HL7 Europe Medication Prescription and Dispense
0.1.0-ci-build - ci-build
150
HL7 Europe Medication Prescription and Dispense
0.1.0-ci-build - ci-build
150
HL7 Europe Medication Prescription and Dispense, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/mpd-r5/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd | Version: 0.1.0-ci-build | |||
| Draft as of 2026-02-25 | Computable Name: MedicationEuMpd | |||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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This profile defines how to represent Medication data on ePrescription and eDispensation. The profile is equal to Medication EU Core and only adds obligations.
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 | ||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
  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 |
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" | |||||||||
| 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 |
?!Σ | 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: MedicationStatusCodes (required): A coded concept defining if the medication is in active use. | ||||||||
 doseForm |
O | 0..1 | CodeableConcept | Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | example | SNOMED CT Medication Codes | 📍5.0.0 | FHIR Std. |
| Medication.status | Base | required | Medication Status Codes | 📍5.0.0 | FHIR Std. |
| Medication.doseForm | Base | example | SNOMED CT Form Codes | 📦5.0.0 | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 |
0..* | MedicationEuCore | Definition of a Medication | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
 extension:productName |
O | 0..1 | MedicationProductName | Medication - Product Name
| ||||
 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)
| ||||
| doseForm |
O | 0..1 | CodeableConcept | Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form.
| ||||
 ingredient |
||||||||
| item |
O | 1..1 | CodeableReference(Substance | Medication (EU core)) | Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets)
| ||||
| strength[x] |
O | 0..1 | Ratio, CodeableConcept, Quantity | 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: AllLanguages (required): IETF language tag for 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 |
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 | id | 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 | id | 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 | id | 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 |
?!Σ | 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: MedicationStatusCodes (required): A coded concept defining if the medication is in active use. | ||||||||
 marketingAuthorizationHolder |
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. | ||||||||
| doseForm |
O | 0..1 | CodeableConcept | Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| ||||||||
| totalVolume |
Σ | 0..1 | Quantity | Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications. | ||||||||
| 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 | ||||||||
| item |
O | 1..1 | CodeableReference(Substance | Medication (EU core)) | Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example)
| ||||||||
| isActive |
0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true. | |||||||||
 strength[x] |
O | 0..1 | Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
| |||||||||
| strength[x]All Types |
Content/Rules for all Types | |||||||||||
| 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 | Basis of strength substance - 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) | |||||||||
| strengthRatio |
Ratio | |||||||||||
| strengthCodeableConcept |
CodeableConcept | |||||||||||
| strengthQuantity |
Quantity | |||||||||||
| 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 | |||||||||
| definition |
0..1 | Reference(MedicationKnowledge) | Knowledge about this medication | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.language | Base | required | All Languages | 📍5.0.0 | 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 | 📍5.0.0 | FHIR Std. |
| Medication.status | Base | required | Medication Status Codes | 📍5.0.0 | FHIR Std. |
| Medication.doseForm | Base | example | SNOMED CT Form Codes | 📦5.0.0 | FHIR Std. |
| Medication.ingredient.item | Base | example | SNOMED CT Substance Codes | 📦5.0.0 | FHIR Std. |
| Medication.ingredient.strength[x] | Base | preferred | Medication Ingredient Strength Codes | 📍5.0.0 | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | ||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| 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 |
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" | |||||||||
| 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 |
?!Σ | 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: MedicationStatusCodes (required): A coded concept defining if the medication is in active use. | ||||||||
| doseForm |
O | 0..1 | CodeableConcept | Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | example | SNOMED CT Medication Codes | 📍5.0.0 | FHIR Std. |
| Medication.status | Base | required | Medication Status Codes | 📍5.0.0 | FHIR Std. |
| Medication.doseForm | Base | example | SNOMED CT Form Codes | 📦5.0.0 | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 |
0..* | MedicationEuCore | Definition of a Medication | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:productName |
O | 0..1 | MedicationProductName | Medication - Product Name
| ||||
| 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)
| ||||
| doseForm |
O | 0..1 | CodeableConcept | Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form.
| ||||
| ingredient |
||||||||
| item |
O | 1..1 | CodeableReference(Substance | Medication (EU core)) | Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets)
| ||||
| strength[x] |
O | 0..1 | Ratio, CodeableConcept, Quantity | 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: AllLanguages (required): IETF language tag for 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 |
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 | id | 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 | id | 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 | id | 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 |
?!Σ | 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: MedicationStatusCodes (required): A coded concept defining if the medication is in active use. | ||||||||
| marketingAuthorizationHolder |
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. | ||||||||
| doseForm |
O | 0..1 | CodeableConcept | Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| ||||||||
| totalVolume |
Σ | 0..1 | Quantity | Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications. | ||||||||
| 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 | ||||||||
| item |
O | 1..1 | CodeableReference(Substance | Medication (EU core)) | Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example)
| ||||||||
| isActive |
0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true. | |||||||||
| strength[x] |
O | 0..1 | Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
| |||||||||
| strength[x]All Types |
Content/Rules for all Types | |||||||||||
| 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 | Basis of strength substance - 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) | |||||||||
| strengthRatio |
Ratio | |||||||||||
| strengthCodeableConcept |
CodeableConcept | |||||||||||
| strengthQuantity |
Quantity | |||||||||||
| 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 | |||||||||
| definition |
0..1 | Reference(MedicationKnowledge) | Knowledge about this medication | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.language | Base | required | All Languages | 📍5.0.0 | 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 | 📍5.0.0 | FHIR Std. |
| Medication.status | Base | required | Medication Status Codes | 📍5.0.0 | FHIR Std. |
| Medication.doseForm | Base | example | SNOMED CT Form Codes | 📦5.0.0 | FHIR Std. |
| Medication.ingredient.item | Base | example | SNOMED CT Substance Codes | 📦5.0.0 | FHIR Std. |
| Medication.ingredient.strength[x] | Base | preferred | Medication Ingredient Strength Codes | 📍5.0.0 | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 © 2023+ HL7 Europe. Package hl7.fhir.eu.mpd-r5#0.1.0-ci-build based on FHIR 5.0.0. Generated 2026-02-25
