XpanDH Hospital Discharge Report, published by XpanDH Project. 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/xpandh-hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: Medication (Xpandh)

This profile represents the constraints applied to the Medication resource by the Xpandh project FHIR Implementation Guide, based on FHIR R4.

This profile constrains the representation of a medication, in the context of the international patient summary as specified by the IPS project of HL7 International.

Usages:

• Refer to this Profile: MedicationRequest and MedicationStatement

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..*	MedicationIPS	Definition of a Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	S	1..1	CodeableConceptIPS	Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication Additional Bindings Purpose Medications - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Medication - IPS candidate
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	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Doseform - IPS (preferred)
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]	S	1..1		The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
strength	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	preferred	Medications - SNOMED CT + Absent/Unknown (IPS)	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine Doseform - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.ingredient.​item[x]	Base	preferred	Medicine Active Substances - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from MedicationIPS

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationIPS	Definition of a Medication
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationIPS	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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	S	1..1	CodeableConceptIPS	Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication Additional Bindings Purpose Medications - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Medication - IPS candidate
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Doseform - IPS (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
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[x]	S	1..1		The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.code	Base	preferred	Medications - SNOMED CT + Absent/Unknown (IPS)	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine Doseform - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.ingredient.​item[x]	Base	preferred	Medicine Active Substances - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from MedicationIPS

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationIPS	Definition of a Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	S	1..1	CodeableConceptIPS	Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication Additional Bindings Purpose Medications - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Medication - IPS candidate
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	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Doseform - IPS (preferred)
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]	S	1..1		The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
strength	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	preferred	Medications - SNOMED CT + Absent/Unknown (IPS)	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine Doseform - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.ingredient.​item[x]	Base	preferred	Medicine Active Substances - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Differential View

This structure is derived from MedicationIPS

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationIPS	Definition of a Medication
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationIPS	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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	S	1..1	CodeableConceptIPS	Medication that was administered or was to be administered (medication code from any code system) Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication Additional Bindings Purpose Medications - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Medication - IPS candidate
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Medicine Doseform - IPS (preferred)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient	S	0..*	BackboneElement	Active or inactive ingredient
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[x]	S	1..1		The actual ingredient or content Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	RatioIPS	A ratio of two Quantity values - a numerator and a denominator Constraints: rat-1
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.code	Base	preferred	Medications - SNOMED CT + Absent/Unknown (IPS)	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine Doseform - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Medication.ingredient.​item[x]	Base	preferred	Medicine Active Substances - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

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()
rat-1	error	Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from MedicationIPS

Summary

Other representations of profile: CSV, Excel, Schematron