HL7 Europe Base and Core FHIR IG
2.0.0-recon - ci-build 150

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 2.0.0-recon built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base/ and changes regularly. See the Directory of published versions

Resource Profile: Medication (EU core)

Official URL: http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core Version: 2.0.0-recon
Standards status: Draft Maturity Level: 1 Computable Name: MedicationEuCore

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile introduces essential constraints and extensions for the Medication resource that apply across multiple use cases.

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
... text 0..1 Narrative Human readable summary of the medication, for example, the name and form of the medication.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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"
... identifier Σ 0..* Identifier Identifier of the medication
... code Σ 0..1 CodeableConcept Code of the 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: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization) Manufacturer
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: eHDSI Dose Form . (example)
... amount Σ 0..1 Ratio Amount of the medication (for example, in a package or a vial)

doco 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.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base example eHDSI Dose Form . ⏿8.1.0 tx.hl7europe.eu

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: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... text 0..1 Narrative Human readable summary of the medication, for example, the name and form of the 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)
... identifier 0..* Identifier Identifier of the medication
... manufacturer 0..1 Reference(Organization) Manufacturer
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: eHDSI Dose Form . (example)
... amount 0..1 Ratio Amount of the medication (for example, in a package or a vial)
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(Medication (EU core)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Medicine Active Substances - IPS (example)
Additional BindingsPurpose
eHDSI Substance . candidate
.... strength 0..1 Ratio Amount of substance in product (presentation or concentration strength)
..... Slices for extension Content/Rules for all slices
...... extension:basisOfStrengthSubstance 0..1 CodeableConcept 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)
... batch
.... lotNumber 0..1 string Lot Number
.... expirationDate 0..1 dateTime Expiration Date

doco 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.form Base example eHDSI Dose Form . ⏿8.1.0 tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept Base example Medicine Active Substances - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
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 Human readable summary of the medication, for example, the name and form of the medication.
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 string 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 string 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 string 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier of the medication
... code Σ 0..1 CodeableConcept Code of the 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: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization) Manufacturer
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: eHDSI Dose Form . (example)
... amount Σ 0..1 Ratio Amount of the medication (for example, in a package or a vial)
... 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
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (EU core)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Medicine Active Substances - IPS (example)
Additional BindingsPurpose
eHDSI Substance . candidate
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Amount of substance in product (presentation or concentration strength)
..... 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 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)
..... numerator Σ 0..1 Quantity Numerator value
..... denominator Σ 0..1 Quantity Denominator value
... 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 Lot Number
.... expirationDate 0..1 dateTime Expiration Date

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📍4.0.1 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 📍4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base example eHDSI Dose Form . ⏿8.1.0 tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept Base example Medicine Active Substances - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

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: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Human readable summary of the medication, for example, the name and form of the medication.
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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"
... identifier Σ 0..* Identifier Identifier of the medication
... code Σ 0..1 CodeableConcept Code of the 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: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization) Manufacturer
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: eHDSI Dose Form . (example)
... amount Σ 0..1 Ratio Amount of the medication (for example, in a package or a vial)

doco 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.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base example eHDSI Dose Form . ⏿8.1.0 tx.hl7europe.eu

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: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... text 0..1 Narrative Human readable summary of the medication, for example, the name and form of the 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)
... identifier 0..* Identifier Identifier of the medication
... manufacturer 0..1 Reference(Organization) Manufacturer
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: eHDSI Dose Form . (example)
... amount 0..1 Ratio Amount of the medication (for example, in a package or a vial)
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(Medication (EU core)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Medicine Active Substances - IPS (example)
Additional BindingsPurpose
eHDSI Substance . candidate
.... strength 0..1 Ratio Amount of substance in product (presentation or concentration strength)
..... Slices for extension Content/Rules for all slices
...... extension:basisOfStrengthSubstance 0..1 CodeableConcept 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)
... batch
.... lotNumber 0..1 string Lot Number
.... expirationDate 0..1 dateTime Expiration Date

doco 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.form Base example eHDSI Dose Form . ⏿8.1.0 tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept Base example Medicine Active Substances - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

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 Human readable summary of the medication, for example, the name and form of the medication.
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 string 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 string 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 string 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier of the medication
... code Σ 0..1 CodeableConcept Code of the 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: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization) Manufacturer
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: eHDSI Dose Form . (example)
... amount Σ 0..1 Ratio Amount of the medication (for example, in a package or a vial)
... 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
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Closed by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (EU core)) The actual ingredient or content
..... item[x]:itemCodeableConcept 0..1 CodeableConcept The actual ingredient or content
Binding: Medicine Active Substances - IPS (example)
Additional BindingsPurpose
eHDSI Substance . candidate
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Amount of substance in product (presentation or concentration strength)
..... 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 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)
..... numerator Σ 0..1 Quantity Numerator value
..... denominator Σ 0..1 Quantity Denominator value
... 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 Lot Number
.... expirationDate 0..1 dateTime Expiration Date

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📍4.0.1 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 📍4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base example eHDSI Dose Form . ⏿8.1.0 tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept Base example Medicine Active Substances - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

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()

 

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