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/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Medication: MPD

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:

• Refer to this Profile: MedicationDispense: MPD and MedicationRequest: MPD
• Examples for this Profile: Medication/01A-Cefuroxime1500GenericExplicit, Medication/01B-Cefuroxime1500GenericConcept, Medication/01C-Cefuroxime1500Branded, Medication/01D-Cefuroxime750Branded... Show 6 more, Medication/02A-ClotrimazoleCanifugCremolum, Medication/02A1-CanifugCremolumCreamItem, Medication/02A2-CanifugCremolumPessaryItem, Medication/03B-VitaminBComplexBranded, Medication/04A-FirmagonBranded and Medication/05A-Tilidin-Branded

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 Obligations Actor SHOULD:able-to-populate Producer
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	?!	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) Obligations Actor SHALL:able-to-populate Producer
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. Obligations Actor SHALL:able-to-populate Producer
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.
form	O	0..1	CodeableConcept	powder | tablets | capsule + Binding: eHDSI Dose Form (example) Obligations Actor SHOULD:able-to-populate Producer
Documentation for this format

Terminology Bindings

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.
Medication.form	Base	example	eHDSI Dose Form	⏿8.1.0	tx.hl7europe.eu

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Definition of a Medication
Slices for extension				Content/Rules for all slices
extension:productName	O	0..1	MedicationProductName	Medication - Product Name Obligations Actor SHOULD:able-to-populate Producer
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) Obligations Actor SHALL:able-to-populate Producer
code	O	0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Obligations Actor SHALL:able-to-populate Producer
form	O	0..1	CodeableConcept	powder | tablets | capsule + Obligations Actor SHOULD:able-to-populate Producer
ingredient
item[x]	O	1..1	CodeableConcept, Reference(Substance | Medication)	The actual ingredient or content Obligations Actor SHOULD:able-to-populate Producer
Slices for item[x]				Content/Rules for all slices
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Obligations Actor SHOULD:able-to-populate Producer
strength	O	0..1	Ratio	Amount of substance in product (presentation or concentration strength) Obligations Actor SHOULD:able-to-populate Producer
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Additional Bindings Purpose AllLanguages Max Binding
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 Obligations Actor SHOULD:able-to-populate Producer
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level) Obligations Actor SHALL:able-to-populate Producer
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. Obligations Actor SHALL:able-to-populate Producer
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	O	0..1	CodeableConcept	powder | tablets | capsule + Binding: eHDSI Dose Form (example) Obligations Actor SHOULD:able-to-populate Producer
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 Obligations Actor SHOULD:able-to-populate Producer
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: Medicine Active Substances - IPS (example) Additional Bindings Purpose eHDSI Substance candidate Obligations Actor SHOULD:able-to-populate Producer
item[x]:itemReference		0..1	Reference(Medication (EU core))	The actual ingredient or content
isActive		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) Obligations Actor SHOULD:able-to-populate Producer
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

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationEuCore

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 Obligations Actor SHOULD:able-to-populate Producer
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	?!	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) Obligations Actor SHALL:able-to-populate Producer
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. Obligations Actor SHALL:able-to-populate Producer
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.
form	O	0..1	CodeableConcept	powder | tablets | capsule + Binding: eHDSI Dose Form (example) Obligations Actor SHOULD:able-to-populate Producer
Documentation for this format

Terminology Bindings

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.
Medication.form	Base	example	eHDSI Dose Form	⏿8.1.0	tx.hl7europe.eu

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from MedicationEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuCore	Definition of a Medication
Slices for extension				Content/Rules for all slices
extension:productName	O	0..1	MedicationProductName	Medication - Product Name Obligations Actor SHOULD:able-to-populate Producer
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) Obligations Actor SHALL:able-to-populate Producer
code	O	0..1	CodeableConcept	A terminology-based code for the product (e.g. SNOMED CT code) Obligations Actor SHALL:able-to-populate Producer
form	O	0..1	CodeableConcept	powder | tablets | capsule + Obligations Actor SHOULD:able-to-populate Producer
ingredient
item[x]	O	1..1	CodeableConcept, Reference(Substance | Medication)	The actual ingredient or content Obligations Actor SHOULD:able-to-populate Producer
Slices for item[x]				Content/Rules for all slices
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Obligations Actor SHOULD:able-to-populate Producer
strength	O	0..1	Ratio	Amount of substance in product (presentation or concentration strength) Obligations Actor SHOULD:able-to-populate Producer
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Additional Bindings Purpose AllLanguages Max Binding
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 Obligations Actor SHOULD:able-to-populate Producer
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level) Obligations Actor SHALL:able-to-populate Producer
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. Obligations Actor SHALL:able-to-populate Producer
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	O	0..1	CodeableConcept	powder | tablets | capsule + Binding: eHDSI Dose Form (example) Obligations Actor SHOULD:able-to-populate Producer
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 Obligations Actor SHOULD:able-to-populate Producer
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: Medicine Active Substances - IPS (example) Additional Bindings Purpose eHDSI Substance candidate Obligations Actor SHOULD:able-to-populate Producer
item[x]:itemReference		0..1	Reference(Medication (EU core))	The actual ingredient or content
isActive		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) Obligations Actor SHOULD:able-to-populate Producer
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

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationEuCore

Summary

Other representations of profile: CSV, Excel, Schematron