Care Coordination Management
0.0.1 - ci-build Estonia (EST)

Care Coordination Management, published by Helex OÜ. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/helexlab/ig-ccm/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationCcm

Official URL: http://helex.org/ig/ccm/StructureDefinition/medication-ccm Version: 0.0.1
Draft as of 2025-12-05 Computable Name: MedicationCcm

CCM Medication profile linking a patient with a ResearchStudy and tracking lifecycle via progress entries.

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: Filtersdoco
.. 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
.... text SΣ 1..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
... ingredient S 0..* BackboneElement Active or inactive ingredient
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item S 1..1 CodeableReference(Substance | Medication) The ingredient (substance or medication) that the ingredient.strength relates to
Binding: SNOMEDCTMedicationCodes (example)
.... Slices for strength[x] 1..1 Quantity Quantity of ingredient present
Slice: Unordered, Closed by type:$this
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
..... strength[x]:strengthQuantity S 1..1 Quantity Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.code Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.status Base required Medication Status Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​item Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x] Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x]:strengthQuantity Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.

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().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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... code S 0..1 CodeableConcept Codes that identify this medication
.... text S 1..1 string Plain text representation of the concept
... ingredient S 0..* BackboneElement Active or inactive ingredient
.... item S 1..1 CodeableReference(Substance | Medication) The ingredient (substance or medication) that the ingredient.strength relates to
.... Slices for strength[x] 1..1 Quantity Quantity of ingredient present
Slice: Unordered, Open by type:$this
..... strength[x]:strengthQuantity S 1..1 Quantity Quantity of ingredient present

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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..* Identifier Business identifier for this medication
... code SΣ 0..1 CodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a 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
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 1..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
... marketingAuthorizationHolder Σ 0..1 Reference(Organization) Organization that has authorization to market medication
... doseForm 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
... totalVolume Σ 0..1 Quantity When the specified product code does not infer a package size, this is the specific amount of drug in the product
... ingredient S 0..* 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 S 1..1 CodeableReference(Substance | Medication) The ingredient (substance or medication) that the ingredient.strength relates to
Binding: SNOMEDCTMedicationCodes (example)
.... isActive 0..1 boolean Active ingredient indicator
.... Slices for strength[x] 1..1 Quantity Quantity of ingredient present
Slice: Unordered, Closed by type:$this
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
..... strength[x]:strengthQuantity S 1..1 Quantity Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
... batch 0..1 BackboneElement Details about packaged medications
.... 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
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire
... definition 0..1 Reference(MedicationKnowledge) Knowledge about this medication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base required All Languages 📍5.0.0 FHIR Std.
Medication.code Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.status Base required Medication Status Codes 📍5.0.0 FHIR Std.
Medication.doseForm Base example SNOMED CT Form Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​item Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x] Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x]:strengthQuantity Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.

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().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: 0 element(3 nested mandatory elements)
Must-Support: 5 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.ingredient.strength[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... text SΣ 1..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
... ingredient S 0..* BackboneElement Active or inactive ingredient
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item S 1..1 CodeableReference(Substance | Medication) The ingredient (substance or medication) that the ingredient.strength relates to
Binding: SNOMEDCTMedicationCodes (example)
.... Slices for strength[x] 1..1 Quantity Quantity of ingredient present
Slice: Unordered, Closed by type:$this
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
..... strength[x]:strengthQuantity S 1..1 Quantity Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.code Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.status Base required Medication Status Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​item Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x] Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x]:strengthQuantity Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.

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().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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... code S 0..1 CodeableConcept Codes that identify this medication
.... text S 1..1 string Plain text representation of the concept
... ingredient S 0..* BackboneElement Active or inactive ingredient
.... item S 1..1 CodeableReference(Substance | Medication) The ingredient (substance or medication) that the ingredient.strength relates to
.... Slices for strength[x] 1..1 Quantity Quantity of ingredient present
Slice: Unordered, Open by type:$this
..... strength[x]:strengthQuantity S 1..1 Quantity Quantity of ingredient present

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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..* Identifier Business identifier for this medication
... code SΣ 0..1 CodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a 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
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 1..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
... marketingAuthorizationHolder Σ 0..1 Reference(Organization) Organization that has authorization to market medication
... doseForm 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
... totalVolume Σ 0..1 Quantity When the specified product code does not infer a package size, this is the specific amount of drug in the product
... ingredient S 0..* 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 S 1..1 CodeableReference(Substance | Medication) The ingredient (substance or medication) that the ingredient.strength relates to
Binding: SNOMEDCTMedicationCodes (example)
.... isActive 0..1 boolean Active ingredient indicator
.... Slices for strength[x] 1..1 Quantity Quantity of ingredient present
Slice: Unordered, Closed by type:$this
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
..... strength[x]:strengthQuantity S 1..1 Quantity Quantity of ingredient present
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
... batch 0..1 BackboneElement Details about packaged medications
.... 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
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire
... definition 0..1 Reference(MedicationKnowledge) Knowledge about this medication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base required All Languages 📍5.0.0 FHIR Std.
Medication.code Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.status Base required Medication Status Codes 📍5.0.0 FHIR Std.
Medication.doseForm Base example SNOMED CT Form Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​item Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x] Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.
Medication.ingredient.​strength[x]:strengthQuantity Base preferred Medication Ingredient Strength Codes 📍5.0.0 FHIR Std.

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().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: 0 element(3 nested mandatory elements)
Must-Support: 5 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.ingredient.strength[x]

 

Other representations of profile: CSV, Excel, Schematron