Medication Scheme Implementation Guide
1.0.0 - draft Estonia flag

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

Resource Profile: EETISMedicationExtemporal

Official URL: https://fhir.ee/StructureDefinition/ee-tis-medication-extemporal Version: 1.0.0
Draft as of 2024-07-08 Computable Name: EETISMedicationExtemporal

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

Usage:

Formal Views of Profile Content

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

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication Medication
... meta
.... versionId 0..1 id Version specific identifier
Example versionId: 1
... identifier 0..1 Identifier Prescription number
... code 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 A fixed quantity (no comparator)
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.doseFormpreferredRavimvormid_VS (a valid code from Ravimvorm)
https://fhir.ee/ValueSet/ravimvormid
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid (preferred)
... totalVolume C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... 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) List of ingredients in precise amounts for medication preparation
Binding: SNOMEDCTMedicationCodes (example)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.doseFormpreferredRavimvormid_VS (a valid code from Ravimvorm)
https://fhir.ee/ValueSet/ravimvormid
from this IG
Medication.ingredient.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedication.totalVolumeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedication.totalVolumeThe comparator is not used on a SimpleQuantity
: comparator.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.meta.securityextensibleAllSecurityLabels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Medication.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Medication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Medication.doseFormpreferredRavimvormid_VS (a valid code from Ravimvorm)
https://fhir.ee/ValueSet/ravimvormid
from this IG
Medication.ingredient.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.ingredient.strength[x]preferredMedicationIngredientStrengthCodes
http://hl7.org/fhir/ValueSet/medication-ingredientstrength
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedication.totalVolumeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedication.totalVolumeThe comparator is not used on a SimpleQuantity
: comparator.empty()

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:

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication Medication
... meta
.... versionId 0..1 id Version specific identifier
Example versionId: 1
... identifier 0..1 Identifier Prescription number
... code 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 A fixed quantity (no comparator)
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.doseFormpreferredRavimvormid_VS (a valid code from Ravimvorm)
https://fhir.ee/ValueSet/ravimvormid
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... doseForm 1..1 CodeableConcept Dose form of the medication. E.g powder, tablet, ointment etc.
Binding: Ravimvormid (preferred)
... totalVolume C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... 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) List of ingredients in precise amounts for medication preparation
Binding: SNOMEDCTMedicationCodes (example)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.doseFormpreferredRavimvormid_VS (a valid code from Ravimvorm)
https://fhir.ee/ValueSet/ravimvormid
from this IG
Medication.ingredient.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedication.totalVolumeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedication.totalVolumeThe comparator is not used on a SimpleQuantity
: comparator.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.meta.securityextensibleAllSecurityLabels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Medication.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Medication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Medication.doseFormpreferredRavimvormid_VS (a valid code from Ravimvorm)
https://fhir.ee/ValueSet/ravimvormid
from this IG
Medication.ingredient.itemexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.ingredient.strength[x]preferredMedicationIngredientStrengthCodes
http://hl7.org/fhir/ValueSet/medication-ingredientstrength
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedication.totalVolumeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedication.totalVolumeThe comparator is not used on a SimpleQuantity
: comparator.empty()

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:

 

Other representations of profile: CSV, Excel, Schematron