HL7 Europe Medication Prescription and Dispense
0.1.0 - 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 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

Resource Profile: Medication: MPD

Official URL: http://hl7.eu/fhir/r5/mpd/StructureDefinition/Medication-eu-mpd Version: 0.1.0
Draft as of 2024-12-31 Computable Name: MedicationEuMpd

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

This profile defines how to represent Medication data on ePrescription and eDispensation

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... productName 0..1 string Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.
URL: http://profiles.ihe.net/PHARM/ihe.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
.... classification 0..* CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-classification
Binding: ProductClassification (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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/ihe.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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.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
.... unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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/package-type
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/ihe.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
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... extension:device 1..1 Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "device"
....... value[x] 0..1 CodeableReference(Device | DeviceDefinition) Value of extension
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
ele-1: All FHIR elements must have a @value or children
...... extension:quantity 1..1 Extension Number of defined devices in te package
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "quantity"
..... url 1..1 uri "http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-device"
... identifier Σ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
ele-1: All FHIR elements must have a @value or children
... code Σ 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
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.


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

Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm candidate

ele-1: All FHIR elements must have a @value or children
... 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.
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... item 1..1 CodeableReference(Substance | Medication: MPD) 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)
Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance candidate

ele-1: All FHIR elements must have a @value or children
.... strength[x] 0..1 Amount of substance in product (presentation or concentration strength)
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.


ele-1: All FHIR elements must have a @value or children
..... strength[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... 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: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: SNOMEDCTSubstanceCodes (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... strengthRatio Ratio
..... strengthCodeableConcept CodeableConcept
..... strengthQuantity Quantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.extension:device.extension:device.value[x]examplehttp://terminology.ehdsi.eu/ValueSet/eHDSIPackage
http://terminology.ehdsi.eu/ValueSet/eHDSIPackage
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedicationStatusCodes
http://hl7.org/fhir/ValueSet/medication-status|5.0.0
from the FHIR Standard
Medication.doseFormexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.itemexampleSNOMEDCTSubstanceCodes
http://hl7.org/fhir/ValueSet/substance-codes
from the FHIR Standard
Medication.ingredient.strength[x]preferredMedicationIngredientStrengthCodes
http://hl7.org/fhir/ValueSet/medication-ingredientstrength
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().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-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 Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... productName 0..1 string Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-productname
.... classification 0..* CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-classification
Binding: ProductClassification (example)
.... 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/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-sizeofitem
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... 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/package-type
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
.... device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-device
..... Slices for extension Content/Rules for all slices
...... extension:device 1..1 Extension Extension
....... value[x] 0..1 CodeableReference(Device | DeviceDefinition) Value of extension
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
... identifier 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... code 0..1 CodeableConcept A terminology-based code for the product
... totalVolume 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
.... item 1..1 CodeableReference(Substance | Medication: MPD) 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)
Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance candidate
.... strength[x] 0..1 Ratio, CodeableConcept, Quantity Amount of substance in product (presentation or concentration strength)
..... Slices for extension Content/Rules for all slices
...... 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: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: SNOMEDCTSubstanceCodes (example)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.extension:device.extension:device.value[x]examplehttp://terminology.ehdsi.eu/ValueSet/eHDSIPackage
http://terminology.ehdsi.eu/ValueSet/eHDSIPackage
Medication.doseFormexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.itemexampleSNOMEDCTSubstanceCodes
http://hl7.org/fhir/ValueSet/substance-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication 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
.... productName 0..1 string Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-productname
.... classification 0..* CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-classification
Binding: ProductClassification (example)
.... 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/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-sizeofitem
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... 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/package-type
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
.... device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/ihe.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
....... url 1..1 uri "device"
....... value[x] 0..1 CodeableReference(Device | DeviceDefinition) Value of extension
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (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
....... url 1..1 uri "quantity"
....... value[x] 0..1 Quantity Value of extension
..... url 1..1 uri "http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-device"
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... code Σ 0..1 CodeableConcept A terminology-based code for the product
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) Organization that has authorization to market medication
... doseForm 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.

Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm candidate
... 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 1..1 CodeableReference(Substance | Medication: MPD) 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)
Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance candidate
.... isActive 0..1 boolean Active ingredient indicator
.... strength[x] 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
....... 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: http://profiles.ihe.net/PHARM/ihe.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 Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire
... definition 0..1 Reference(MedicationKnowledge) Knowledge about this medication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Medication.extension:device.extension:device.value[x]examplehttp://terminology.ehdsi.eu/ValueSet/eHDSIPackage
http://terminology.ehdsi.eu/ValueSet/eHDSIPackage
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedicationStatusCodes
http://hl7.org/fhir/ValueSet/medication-status|5.0.0
from the FHIR Standard
Medication.doseFormexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.itemexampleSNOMEDCTSubstanceCodes
http://hl7.org/fhir/ValueSet/substance-codes
from the FHIR Standard
Medication.ingredient.strength[x]preferredMedicationIngredientStrengthCodes
http://hl7.org/fhir/ValueSet/medication-ingredientstrength
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().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-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()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... productName 0..1 string Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.
URL: http://profiles.ihe.net/PHARM/ihe.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
.... classification 0..* CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-classification
Binding: ProductClassification (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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/ihe.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
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.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
.... unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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/package-type
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/ihe.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
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... extension:device 1..1 Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "device"
....... value[x] 0..1 CodeableReference(Device | DeviceDefinition) Value of extension
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
ele-1: All FHIR elements must have a @value or children
...... extension:quantity 1..1 Extension Number of defined devices in te package
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "quantity"
..... url 1..1 uri "http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-device"
... identifier Σ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
ele-1: All FHIR elements must have a @value or children
... code Σ 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
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.


