## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips vs http://hl7.eu/fhir/hdr/StructureDefinition/medication-eu-hdr

Left: | Medication (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips)
Right: | Medication (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medication-eu-hdr)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips' vs 'http://hl7.eu/fhir/hdr/StructureDefinition/medication-eu-hdr'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '0.1.0-ballot'
Information | StructureDefinition.name | Values for name differ: 'MedicationIPS' vs 'MedicationEuHdr'
Information | StructureDefinition.title | Values for title differ: 'Medication (IPS)' vs 'Medication (HDR)'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2025-06-03T12:48:49+02:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
Information | Medication.language | Example/preferred bindings differ at Medication.language using binding from MedicationIPS
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values 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'
Information | StructureDefinition.short | Values for short differ: 'Business identifier for this medication' vs 'Identifier for the medicinal product, its generic representation, or packaged product.'
Information | StructureDefinition.short | Values for short differ: 'Medication that was administered or was to be administered (medication code from any code system)' vs 'A terminology-based code for the product'
Information | StructureDefinition.definition | Values 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.'
Warning | Medication.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Medication.code | Element minimum cardinalities differ: '1' vs '0'
Information | Medication.code | Example/preferred bindings differ at Medication.code using binding from MedicationIPS
Information | StructureDefinition.short | Values for short differ: 'powder | tablets | capsule +' vs 'Dose Form'
Information | StructureDefinition.definition | Values for definition differ: 'Describes the form of the item. Powder; tablets; capsule. Administrable Pharmaceutical Dose Form. This code represents the form of the medication (e.g. tablet, capsule, liquid) Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected as reference terminology for representing Pharmaceutical Dose forms;Packages and Route of Administration. It is known that also alternative jurisdictional and international terminologies are known to be used for this concept domain, as NCI or SNOMED CT.' vs 'Describes the form of the item. Powder; tablets; capsule.'
Warning | Medication.form | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Active or inactive ingredient' vs 'Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength'
Warning | Medication.ingredient | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Medication.ingredient.item[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Active ingredient indicator' vs 'Active ingredient flag'
Information | StructureDefinition.short | Values for short differ: 'Quantity of ingredient present' vs 'Amount of substance in product (presentation or concentration strength)'
Information | StructureDefinition.definition | Values for definition differ: 'Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.' vs 'Definitional resources should be used for specifying the different types of strengths: presentation; concentration.'
Warning | Medication.ingredient.strength | Elements differ in definition for mustSupport: 'true' vs 'false'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Medication |
copyright |  | Used by permission of HL7 Europe, all rights reserved Creative Commons License | Added the item 'Used by permission of HL7 Europe, all rights reserved Creative Commons License'
date | 2024-06-19T10:50:07-05:00 | 2025-06-03T12:48:49+02:00 | Values Differ
description | This 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 constrains the Medication resource for the purpose of this guide, adapted from the MPD work. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 |
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'
kind | resource |
name | MedicationIPS | MedicationEuHdr | Values Differ
publisher | HL7 International / Patient Care | HL7 Europe | Values Differ
purpose | 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. |  | 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.'
status | active | draft | Values Differ
title | Medication (IPS) | Medication (HDR) | Values Differ
type | Medication |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips | http://hl7.eu/fhir/hdr/StructureDefinition/medication-eu-hdr | Values Differ
version | 2.0.0 | 0.1.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication |  | 0..* | Medication | Definition of a Medication |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Medication.language using binding from MedicationIPS
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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business identifier for this medication | Σ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product. |
code | SO Σ | 1..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 Bindings | Purpose
?? | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 0..1 | CodeableConcept | A terminology-based code for the product 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 | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: ?? (required): A coded concept defining if the medication is in active use. | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: ?? (required): A coded concept defining if the medication is in active use. |
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item | Σ | 0..1 | Reference(Organization) | Manufacturer of the item |
form | SO | 0..1 | ?? | powder | tablets | capsule + Binding: ?? (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
?? | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  | 0..1 | CodeableConcept | Dose Form Binding: ?? (example): A coded concept defining the form of a medication. | Elements differ in definition for mustSupport: 'true' vs 'false'
amount | Σ | 0..1 | Ratio | Amount of drug in package | Σ | 0..1 | Ratio | Amount of drug in package |
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  | 0..* | BackboneElement | Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength | Elements differ in definition for mustSupport: 'true' vs 'false'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
item[x] | SO | 1..1 | ??, Reference(Substance | Medication) | The actual ingredient or content Binding: ?? (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content Slice: Unordered, Open by type:$this | Elements differ in definition for mustSupport: 'true' vs 'false'
isActive |  | 0..1 | boolean | Active ingredient indicator |  | 0..1 | boolean | Active ingredient flag |
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength) | Elements differ in definition for mustSupport: 'true' vs 'false'
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
numerator |  |  |  |  | Σ | 0..1 | Quantity | Numerator value | Added this element
denominator |  |  |  |  | Σ | 0..1 | Quantity | Denominator value | Added this element
batch |  | 0..1 | BackboneElement | Details about packaged medications |  | 0..1 | BackboneElement | Details about packaged medications |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
lotNumber |  | 0..1 | string | Identifier assigned to batch |  | 0..1 | string | Identifier assigned to batch |
expirationDate |  | 0..1 | dateTime | When batch will expire |  | 0..1 | dateTime | When batch will expire |
Documentation for this format