HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base-r5/ and changes regularly. See the Directory of published versions

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

Resource Profile: Medication (EU core) [WIP]

This profile sets minimum expectations for the Medication resource common to most of the use cases. This profile is adapted from the MPD work.

Usages:

• Refer to this Profile: Medication (EU core) [WIP], MedicationRequest (EU core) [WIP], MedicationStatement (EU core) [WIP] and Procedure (EU core) [WIP]

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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿8.1.0	tx.hl7europe.eu
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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension				Content/Rules for all slices
extension:device		1..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume		0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient
item		1..1	CodeableReference(Substance | Medication (EU core) [WIP])	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: Medicine Active Substances - IPS (example) Additional Bindings Purpose eHDSI Substance candidate
strength[x]		0..1	Ratio, CodeableConcept, Quantity	Amount of substance in product (presentation or concentration strength)
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿8.1.0	tx.hl7europe.eu
Medication.doseForm	Base	example	SNOMED CT Form Codes	📦5.0.0	FHIR Std.
Medication.ingredient.​item	Base	example	Medicine Active Substances - IPS	⏿2.0.0-ballot	tx.hl7europe.eu

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
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	id	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	0..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
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	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		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		1..1	CodeableReference(Substance | Medication (EU core) [WIP])	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: Medicine Active Substances - IPS (example) Additional Bindings Purpose eHDSI Substance candidate
isActive		0..1	boolean	Active ingredient indicator
strength[x]		0..1		Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strength[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿8.1.0	tx.hl7europe.eu
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	Medicine Active Substances - IPS	⏿2.0.0-ballot	tx.hl7europe.eu
Medication.ingredient.​strength[x]	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

Structures

This structure refers to these other structures:

• Medication (EU core) [WIP] (http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
• http://hl7.eu/fhir/StructureDefinition/medication-package-type
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance

Maturity: 1

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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿8.1.0	tx.hl7europe.eu
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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension				Content/Rules for all slices
extension:device		1..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume		0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient
item		1..1	CodeableReference(Substance | Medication (EU core) [WIP])	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: Medicine Active Substances - IPS (example) Additional Bindings Purpose eHDSI Substance candidate
strength[x]		0..1	Ratio, CodeableConcept, Quantity	Amount of substance in product (presentation or concentration strength)
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿8.1.0	tx.hl7europe.eu
Medication.doseForm	Base	example	SNOMED CT Form Codes	📦5.0.0	FHIR Std.
Medication.ingredient.​item	Base	example	Medicine Active Substances - IPS	⏿2.0.0-ballot	tx.hl7europe.eu

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
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	id	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	0..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
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	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		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		1..1	CodeableReference(Substance | Medication (EU core) [WIP])	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: Medicine Active Substances - IPS (example) Additional Bindings Purpose eHDSI Substance candidate
isActive		0..1	boolean	Active ingredient indicator
strength[x]		0..1		Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strength[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Medication.extension:device.​extension:device.value[x]	Base	example	eHDSI Package	⏿8.1.0	tx.hl7europe.eu
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	Medicine Active Substances - IPS	⏿2.0.0-ballot	tx.hl7europe.eu
Medication.ingredient.​strength[x]	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

Structures

This structure refers to these other structures:

• Medication (EU core) [WIP] (http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
• http://hl7.eu/fhir/StructureDefinition/medication-package-type
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance

Maturity: 1

Other representations of profile: CSV, Excel, Schematron