HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions

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Resource Profile: Medication - Dossier Farmaceutico

Rappresentazione del farmaco tramite il profilo Medication

Usage:

• Refer to this Resource Profile: CarePlan - Dossier Farmaceutico, MedicationAdministration - Dossier Farmaceutico, MedicationDispense - Dossier Farmaceutico and MedicationRequest - Dossier Farmaceutico
• Examples for this Resource Profile: Medication/ed43d494-c9db-47f0-9d5a-9eac3bc6d713 and Medication/ed43d494-c9db-47f0-9d5a-9eac3bc6d714

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 Medication

Name	Flags	Card.	Type	Description & Constraints
Medication			Medication
identifier		0..1	Identifier	Business identifier for this medication
code		1..1	CodeableConcept	Codes that identify this medication
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:atc		0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:aic		0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza		0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni		0..1	Coding	Code defined by a terminology system Binding: NullFlavor (required)
code		0..1	code	Symbol in syntax defined by the system Required Pattern: UNK
form		0..1	CodeableConcept	Forma farmaceutica
amount		0..1	Ratio	Quantità nella confezione
ingredient
strength		0..1	Ratio	Grammatura
batch
lotNumber		0..1	string	Numero di lotto
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code.coding:atc	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
Medication.code.coding:aic	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
Medication.code.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
Medication.code.coding:eccezioni	required	VsNullflavor http://hl7.it/fhir/dossier-pharma/ValueSet/vs-NullFlavor from this IG

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	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
identifier	Σ	0..1	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:atc	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:aic	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Binding: NullFlavor (required)
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: UNK
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		0..1	CodeableConcept	Forma farmaceutica Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount	Σ	0..1	Ratio	Quantità nella confezione
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.code.coding:atc	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
Medication.code.coding:aic	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
Medication.code.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
Medication.code.coding:eccezioni	required	VsNullflavor http://hl7.it/fhir/dossier-pharma/ValueSet/vs-NullFlavor from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
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
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..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:atc	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:aic	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Binding: NullFlavor (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: UNK
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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		0..1	CodeableConcept	Forma farmaceutica Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount	Σ	0..1	Ratio	Quantità nella confezione
ingredient		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]		1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Grammatura
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	Numero di lotto
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.code.coding:atc	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
Medication.code.coding:aic	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
Medication.code.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
Medication.code.coding:eccezioni	required	VsNullflavor http://hl7.it/fhir/dossier-pharma/ValueSet/vs-NullFlavor from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard

This structure is derived from Medication

Summary

Mandatory: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.code.coding

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication			Medication
identifier		0..1	Identifier	Business identifier for this medication
code		1..1	CodeableConcept	Codes that identify this medication
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:atc		0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:aic		0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza		0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni		0..1	Coding	Code defined by a terminology system Binding: NullFlavor (required)
code		0..1	code	Symbol in syntax defined by the system Required Pattern: UNK
form		0..1	CodeableConcept	Forma farmaceutica
amount		0..1	Ratio	Quantità nella confezione
ingredient
strength		0..1	Ratio	Grammatura
batch
lotNumber		0..1	string	Numero di lotto
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code.coding:atc	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
Medication.code.coding:aic	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
Medication.code.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
Medication.code.coding:eccezioni	required	VsNullflavor http://hl7.it/fhir/dossier-pharma/ValueSet/vs-NullFlavor from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	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
identifier	Σ	0..1	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:atc	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:aic	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Binding: NullFlavor (required)
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: UNK
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		0..1	CodeableConcept	Forma farmaceutica Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount	Σ	0..1	Ratio	Quantità nella confezione
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.code.coding:atc	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
Medication.code.coding:aic	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
Medication.code.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
Medication.code.coding:eccezioni	required	VsNullflavor http://hl7.it/fhir/dossier-pharma/ValueSet/vs-NullFlavor from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:atc	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:aic	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Binding: NullFlavor (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: UNK
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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		0..1	CodeableConcept	Forma farmaceutica Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount	Σ	0..1	Ratio	Quantità nella confezione
ingredient		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]		1..1		The actual ingredient or content
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Grammatura
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	Numero di lotto
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.code.coding:atc	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
Medication.code.coding:aic	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
Medication.code.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
Medication.code.coding:eccezioni	required	VsNullflavor http://hl7.it/fhir/dossier-pharma/ValueSet/vs-NullFlavor from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard

This structure is derived from Medication

Summary

Mandatory: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.code.coding

Other representations of profile: CSV, Excel, Schematron