CH Core (R4)
5.0.0-ci-build - ci-build Switzerland flag

CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ralych/ch-core/ and changes regularly. See the Directory of published versions

Resource Profile: CH Core Medication

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication Version: 5.0.0-ci-build
Active as of 2024-03-28 Computable Name: CHCoreMedication

Copyright/Legal: CC0-1.0

Base definition of the Medication resource for use in Swiss specific use cases.

Usage:

Formal Views of Profile Content

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

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationCH Core Medication
... code
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN 0..*CodingGTIN for Swiss products
...... system 1..1uriGlobal Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... code 1..1codeSymbol in syntax defined by the system
..... coding:ATC 0..*CodingATC for foreign products
...... system 1..1uriAnatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... code 1..1codeSymbol in syntax defined by the system
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount 0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
.... item[x] 1..1The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConceptCodeableConcept
..... itemReferenceReference(Substance | CH Core Medication)
.... strength 0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationCH Core Medication
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ0..1codeactive | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... amount C0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform

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().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-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()
rat-1errorMedication.amountNumerator 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())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationCH Core Medication
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier for this medication
... code Σ0..1CodeableConceptCodes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ0..*CodingGTIN for Swiss products
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriGlobal Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:ATC Σ0..*CodingATC for foreign products
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriAnatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... status ?!Σ0..1codeactive | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ0..1Reference(Organization)Manufacturer of the item
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount C0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... ingredient 0..*BackboneElementActive or inactive ingredient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... item[x] 1..1The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConceptCodeableConcept
..... itemReferenceReference(Substance | CH Core Medication)
.... isActive 0..1booleanActive ingredient indicator
.... strength C0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
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..1BackboneElementDetails about packaged medications
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... lotNumber 0..1stringIdentifier assigned to batch
.... expirationDate 0..1dateTimeWhen batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

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().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-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()
rat-1errorMedication.amount, Medication.ingredient.strengthNumerator 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 Medication

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationCH Core Medication
... code
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN 0..*CodingGTIN for Swiss products
...... system 1..1uriGlobal Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... code 1..1codeSymbol in syntax defined by the system
..... coding:ATC 0..*CodingATC for foreign products
...... system 1..1uriAnatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... code 1..1codeSymbol in syntax defined by the system
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount 0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
.... item[x] 1..1The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConceptCodeableConcept
..... itemReferenceReference(Substance | CH Core Medication)
.... strength 0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationCH Core Medication
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ0..1codeactive | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... amount C0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform

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().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-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()
rat-1errorMedication.amountNumerator 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..*MedicationCH Core Medication
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier for this medication
... code Σ0..1CodeableConceptCodes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ0..*CodingGTIN for Swiss products
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriGlobal Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:ATC Σ0..*CodingATC for foreign products
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriAnatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... status ?!Σ0..1codeactive | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ0..1Reference(Organization)Manufacturer of the item
... form 0..1CodeableConceptpowder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount C0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... ingredient 0..*BackboneElementActive or inactive ingredient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... item[x] 1..1The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConceptCodeableConcept
..... itemReferenceReference(Substance | CH Core Medication)
.... isActive 0..1booleanActive ingredient indicator
.... strength C0..1CHCoreRatioWithEmedUnitsA ratio of two Quantity values - a numerator and a denominator
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..1BackboneElementDetails about packaged medications
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... lotNumber 0..1stringIdentifier assigned to batch
.... expirationDate 0..1dateTimeWhen batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

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().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-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()
rat-1errorMedication.amount, Medication.ingredient.strengthNumerator 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 Medication

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron