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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: EETISMedicationEPC

Ravim. Medication resource as it is presented today in Estonian e-Prescription center (Retseptikeskus). Used on prescriptions NOT on dispensations.

Usages:

• Use this Profile: EETISMedicationOverview
• Refer to this Profile: EETISComposition, EETISMedicationStatementFoodSupplement, EETISMedicationStatementOTC, EETISMedicationStatement and EETISPrescription
• Examples for this Profile: Medication/TiamiinPyridoksiinTsyanokobalamiinLidokaiin, Medication/adrenalin, Medication/alprazolam, Medication/aspirin... Show 4 more, Medication/dexamethason, Medication/fenoksymetyylpenitsilliin, Medication/metformin and Medication/novorapid

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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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
Slices for identifier	Σ	0..*	Identifier	Package code when medication is prescribed based on specific package. Slice prescriptionNumber is used for grouping medications in TJT. ATC is found in extension. Slice: Unordered, Open by value:system
identifier:packageNumber	Σ	0..1	Identifier	Business identifier for this medication
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
identifier:prescriptionNumber	Σ	0..1	Identifier	Business identifier for this medication
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#retseptikeskus-retsept
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.
value	Σ	1..1	decimal	Total volume of medication.
code	ΣC	0..1	code	Unit for total volume
ingredient		1..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	CodeableReference(Substance | Medication)	Active ingredient from Ravimiregister 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.identifier:packageNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.identifier:prescriptionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.doseForm	preferred	Ravimvormid_VS https://fhir.ee/ValueSet/ravimvormid From this IG
Medication.ingredient.item	preferred	Toimeained_VS(a valid code from Toimeained) https://fhir.ee/ValueSet/toimeained From this IG

Constraints

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    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a 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
Slices for identifier		0..*	Identifier	Package code when medication is prescribed based on specific package. Slice prescriptionNumber is used for grouping medications in TJT. ATC is found in extension. Slice: Unordered, Open by value:system
identifier:packageNumber		0..1	Identifier	Business identifier for this medication
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
identifier:prescriptionNumber		0..1	Identifier	Business identifier for this medication
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#retseptikeskus-retsept
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 Ravimiregister 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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.doseForm	preferred	Ravimvormid_VS https://fhir.ee/ValueSet/ravimvormid From this IG
Medication.ingredient.item	preferred	Toimeained_VS(a valid code from Toimeained) https://fhir.ee/ValueSet/toimeained From this IG

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	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 Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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
Slices for identifier	Σ	0..*	Identifier	Package code when medication is prescribed based on specific package. Slice prescriptionNumber is used for grouping medications in TJT. ATC is found in extension. Slice: Unordered, Open by value:system
identifier:packageNumber	Σ	0..1	Identifier	Business identifier for this medication
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:prescriptionNumber	Σ	0..1	Identifier	Business identifier for this medication
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#retseptikeskus-retsept
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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 Ravimiregister 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels|5.0.0 From the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags|5.0.0 From the FHIR Standard
Medication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Medication.identifier:packageNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.identifier:packageNumber.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type|5.0.0 From the FHIR Standard
Medication.identifier:prescriptionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.identifier:prescriptionNumber.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type|5.0.0 From the FHIR Standard
Medication.doseForm	preferred	Ravimvormid_VS https://fhir.ee/ValueSet/ravimvormid From this IG
Medication.ingredient.item	preferred	Toimeained_VS(a valid code from Toimeained) https://fhir.ee/ValueSet/toimeained From this IG

Constraints

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

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
• https://fhir.ee/StructureDefinition/ee-tis-size-of-item
• https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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		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
Slices for identifier	Σ	0..*	Identifier	Package code when medication is prescribed based on specific package. Slice prescriptionNumber is used for grouping medications in TJT. ATC is found in extension. Slice: Unordered, Open by value:system
identifier:packageNumber	Σ	0..1	Identifier	Business identifier for this medication
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
identifier:prescriptionNumber	Σ	0..1	Identifier	Business identifier for this medication
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#retseptikeskus-retsept
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.
value	Σ	1..1	decimal	Total volume of medication.
code	ΣC	0..1	code	Unit for total volume
ingredient		1..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	CodeableReference(Substance | Medication)	Active ingredient from Ravimiregister 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.identifier:packageNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.identifier:prescriptionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.doseForm	preferred	Ravimvormid_VS https://fhir.ee/ValueSet/ravimvormid From this IG
Medication.ingredient.item	preferred	Toimeained_VS(a valid code from Toimeained) https://fhir.ee/ValueSet/toimeained From this IG

Constraints

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    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a 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
Slices for identifier		0..*	Identifier	Package code when medication is prescribed based on specific package. Slice prescriptionNumber is used for grouping medications in TJT. ATC is found in extension. Slice: Unordered, Open by value:system
identifier:packageNumber		0..1	Identifier	Business identifier for this medication
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
identifier:prescriptionNumber		0..1	Identifier	Business identifier for this medication
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#retseptikeskus-retsept
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 Ravimiregister 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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.doseForm	preferred	Ravimvormid_VS https://fhir.ee/ValueSet/ravimvormid From this IG
Medication.ingredient.item	preferred	Toimeained_VS(a valid code from Toimeained) https://fhir.ee/ValueSet/toimeained From this IG

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	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 Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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
Slices for identifier	Σ	0..*	Identifier	Package code when medication is prescribed based on specific package. Slice prescriptionNumber is used for grouping medications in TJT. ATC is found in extension. Slice: Unordered, Open by value:system
identifier:packageNumber	Σ	0..1	Identifier	Business identifier for this medication
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiregister-pakend
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:prescriptionNumber	Σ	0..1	Identifier	Business identifier for this medication
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#retseptikeskus-retsept
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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 Ravimiregister 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels|5.0.0 From the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags|5.0.0 From the FHIR Standard
Medication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Medication.identifier:packageNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.identifier:packageNumber.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type|5.0.0 From the FHIR Standard
Medication.identifier:prescriptionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Medication.identifier:prescriptionNumber.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type|5.0.0 From the FHIR Standard
Medication.doseForm	preferred	Ravimvormid_VS https://fhir.ee/ValueSet/ravimvormid From this IG
Medication.ingredient.item	preferred	Toimeained_VS(a valid code from Toimeained) https://fhir.ee/ValueSet/toimeained From this IG

Constraints

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

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-classification
• https://fhir.ee/StructureDefinition/ee-tis-size-of-item
• https://fhir.ee/StructureDefinition/ee-tis-medicinal-product-name

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.identifier

Other representations of profile: CSV, Excel, Schematron