NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

Resource Profile: PH Medication

Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-Medication Version: 0.1.0
Standards status: Draft Computable Name: PH_Medication

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

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

Usage Notes

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

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Medication 0..* Medication Definition of a Medication
Medication.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Medication.Slices for extension.extension:packaging 0..* CodeableConcept Detailed description on the medication packaging
URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
Binding: Drug Codes (required)
Medication.Slices for extension.extension:type 0..1 CodeableConcept Medication Type
URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
Medication.code This element is included in summaries. 0..1 CodeableConcept Codes that identify this medication
Binding: Drug Codes (required)
Medication.form 0..1 CodeableConcept powder | tablets | capsule +
Binding: OrderableDrugForm (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.code Base required Drug Codes 📦0.1.0 This IG
Medication.form Base required OrderableDrugForm 📦3.0.0 THO v7.4

Constraints

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

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Medication 0..* Medication Definition of a Medication
Medication.meta
Medication.meta.Slices for extension Content/Rules for all slices
Medication.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
Medication.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
Medication.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
Medication.implicitRules 0..0 A set of rules under which this content was created
Medication.language 0..0 Language of the resource content
Medication.contained 0..0 Contained, inline Resources
Medication.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Medication.Slices for extension.extension:packaging 0..* CodeableConcept Detailed description on the medication packaging
URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
Binding: Drug Codes (required)
Medication.Slices for extension.extension:type 0..1 CodeableConcept Medication Type
URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
Medication.modifierExtension 0..0 Extension
Medication.code 0..1 CodeableConcept Codes that identify this medication
Binding: Drug Codes (required)
Medication.status 0..0 active | inactive | entered-in-error
Medication.manufacturer 0..0 Manufacturer of the item
Medication.form 0..1 CodeableConcept powder | tablets | capsule +
Binding: OrderableDrugForm (required)
Medication.amount 0..0 Amount of drug in package
Medication.ingredient
Medication.ingredient.id 0..0 Unique id for inter-element referencing
Medication.ingredient.extension 0..0 Extension
Medication.ingredient.modifierExtension 0..0 Extension
Medication.ingredient.isActive 0..0 Active ingredient indicator
Medication.batch 0..0 Details about packaged medications

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Medication.code Base required Drug Codes 📦0.1.0 This IG
Medication.form Base required OrderableDrugForm 📦3.0.0 THO v7.4
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Medication 0..* Medication Definition of a Medication
Medication.id This element is included in summaries. 0..1 id Logical id of this artifact
Medication.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Medication.meta.id 0..1 string Unique id for inter-element referencing
Medication.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Medication.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
Medication.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
Medication.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Medication.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
Medication.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
Medication.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Medication.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Medication.meta.tag This element is included in summaries. 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".
Medication.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Medication.Slices for extension.extension:packaging 0..* CodeableConcept Detailed description on the medication packaging
URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
Binding: Drug Codes (required)
Medication.Slices for extension.extension:type 0..1 CodeableConcept Medication Type
URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
Medication.identifier This element is included in summaries. 0..* Identifier Business identifier for this medication
Medication.code This element is included in summaries. 0..1 CodeableConcept Codes that identify this medication
Binding: Drug Codes (required)
Medication.form 0..1 CodeableConcept powder | tablets | capsule +
Binding: OrderableDrugForm (required)
Medication.ingredient 0..* BackboneElement Active or inactive ingredient
Medication.ingredient.item[x] 1..1 The actual ingredient or content
Medication.ingredient.item[x].itemCodeableConcept CodeableConcept
Medication.ingredient.item[x].itemReference Reference(Substance | Medication)
Medication.ingredient.strength 0..1 Ratio Quantity of ingredient present

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Medication.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Medication.code Base required Drug Codes 📦0.1.0 This IG
Medication.form Base required OrderableDrugForm 📦3.0.0 THO v7.4

