HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-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

Resource Profile: Medication: obligations

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/Medication-obl-eu-hdr Version: 0.0.1-ci
Standards status: Informative Maturity Level: 0 Computable Name: MedicationEuHdrObligation

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile defines obligations for the Medication resource for the purpose of this guide, adapted from the MPD work.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationEuHdr Definition of a Medication
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... extension:productName O 0..1 string Medication - Product Name
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... extension:classification O 0..* CodeableConcept Medication - Classification
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
Binding: medicinal-product-classification (??) (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... 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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: unit-of-presentation (??) (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... code OΣ 0..1 CodeableConcept A terminology-based code for the product
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.


ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... 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.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationEuHdr

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationEuHdr Definition of a Medication
... Slices for extension Content/Rules for all slices
.... extension:productName O 0..1 MedicationProductName Medication - Product Name
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... extension:classification O 0..* MedicationClassification Medication - Classification
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
... identifier O 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... code O 0..1 CodeableConcept A terminology-based code for the product
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... item[x] O 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... isActive O 0..1 boolean Active ingredient flag
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationEuHdr 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 Text summary of the resource, for human interpretation
... 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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... extension:classification O 0..* CodeableConcept Medication - Classification
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
Binding: medicinal-product-classification (??) (example)
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... 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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: unit-of-presentation (??) (example)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier OΣ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... code OΣ 0..1 CodeableConcept A terminology-based code for the product
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... 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 of the item
... form 0..1 CodeableConcept Dose Form
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.

... amount Σ 0..1 Ratio Amount of drug in package
... 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
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (HDR)) The actual ingredient or content
.... isActive O 0..1 boolean Active ingredient flag
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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:strengthSubstance 0..1 CodeableConcept Substance for which the strength is provided (this could be different from the precise active ingredient).
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: substance-codes (??) (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 Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationEuHdr

Summary

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationEuHdr Definition of a Medication
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... extension:productName O 0..1 string Medication - Product Name
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... extension:classification O 0..* CodeableConcept Medication - Classification
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
Binding: medicinal-product-classification (??) (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... 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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: unit-of-presentation (??) (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... code OΣ 0..1 CodeableConcept A terminology-based code for the product
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.


ele-1: All FHIR elements must have a @value or children
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... 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.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationEuHdr

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationEuHdr Definition of a Medication
... Slices for extension Content/Rules for all slices
.... extension:productName O 0..1 MedicationProductName Medication - Product Name
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... extension:classification O 0..* MedicationClassification Medication - Classification
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
... identifier O 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... code O 0..1 CodeableConcept A terminology-based code for the product
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... item[x] O 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... isActive O 0..1 boolean Active ingredient flag
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* MedicationEuHdr 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 Text summary of the resource, for human interpretation
... 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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
.... extension:classification O 0..* CodeableConcept Medication - Classification
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
Binding: medicinal-product-classification (??) (example)
ObligationsActor
SHALL:handle HDRConsumer
MAY:able-to-populate HDRCreator
.... 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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
.... extension:device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
.... extension:characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://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: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: unit-of-presentation (??) (example)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier OΣ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... code OΣ 0..1 CodeableConcept A terminology-based code for the product
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
... 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 of the item
... form 0..1 CodeableConcept Dose Form
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.

... amount Σ 0..1 Ratio Amount of drug in package
... 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
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Medication (HDR)) The actual ingredient or content
.... isActive O 0..1 boolean Active ingredient flag
ObligationsActor
SHALL:handle HDRConsumer
SHALL:able-to-populate HDRCreator
.... strength O 0..1 Ratio Amount of substance in product (presentation or concentration strength)
ObligationsActor
SHALL:handle HDRConsumer
SHOULD:able-to-populate HDRCreator
..... 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:strengthSubstance 0..1 CodeableConcept Substance for which the strength is provided (this could be different from the precise active ingredient).
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: substance-codes (??) (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 Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf 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-4errorMedicationIf 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-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationEuHdr

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