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

Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm candidate

ele-1: All FHIR elements must have a @value or children
... 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.
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... item 1..1 CodeableReference(Substance | Medication: MPD) 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)
Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance candidate

ele-1: All FHIR elements must have a @value or children
.... strength[x] 0..1 Amount of substance in product (presentation or concentration strength)
Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.


ele-1: All FHIR elements must have a @value or children
..... strength[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... 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: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: SNOMEDCTSubstanceCodes (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... strengthRatio Ratio
..... strengthCodeableConcept CodeableConcept
..... strengthQuantity Quantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.extension:device.extension:device.value[x]examplehttp://terminology.ehdsi.eu/ValueSet/eHDSIPackage
http://terminology.ehdsi.eu/ValueSet/eHDSIPackage
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedicationStatusCodes
http://hl7.org/fhir/ValueSet/medication-status|5.0.0
from the FHIR Standard
Medication.doseFormexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.itemexampleSNOMEDCTSubstanceCodes
http://hl7.org/fhir/ValueSet/substance-codes
from the FHIR Standard
Medication.ingredient.strength[x]preferredMedicationIngredientStrengthCodes
http://hl7.org/fhir/ValueSet/medication-ingredientstrength
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().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-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 Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication Definition of a Medication
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... productName 0..1 string Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-productname
.... classification 0..* CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-classification
Binding: ProductClassification (example)
.... 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/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-sizeofitem
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... 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/package-type
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
.... device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-device
..... Slices for extension Content/Rules for all slices
...... extension:device 1..1 Extension Extension
....... value[x] 0..1 CodeableReference(Device | DeviceDefinition) Value of extension
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
... identifier 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... code 0..1 CodeableConcept A terminology-based code for the product
... totalVolume 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
.... item 1..1 CodeableReference(Substance | Medication: MPD) 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)
Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance candidate
.... strength[x] 0..1 Ratio, CodeableConcept, Quantity Amount of substance in product (presentation or concentration strength)
..... Slices for extension Content/Rules for all slices
...... 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: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-strengthsubstance
Binding: SNOMEDCTSubstanceCodes (example)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.extension:device.extension:device.value[x]examplehttp://terminology.ehdsi.eu/ValueSet/eHDSIPackage
http://terminology.ehdsi.eu/ValueSet/eHDSIPackage
Medication.doseFormexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.itemexampleSNOMEDCTSubstanceCodes
http://hl7.org/fhir/ValueSet/substance-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication 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
.... productName 0..1 string Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-productname
.... classification 0..* CodeableConcept Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-classification
Binding: ProductClassification (example)
.... 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/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-sizeofitem
.... characteristic 0..* (Complex) Specifies other descriptive properties of the medication.
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-characteristic
.... unitOfPresentation 0..1 CodeableConcept Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)
URL: http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-unitofpresentation
Binding: UnitOfPresentation (example)
.... 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/package-type
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (example)
.... device 0..* (Complex) Device, typically an administration device, included in the product.
URL: http://profiles.ihe.net/PHARM/ihe.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
....... url 1..1 uri "device"
....... value[x] 0..1 CodeableReference(Device | DeviceDefinition) Value of extension
Binding: http://terminology.ehdsi.eu/ValueSet/eHDSIPackage (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
....... url 1..1 uri "quantity"
....... value[x] 0..1 Quantity Value of extension
..... url 1..1 uri "http://profiles.ihe.net/PHARM/ihe.pharm.mpd/StructureDefinition/ihe-ext-medication-device"
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier for the medicinal product, its generic representation, or packaged product.
... code Σ 0..1 CodeableConcept A terminology-based code for the product
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) Organization that has authorization to market medication
... doseForm 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.

Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm candidate
... 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 1..1 CodeableReference(Substance | Medication: MPD) 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)
Additional BindingsPurpose
http://terminology.ehdsi.eu/ValueSet/eHDSISubstance candidate
.... isActive 0..1 boolean Active ingredient indicator
.... strength[x] 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
....... 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: http://profiles.ihe.net/PHARM/ihe.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 Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire
... definition 0..1 Reference(MedicationKnowledge) Knowledge about this medication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Medication.extension:device.extension:device.value[x]examplehttp://terminology.ehdsi.eu/ValueSet/eHDSIPackage
http://terminology.ehdsi.eu/ValueSet/eHDSIPackage
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedicationStatusCodes
http://hl7.org/fhir/ValueSet/medication-status|5.0.0
from the FHIR Standard
Medication.doseFormexampleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
Medication.ingredient.itemexampleSNOMEDCTSubstanceCodes
http://hl7.org/fhir/ValueSet/substance-codes
from the FHIR Standard
Medication.ingredient.strength[x]preferredMedicationIngredientStrengthCodes
http://hl7.org/fhir/ValueSet/medication-ingredientstrength
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().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-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()

 

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