HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
150
HL7 Europe Hospital Discharge Report
1.0.0-ci - draft
150
HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/medication-obl-eu-hdr | Version: 1.0.0-ci | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: MedicationEuHdrObligation | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
||||
This profile defines obligations for the Medication resource for the purpose of this guide, adapted from the MPD work.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Medication |
0..* | MedicationEuCore | Definition of a Medication | |||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||
   extension:productName |
O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
| ||||||||
| extension:classification |
O | 0..* | CodeableConcept | Medication - Classification 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 | |||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
  extension:device |
1..1 | Extension | Extension | |||||||||
 extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
 url |
1..1 | uri | "device" | |||||||||
| 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 |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
 identifier |
OΣ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
| ||||||||
| code |
OΣ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) 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. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| 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. |
| 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 MedicationEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Medication |
MedicationEuCore | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:productName |
O | 0..1 | MedicationProductName | Medication - Product Name
| ||||||||
 extension:classification |
O | 0..* | MedicationClassification | Medication - Classification
| ||||||||
 identifier |
O | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
| ||||||||
| code |
O | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code)
| ||||||||
 ingredient |
||||||||||||
| item[x] |
O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
| ||||||||
| isActive |
O | 0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
| ||||||||
| strength |
O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
| ||||||||
| Documentation for this format | ||||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Medication |
0..* | MedicationEuCore | 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: CommonLanguages (preferred): A human language.
| |||||||||
| 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 |
O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
| ||||||||
| extension:classification |
O | 0..* | CodeableConcept | Medication - Classification 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| 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 |
OΣ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
| ||||||||
| code |
OΣ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) 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) | Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation. | ||||||||
| 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 | Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength | |||||||||
| 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] |
O | 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)
| |||||||||
| isActive |
O | 0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
| ||||||||
| strength |
O | 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 | |||||||||
| Documentation for this format | ||||||||||||
| 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
|
⏿0.2.0 | 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
|
⏿0.2.0 | tx.hl7europe.eu |
| Medication.ingredient.item[x]:itemCodeableConcept | Base | example | Medicine Active Substances - IPS | 📦2.0.1 | This IG |
| 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 MedicationEuCore
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Medication |
0..* | MedicationEuCore | Definition of a Medication | |||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:productName |
O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
| ||||||||
| extension:classification |
O | 0..* | CodeableConcept | Medication - Classification 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:device |
1..1 | Extension | Extension | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
| url |
1..1 | uri | "device" | |||||||||
| 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 |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
OΣ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
| ||||||||
| code |
OΣ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) 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. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| 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. |
| 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 MedicationEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Medication |
MedicationEuCore | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:productName |
O | 0..1 | MedicationProductName | Medication - Product Name
| ||||||||
| extension:classification |
O | 0..* | MedicationClassification | Medication - Classification
| ||||||||
| identifier |
O | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
| ||||||||
| code |
O | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code)
| ||||||||
| ingredient |
||||||||||||
| item[x] |
O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
| ||||||||
| isActive |
O | 0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
| ||||||||
| strength |
O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
| ||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Medication |
0..* | MedicationEuCore | 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: CommonLanguages (preferred): A human language.
| |||||||||
| 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 |
O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
| ||||||||
| extension:classification |
O | 0..* | CodeableConcept | Medication - Classification 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 | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| 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 |
OΣ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
| ||||||||
| code |
OΣ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) 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) | Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation. | ||||||||
| 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 | Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength | |||||||||
| 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] |
O | 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)
| |||||||||
| isActive |
O | 0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
| ||||||||
| strength |
O | 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 | |||||||||
| Documentation for this format | ||||||||||||
| 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
|
⏿0.2.0 | 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
|
⏿0.2.0 | tx.hl7europe.eu |
| Medication.ingredient.item[x]:itemCodeableConcept | Base | example | Medicine Active Substances - IPS | 📦2.0.1 | This IG |
| 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 MedicationEuCore
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.hdr#1.0.0-ci based on FHIR 4.0.1. Generated 2026-06-26
