Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips vs http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core

Left:Medication (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips)
Right:Medication (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips' vs 'http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core'
ErrorStructureDefinition.versionValues for version differ: '2.0.0' vs '2.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'MedicationIPS' vs 'MedicationEuCore'
InformationStructureDefinition.titleValues for title differ: 'Medication (IPS)' vs 'Medication (EU core)'
InformationStructureDefinition.dateValues for date differ: '2024-06-19T10:50:07-05:00' vs '2025-12-22T08:19:43+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
WarningStructureDefinition.fhirVersionValues for fhirVersion differ: '4.0.1' vs '5.0.0'
InformationStructureDefinition.definitionValues for definition differ: 'This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.' vs '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.'
InformationStructureDefinition.commentValues for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
InformationStructureDefinition.commentValues for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.'
InformationStructureDefinition.commentValues for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' vs 'Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
InformationStructureDefinition.definitionValues for definition differ: 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
InformationStructureDefinition.commentValues for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Medication that was administered or was to be administered (medication code from any code system)' vs 'Codes that identify this medication'
InformationStructureDefinition.definitionValues for definition differ: 'Medication that was administered or was to be administered. Several kinds of medication coding could be provided as: 1. The IDMP Pharmaceutical Product Identifier (PhPID), Level 1, [Substance(s)]. Example: Amoxicillin and Clavulanate Potassium; or any other equivalent coded concept; 2. The IDMP Pharmaceutical Product Identifier (PhPID), Level 2 [Substance(s) + Strength + reference strength]. Example: Amoxicillin 875 mg and Clavulanate Potassium 125 mg; or any other equivalent coded concept; 3. The IDMP Pharmaceutical Product Identifier (PhPID), Level 3 [Substance(s) + administrable dose form]. Example: Amoxicillin and Clavulanate Potassium, Oral Tablet; or any other equivalent coded concept; 4. The IDMP Pharmaceutical Product Identifier (PhPID), Level 4 [Substance(s) + strength + reference strength + administrable dose form]. Example: Amoxicillin 875 mg and clavulanate potassium 125 mg, oral tablet; or any other equivalent coded concept 5. The IDMP Medicinal Product Identifier (MPID) or any equivalent Medicinal Product Identifier. IDMP MPID uniquely identifies a Medicinal Product, reflecting (but not replacing) any other authorization numbers allocated by a regulator. MPID implies one (set of) PhPID. The MPID shall use a common segment pattern related to a Medicinal Product, which, when each segment is valued shall define a specific MPID concept. 6. The IDMP Packaged Medicinal Product Identifier (PCID) or any equivalent Packaged Medicinal Product Identifier. Uniquely identifies a Medicinal Product based on its packaging. This implies one MPID can be associated with more than one PCID, if the same Medicinal Product has more than one type of package. 7. Any other kind of code that that identifies, classifies or cluster the administered product (e.g. the medicinal product or the product class) The value sets used for the PhPID, MPID and PCID identifiers are provisional and include only few equivalent concepts used for exemplification purposes, they will be updated with real IDMP identifiers when they will become available.' vs 'A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.'
WarningMedication.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationMedication.codeElement minimum cardinalities differ: '1' vs '0'
InformationMedication.codeExample/preferred bindings differ at Medication.code using binding from MedicationIPS
WarningMedication.ingredientElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Identifier assigned to batch' vs 'Lot Number'
InformationStructureDefinition.shortValues for short differ: 'When batch will expire' vs 'Expiration Date'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Medication
      .copyrightCopyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).
      • Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
      .date2024-06-19T10:50:07-05:002025-12-22T08:19:43+00:00
      • Values Differ
      .descriptionThis profile represents the constraints applied to the Medication resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A medication is described in the patient summary as an instance of a Medication resource constrained by this profile.This profile sets minimum expectations for the Medication resource common to most of the use cases. This profile is adapted from the MPD work.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.15.0.0
      • Values Differ
      .jurisdiction
        ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
        • Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
        ..jurisdiction[1]http://unstats.un.org/unsd/methods/m49/m49.htm#150
        • Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
        .kindresource
          .nameMedicationIPSMedicationEuCore
          • Values Differ
          .publisherHL7 International / Patient CareHL7 Europe
          • Values Differ
          .purposeThis profile constrains the representation of a medication, in the context of the international patient summary as specified by the IPS project of HL7 International.
          • Removed the item 'This profile constrains the representation of a medication, in the context of the international patient summary as specified by the IPS project of HL7 International.'
          .statusactive
            .titleMedication (IPS)Medication (EU core)
            • Values Differ
            .typeMedication
              .urlhttp://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ipshttp://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core
              • Values Differ
              .version2.0.02.0.0-ballot
              • Values Differ

