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: EETISMedicationExtemporal

Ekstemporaalne ravim. Profile for representing medication that is prepared in pharmacy by pharmacist. E.g. sulfur ointment or solution of Protargoli.

Usage:

• Use this Resource Profile: EETISMedicationOverview
• Refer to this Resource Profile: EETISComposition, EETISMedicationStatementOTC, EETISMedicationStatement, EETISPrescriptionDispense and EETISPrescription
• Examples for this Resource Profile: Medication/extemporal

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
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
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	Prescription number 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	0..1	SimpleQuantity	When the specified product code does not infer a package size, this is the specific amount of drug in the product 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)	List of ingredients in precise amounts for medication preparation Binding: SNOMEDCTMedicationCodes (example) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.doseForm	preferred	Ravimvormid_VS (a valid code from Ravimvorm) https://fhir.ee/ValueSet/ravimvormid from this IG
Medication.ingredient.item	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

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
Medication			Medication
meta
versionId		0..1	id	Version specific identifier Example versionId: 1
identifier		0..1	Identifier	Prescription number
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		0..1	SimpleQuantity	When the specified product code does not infer a package size, this is the specific amount of drug in the product
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)	List of ingredients in precise amounts for medication preparation
concept
text		1..1	string	Plain text representation of the concept
batch		0..0
definition		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.doseForm	preferred	Ravimvormid_VS (a valid code from Ravimvorm) https://fhir.ee/ValueSet/ravimvormid from 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 Additional Bindings Purpose CommonLanguages Starter Set
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Prescription number
doseForm		1..1	CodeableConcept	Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred)
totalVolume	Σ	0..1	SimpleQuantity	When the specified product code does not infer a package size, this is the specific amount of drug in the product
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)	List of ingredients in precise amounts for medication preparation Binding: SNOMEDCTMedicationCodes (example)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
isActive		0..1	boolean	Active ingredient indicator
strength[x]		0..1		Quantity of ingredient present Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Medication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Medication.doseForm	preferred	Ravimvormid_VS (a valid code from Ravimvorm) https://fhir.ee/ValueSet/ravimvormid from this IG
Medication.ingredient.item	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.ingredient.strength[x]	preferred	MedicationIngredientStrengthCodes http://hl7.org/fhir/ValueSet/medication-ingredientstrength from the FHIR Standard

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

Structures

This structure refers to these other structures:

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

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
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	Prescription number 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	0..1	SimpleQuantity	When the specified product code does not infer a package size, this is the specific amount of drug in the product 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)	List of ingredients in precise amounts for medication preparation Binding: SNOMEDCTMedicationCodes (example) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.doseForm	preferred	Ravimvormid_VS (a valid code from Ravimvorm) https://fhir.ee/ValueSet/ravimvormid from this IG
Medication.ingredient.item	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

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
Medication			Medication
meta
versionId		0..1	id	Version specific identifier Example versionId: 1
identifier		0..1	Identifier	Prescription number
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		0..1	SimpleQuantity	When the specified product code does not infer a package size, this is the specific amount of drug in the product
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)	List of ingredients in precise amounts for medication preparation
concept
text		1..1	string	Plain text representation of the concept
batch		0..0
definition		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.doseForm	preferred	Ravimvormid_VS (a valid code from Ravimvorm) https://fhir.ee/ValueSet/ravimvormid from 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 Additional Bindings Purpose CommonLanguages Starter Set
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Prescription number
doseForm		1..1	CodeableConcept	Dose form of the medication. E.g powder, tablet, ointment etc. Binding: Ravimvormid (preferred)
totalVolume	Σ	0..1	SimpleQuantity	When the specified product code does not infer a package size, this is the specific amount of drug in the product
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)	List of ingredients in precise amounts for medication preparation Binding: SNOMEDCTMedicationCodes (example)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
isActive		0..1	boolean	Active ingredient indicator
strength[x]		0..1		Quantity of ingredient present Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Medication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Medication.doseForm	preferred	Ravimvormid_VS (a valid code from Ravimvorm) https://fhir.ee/ValueSet/ravimvormid from this IG
Medication.ingredient.item	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.ingredient.strength[x]	preferred	MedicationIngredientStrengthCodes http://hl7.org/fhir/ValueSet/medication-ingredientstrength from the FHIR Standard

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

Structures

This structure refers to these other structures:

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

Other representations of profile: CSV, Excel, Schematron