XpanDH Project Medication (e)Prescription and (e)Dispensation, 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-mpd/ and changes regularly. See the Directory of published versions

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

Resource Profile: Medication: XpanDH

This profile defines how to represent MedicationRequest in FHIR for the purpose of the XpanDH project eP/eD POC.

This profile constrains the Medication resource for the purpose of the eP/eD proof of concept.

Usage:

• Refer to this Resource Profile: Medication: XpanDH, MedicationDispense: XpanDH and MedicationRequest: XpanDH

Formal Views of Profile Content

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

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

This structure is derived from MedicationIPS

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	MedicationIPS	Definition of a Medication
contained		0..*	MedicationKnowledge	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationDefinitionR5		0..*	Reference(MedicationKnowledge)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition
code		1..1	CodeableConceptIPS	Any kind of product code (including ATC) Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient (preferred)
form		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm (required)
ingredient
Slices for item[x]		1..1	CodeableConceptIPS, Reference(Substance | Medication)	The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConceptIPS	The actual ingredient or content Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance (preferred)
item[x]:itemReference		0..1	Reference(Medication: XpanDH)	The actual ingredient or content
isActive		0..1	boolean	Usually true
strength		0..1	RatioIPS	A kind of strength
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient
Medication.form	required	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm
Medication.ingredient.item[x]:itemCodeableConcept	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	MedicationIPS	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..*	MedicationKnowledge	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
MedicationDefinitionR5		0..*	Reference(MedicationKnowledge)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptIPS	Any kind of product code (including ATC) Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient (preferred) Additional Bindings Purpose Medications - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Medication - IPS candidate ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
form	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm (required) ele-1: All FHIR elements must have a @value or children
ingredient	S	0..*	BackboneElement	Active or inactive ingredient 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
Slices for item[x]	S	1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances ele-1: All FHIR elements must have a @value or children
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConceptIPS	The actual ingredient or content Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance (preferred) ele-1: All FHIR elements must have a @value or children
item[x]:itemReference	S	0..1	Reference(Medication: XpanDH)	The actual ingredient or content ele-1: All FHIR elements must have a @value or children
isActive		0..1	boolean	Usually true ele-1: All FHIR elements must have a @value or children
strength	SC	0..1	RatioIPS	A kind of strength ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm
Medication.ingredient.item[x]	preferred	MedicineActiveSubstancesUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance

Constraints

Id	Grade	Path(s)	Details	Requirements
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())

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	MedicationKnowledge	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationDefinitionR5		0..*	Reference(MedicationKnowledge)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	S	1..1	CodeableConceptIPS	Any kind of product code (including ATC) Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient (preferred) 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: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm (required)
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
Slices for item[x]	S	1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConceptIPS	The actual ingredient or content Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance (preferred)
item[x]:itemReference	S	0..1	Reference(Medication: XpanDH)	The actual ingredient or content
isActive		0..1	boolean	Usually true
strength	SC	0..1	RatioIPS	A kind of strength rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
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	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm
Medication.ingredient.item[x]	preferred	MedicineActiveSubstancesUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Medication: XpanDH (http://hl7.eu/fhir/ig/xpandh-mpd/StructureDefinition/Medication-ep-eu-xpandh)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.ingredient.item[x]

Differential View

This structure is derived from MedicationIPS

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	MedicationIPS	Definition of a Medication
contained		0..*	MedicationKnowledge	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationDefinitionR5		0..*	Reference(MedicationKnowledge)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition
code		1..1	CodeableConceptIPS	Any kind of product code (including ATC) Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient (preferred)
form		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm (required)
ingredient
Slices for item[x]		1..1	CodeableConceptIPS, Reference(Substance | Medication)	The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConceptIPS	The actual ingredient or content Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance (preferred)
item[x]:itemReference		0..1	Reference(Medication: XpanDH)	The actual ingredient or content
isActive		0..1	boolean	Usually true
strength		0..1	RatioIPS	A kind of strength
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient
Medication.form	required	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm
Medication.ingredient.item[x]:itemCodeableConcept	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	MedicationIPS	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..*	MedicationKnowledge	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
MedicationDefinitionR5		0..*	Reference(MedicationKnowledge)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConceptIPS	Any kind of product code (including ATC) Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient (preferred) Additional Bindings Purpose Medications - SNOMED CT IPS Free Set candidate WHO ATC - IPS candidate Absent or Unknown Medication - IPS candidate ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
form	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm (required) ele-1: All FHIR elements must have a @value or children
ingredient	S	0..*	BackboneElement	Active or inactive ingredient 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
Slices for item[x]	S	1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances ele-1: All FHIR elements must have a @value or children
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConceptIPS	The actual ingredient or content Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance (preferred) ele-1: All FHIR elements must have a @value or children
item[x]:itemReference	S	0..1	Reference(Medication: XpanDH)	The actual ingredient or content ele-1: All FHIR elements must have a @value or children
isActive		0..1	boolean	Usually true ele-1: All FHIR elements must have a @value or children
strength	SC	0..1	RatioIPS	A kind of strength ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm
Medication.ingredient.item[x]	preferred	MedicineActiveSubstancesUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance

Constraints

Id	Grade	Path(s)	Details	Requirements
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())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	MedicationKnowledge	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationDefinitionR5		0..*	Reference(MedicationKnowledge)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	S	1..1	CodeableConceptIPS	Any kind of product code (including ATC) Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient (preferred) 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: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm (required)
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
Slices for item[x]	S	1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: Medicine Active Substances - IPS (preferred): SNOMED CT drug substances
itemCodeableConcept			CodeableConcept(CodeableConceptIPS)
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConceptIPS	The actual ingredient or content Binding: http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance (preferred)
item[x]:itemReference	S	0..1	Reference(Medication: XpanDH)	The actual ingredient or content
isActive		0..1	boolean	Usually true
strength	SC	0..1	RatioIPS	A kind of strength rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
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	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIActiveIngredient
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSIDoseForm
Medication.ingredient.item[x]	preferred	MedicineActiveSubstancesUvIps http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips
Medication.ingredient.item[x]:itemCodeableConcept	preferred	http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance http://hl7.eu/fhir/ig/xpandh/ValueSet/eHDSISubstance

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Medication: XpanDH (http://hl7.eu/fhir/ig/xpandh-mpd/StructureDefinition/Medication-ep-eu-xpandh)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-Medication.definition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.ingredient.item[x]

Other representations of profile: CSV, Excel, Schematron