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Medication 0..* Medication Definition of a Medication
Medication.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Medication.Slices for extension.extension:packaging 0..* CodeableConcept Detailed description on the medication packaging
URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
Binding: Drug Codes (required)
Medication.Slices for extension.extension:type 0..1 CodeableConcept Medication Type
URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
Medication.code This element is included in summaries. 0..1 CodeableConcept Codes that identify this medication
Binding: Drug Codes (required)
Medication.form 0..1 CodeableConcept powder | tablets | capsule +
Binding: OrderableDrugForm (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.code Base required Drug Codes 📦0.1.0 This IG
Medication.form Base required OrderableDrugForm 📦3.0.0 THO v7.4

Constraints

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

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Medication 0..* Medication Definition of a Medication
Medication.meta
Medication.meta.Slices for extension Content/Rules for all slices
Medication.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
Medication.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
Medication.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
Medication.implicitRules 0..0 A set of rules under which this content was created
Medication.language 0..0 Language of the resource content
Medication.text 0..0 Text summary of the resource, for human interpretation
Medication.contained 0..0 Contained, inline Resources
Medication.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Medication.Slices for extension.extension:packaging 0..* CodeableConcept Detailed description on the medication packaging
URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
Binding: Drug Codes (required)
Medication.Slices for extension.extension:type 0..1 CodeableConcept Medication Type
URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
Medication.modifierExtension 0..0 Extension
Medication.code 0..1 CodeableConcept Codes that identify this medication
Binding: Drug Codes (required)
Medication.status 0..0 active | inactive | entered-in-error
Medication.manufacturer 0..0 Manufacturer of the item
Medication.form 0..1 CodeableConcept powder | tablets | capsule +
Binding: OrderableDrugForm (required)
Medication.amount 0..0 Amount of drug in package
Medication.ingredient
Medication.ingredient.id 0..0 Unique id for inter-element referencing
Medication.ingredient.extension 0..0 Extension
Medication.ingredient.modifierExtension 0..0 Extension
Medication.ingredient.isActive 0..0 Active ingredient indicator
Medication.batch 0..0 Details about packaged medications

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Medication.code Base required Drug Codes 📦0.1.0 This IG
Medication.form Base required OrderableDrugForm 📦3.0.0 THO v7.4

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Medication 0..* Medication Definition of a Medication
Medication.id This element is included in summaries. 0..1 id Logical id of this artifact
Medication.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Medication.meta.id 0..1 string Unique id for inter-element referencing
Medication.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Medication.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
Medication.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
Medication.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
Medication.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
Medication.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
Medication.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Medication.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Medication.meta.tag This element is included in summaries. 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".
Medication.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Medication.Slices for extension.extension:packaging 0..* CodeableConcept Detailed description on the medication packaging
URL: https://nhdr.gov.ph/fhir/StructureDefinition/Packaging
Binding: Drug Codes (required)
Medication.Slices for extension.extension:type 0..1 CodeableConcept Medication Type
URL: https://nhdr.gov.ph/fhir/StructureDefinition/MedicationType
Medication.identifier This element is included in summaries. 0..* Identifier Business identifier for this medication
Medication.code This element is included in summaries. 0..1 CodeableConcept Codes that identify this medication
Binding: Drug Codes (required)
Medication.form 0..1 CodeableConcept powder | tablets | capsule +
Binding: OrderableDrugForm (required)
Medication.ingredient 0..* BackboneElement Active or inactive ingredient
Medication.ingredient.item[x] 1..1 The actual ingredient or content
Medication.ingredient.item[x].itemCodeableConcept CodeableConcept
Medication.ingredient.item[x].itemReference Reference(Substance | Medication)
Medication.ingredient.strength 0..1 Ratio Quantity of ingredient present

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Medication.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Medication.code Base required Drug Codes 📦0.1.0 This IG
Medication.form Base required OrderableDrugForm 📦3.0.0 THO v7.4

Constraints

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

 

Other representations of profile: CSV, Excel, Schematron