              Structure

              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
              .. Medication 0..*MedicationDefinition of a Medication
              0..*MedicationDefinition of a Medication
                ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                  ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                      ... text 0..1NarrativeText summary of the resource, for human interpretation
                      This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                      0..1NarrativeText 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..*ResourceContained, inline Resources
                        0..*ResourceContained, inline Resources
                          ... extension 0..*ExtensionAdditional content defined by implementations
                          0..*ExtensionExtension
                          Slice: Unordered, Open by value:url
                            ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                            ?!Σ0..*ExtensionExtensions that cannot be ignored
                              ... identifier Σ0..*IdentifierBusiness identifier for this medication
                              Σ0..*IdentifierBusiness identifier for this medication
                                ... code SOΣ1..1??Medication that was administered or was to be administered (medication code from any code system)
                                Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
                                Additional BindingsPurpose
                                ??candidate
                                ObligationsActor
                                SHALL:populate-if-knownCreator (IPS)
                                SHALL:handleConsumer (IPS)
                                SHOULD:displayConsumer (IPS)
                                Σ0..1CodeableConceptCodes that identify this medication
                                Binding: ?? (example): A coded concept that defines the type of a medication.
                                • Elements differ in definition for mustSupport: 'true' vs 'false'
                                • Element minimum cardinalities differ: '1' vs '0'
                                • Example/preferred bindings differ at Medication.code using binding from MedicationIPS
                                ... status ?!Σ0..1codeactive | inactive | entered-in-error
                                Binding: ?? (required): A coded concept defining if the medication is in active use.
                                ?!Σ0..1codeactive | inactive | entered-in-error
                                Binding: ?? (required): A coded concept defining if the medication is in active use.
                                  ... manufacturer Σ0..1Reference(Organization)Manufacturer of the item
                                  • Removed this element
                                  ... form SO0..1??powder | tablets | capsule +
                                  Binding: ?? (preferred): SNOMED Doseform Terms
                                  Additional BindingsPurpose
                                  ??candidate
                                  ObligationsActor
                                  SHALL:populate-if-knownCreator (IPS)
                                  SHALL:handleConsumer (IPS)
                                  SHOULD:displayConsumer (IPS)
                                  • Removed this element
                                  ... amount Σ0..1RatioAmount of drug in package
                                  • Removed this element
                                  ... ingredient SO0..*BackboneElementActive or inactive ingredient
                                  ObligationsActor
                                  SHALL:populate-if-knownCreator (IPS)
                                  SHALL:handleConsumer (IPS)
                                  SHOULD:displayConsumer (IPS)
                                  0..*BackboneElementActive or inactive ingredient
                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                    0..*ExtensionAdditional content defined by implementations
                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                        .... item[x] SO1..1??, Reference(Substance | Medication)The actual ingredient or content
                                        Binding: ?? (preferred): SNOMED CT drug substances
                                        ObligationsActor
                                        SHALL:populate-if-knownCreator (IPS)
                                        SHALL:handleConsumer (IPS)
                                        SHOULD:displayConsumer (IPS)
                                        • Removed this element
                                        .... isActive 0..1booleanActive ingredient indicator0..1booleanActive ingredient indicator
                                          .... strength SO0..1RatioQuantity of ingredient present
                                          ObligationsActor
                                          SHALL:populate-if-knownCreator (IPS)
                                          SHALL:handleConsumer (IPS)
                                          SHOULD:displayConsumer (IPS)
                                          • Removed this element
                                          .... item 1..1CodeableReference(Substance | Medication (EU core))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: ?? (example)
                                          Additional BindingsPurpose
                                          ??candidate
                                          • Added this element
                                          .... strength[x] 0..1Ratio, CodeableConcept, QuantityAmount of substance in product (presentation or concentration strength)
                                          Binding: ?? (preferred): A coded concpet defining the strength of an ingredient.
                                          • Added this element
                                          ... batch 0..1BackboneElementDetails about packaged medications0..1BackboneElementDetails about packaged medications
                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                              0..*ExtensionAdditional content defined by implementations
                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                  .... lotNumber 0..1stringIdentifier assigned to batch0..1stringLot Number
                                                    .... expirationDate 0..1dateTimeWhen batch will expire0..1dateTimeExpiration Date
                                                      ... marketingAuthorizationHolder Σ0..1Reference(Organization)Marketing Authorization Holder
                                                      • Added this element
                                                      ... doseForm 0..1CodeableConceptDose 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: ?? (example): A coded concept defining the form of a medication.
                                                      Additional BindingsPurpose
                                                      ??candidate
                                                      • Added this element
                                                      ... totalVolume Σ0..1QuantityTotal volume or number of package items inside a package.
                                                      • Added this element
                                                      ... definition 0..1Reference(MedicationKnowledge)Knowledge about this medication
                                                      • Added this element

                                                      doco Documentation for this format