volume is same as in MedicationStatement TotalPrescribedAmount. ele-1: All FHIR elements must have a @value or children |
| value |
Σ | 1..1 | decimal | Total volume of medication. ele-1: All FHIR elements must have a @value or children |
| code |
ΣC | 0..1 | code | Unit for total volume ele-1: All FHIR elements must have a @value or children |
| ingredient |
1..* | BackboneElement | Active or inactive ingredient 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 |
1..1 | CodeableReference(Substance | Medication) | Active ingredient from Ravimiameti value set Binding: Toimeainete loend (preferred) ele-1: All FHIR elements must have a @value or children | |
| isActive |
1..1 | boolean | Active ingredient indicator ele-1: All FHIR elements must have a @value or children | |
| value |
0..1 | boolean | Primitive value for boolean Required Pattern: true | |
| strength[x] |
1..1 | Ratio | Strenght ratio of the active ingredient ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Medication.doseForm | preferred | Ravimvormid_VS (a valid code from Ravimvorm)https://fhir.ee/ValueSet/ravimvormidfrom this IG | |
| Medication.ingredient.item | preferred | Toimeained_VS (a valid code from Toimeained)https://fhir.ee/ValueSet/toimeainedfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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 |
|---|---|---|---|---|
| Medication |
Medication | |||
| meta |
||||
| versionId |
0..1 | id | Version specific identifier Example versionId: 1 | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:atc |
1..1 | CodeableConcept | Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification | |
| extension:sizeOfItem |
0..1 | SimpleQuantity | Size of medicinal product item (3ml). E.g. total volume of packaged medication is 30ml but it includes 10 items 3ml each. URL: https://fhir.ee/StructureDefinition/ee-tis-size-of-item | |
| extension:name |
0..1 | string | Registered name for the medicinal product. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name | |
| identifier |
0..1 | Identifier | Package code when medication is prescribed based on specific package | |
| code |
0..0 | |||
| status |
0..0 | |||
| marketingAuthorizationHolder |
0..0 | |||
| doseForm |
1..1 | CodeableConcept | Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred) | |
| totalVolume |
1..1 | SimpleQuantity | If the certain medication (brand name) is chosen then total volume is the amount of medication in package. If based on just active ingredient then total volume is same as in MedicationStatement TotalPrescribedAmount. | |
| value |
1..1 | decimal | Total volume of medication. | |
| unit |
0..0 | |||
| code |
0..1 | code | Unit for total volume | |
| ingredient |
1..* | BackboneElement | Active or inactive ingredient | |
| item |
1..1 | CodeableReference(Substance | Medication) | Active ingredient from Ravimiameti value set Binding: Toimeainete loend (preferred) | |
| isActive |
1..1 | boolean | Active ingredient indicator | |
| value |
0..1 | boolean | Primitive value for boolean Required Pattern: true | |
| strength[x] |
1..1 | Ratio | Strenght ratio of the active ingredient | |
| batch |
0..0 | |||
| definition |
0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Medication.doseForm | preferred | Ravimvormid_VS (a valid code from Ravimvorm)https://fhir.ee/ValueSet/ravimvormidfrom this IG | |
| Medication.ingredient.item | preferred | Toimeained_VS (a valid code from Toimeained)https://fhir.ee/ValueSet/toimeainedfrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier Example versionId: 1 | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| 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: AllSecurityLabels (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". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:atc |
1..1 | CodeableConcept | Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, OTC medication etc. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification | |||||
| extension:sizeOfItem |
0..1 | SimpleQuantity | Size of medicinal product item (3ml). E.g. total volume of packaged medication is 30ml but it includes 10 items 3ml each. URL: https://fhir.ee/StructureDefinition/ee-tis-size-of-item | |||||
| extension:name |
0..1 | string | Registered name for the medicinal product. URL: https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..1 | Identifier | Package code when medication is prescribed based on specific package | ||||
| doseForm |
1..1 | CodeableConcept | Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred) | |||||
| totalVolume |
Σ | 1..1 | SimpleQuantity | If the certain medication (brand name) is chosen then total volume is the amount of medication in package. If based on just active ingredient then total volume is same as in MedicationStatement TotalPrescribedAmount. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 1..1 | decimal | Total volume of medication. | ||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code |
ΣC | 0..1 | code | Unit for total volume | ||||
| ingredient |
1..* | 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 | ||||
| item |
1..1 | CodeableReference(Substance | Medication) | Active ingredient from Ravimiameti value set Binding: Toimeainete loend (preferred) | |||||
| isActive |
1..1 | boolean | Active ingredient indicator | |||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| value |
0..1 | boolean | Primitive value for boolean Required Pattern: true | |||||
| strength[x] |
1..1 | Ratio | Strenght ratio of the active ingredient | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI |
| Medication.meta.security | extensible | AllSecurityLabelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | |
| Medication.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | |
| Medication.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| Medication.doseForm | preferred | Ravimvormid_VS (a valid code from Ravimvorm)https://fhir.ee/ValueSet/ravimvormidfrom this IG | |
| Medication.ingredient.item | preferred | Toimeained_VS (a valid code from Toimeained)https://fhir.ee/ValueSet/toimeainedfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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
Other representations of profile: CSV, Excel, Schematron