MyHealth@Eu Hospital Discharge Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Medication: HDR

This profile constrains the Medication resource for the purpose of this guide, adapted from the MPD work.

Usages:

• Use this Profile: Bundle: HDR
• Refer to this Profile: Medication: HDR, MedicationAdministration: HDR, MedicationDispense: HDR, MedicationRequest: HDR and MedicationStatement: HDR
• Examples for this Profile: Medication/1234567890

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..*	MedicationEuHdr	Definition of a Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:productName	O	0..1	string	Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Obligations Actor SHALL:handle HDR Handler
extension:classification	O	0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Obligations Actor SHALL:handle HDR Handler
extension		0..0
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Active Ingredient (required)
extension: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: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	OΣ	0..1	CodeableConcept	National product code Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. Obligations Actor SHALL:handle HDR Handler
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	O	1..1	CodeableConcept	add expectional values and make it required Binding: eHDSI Dose Form (extensible) Obligations Actor SHALL:handle HDR Handler
ingredient		1..*	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemReference			Reference(Any)
itemCodeableConcept			CodeableConcept
item[x]:itemReference		0..1	Reference(Medication: HDR)	The actual ingredient or content
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: eHDSI Substance with exceptions (required) Obligations Actor SHALL:handle HDR Handler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.extension:classification.value[x]	required	EHDSIActiveIngredient http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient From this IG
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 From the FHIR Standard
Medication.form	extensible	EHDSIDoseForm http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm From this IG
Medication.ingredient.item[x]:itemCodeableConcept	required	EHDSISubstanceWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSISubstanceWithExceptions From this IG

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()

This structure is derived from MedicationEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication			MedicationEuHdr
Slices for extension				Content/Rules for all slices
extension:productName	O	0..1	MedicationProductName	Medication - Product Name Obligations Actor SHALL:handle HDR Handler
extension:classification	O	0..*	MedicationClassification	Medication - Classification Obligations Actor SHALL:handle HDR Handler
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Active Ingredient (required)
code	O	0..1	CodeableConcept	National product code Obligations Actor SHALL:handle HDR Handler
form	O	1..1	CodeableConcept	add expectional values and make it required Binding: eHDSI Dose Form (extensible) Obligations Actor SHALL:handle HDR Handler
ingredient		1..*	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
Slices for item[x]				Content/Rules for all slices
item[x]:itemReference		0..1	Reference(Medication: HDR)	The actual ingredient or content
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: eHDSI Substance with exceptions (required) Obligations Actor SHALL:handle HDR Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.extension:classification.value[x]	required	EHDSIActiveIngredient http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient From this IG
Medication.form	extensible	EHDSIDoseForm http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm From this IG
Medication.ingredient.item[x]:itemCodeableConcept	required	EHDSISubstanceWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSISubstanceWithExceptions From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuHdr	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName	O	0..1	string	Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Obligations Actor SHALL:handle HDR Handler
extension:classification	O	0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Obligations Actor SHALL:handle HDR Handler
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Active Ingredient (required)
extension: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: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code	OΣ	0..1	CodeableConcept	National product code Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. Obligations Actor SHALL:handle HDR Handler
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	O	1..1	CodeableConcept	add expectional values and make it required Binding: eHDSI Dose Form (extensible) Obligations Actor SHALL:handle HDR Handler
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		1..*	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
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemReference			Reference(Any)
itemCodeableConcept			CodeableConcept
item[x]:itemReference		0..1	Reference(Medication: HDR)	The actual ingredient or content
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: eHDSI Substance with exceptions (required) Obligations Actor SHALL:handle HDR Handler
isActive		0..1	boolean	Active ingredient flag
strength		0..1	Ratio	Amount of substance in product (presentation or concentration strength)
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
extension:strengthSubstance		0..1	CodeableConcept	Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator	Σ	0..1	Quantity	Numerator value
denominator	Σ	0..1	Quantity	Denominator value
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.extension:classification.value[x]	required	EHDSIActiveIngredient http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient From this IG
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 From the FHIR Standard
Medication.form	extensible	EHDSIDoseForm http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm From this IG
Medication.ingredient.item[x]:itemCodeableConcept	required	EHDSISubstanceWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSISubstanceWithExceptions From this IG

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()

This structure is derived from MedicationEuHdr

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Medication: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/medication-hdr-myhealtheu)

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuHdr	Definition of a Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:productName	O	0..1	string	Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Obligations Actor SHALL:handle HDR Handler
extension:classification	O	0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Obligations Actor SHALL:handle HDR Handler
extension		0..0
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Active Ingredient (required)
extension: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: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	OΣ	0..1	CodeableConcept	National product code Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. Obligations Actor SHALL:handle HDR Handler
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	O	1..1	CodeableConcept	add expectional values and make it required Binding: eHDSI Dose Form (extensible) Obligations Actor SHALL:handle HDR Handler
ingredient		1..*	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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemReference			Reference(Any)
itemCodeableConcept			CodeableConcept
item[x]:itemReference		0..1	Reference(Medication: HDR)	The actual ingredient or content
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: eHDSI Substance with exceptions (required) Obligations Actor SHALL:handle HDR Handler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.extension:classification.value[x]	required	EHDSIActiveIngredient http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient From this IG
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 From the FHIR Standard
Medication.form	extensible	EHDSIDoseForm http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm From this IG
Medication.ingredient.item[x]:itemCodeableConcept	required	EHDSISubstanceWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSISubstanceWithExceptions From this IG

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()

Differential View

This structure is derived from MedicationEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication			MedicationEuHdr
Slices for extension				Content/Rules for all slices
extension:productName	O	0..1	MedicationProductName	Medication - Product Name Obligations Actor SHALL:handle HDR Handler
extension:classification	O	0..*	MedicationClassification	Medication - Classification Obligations Actor SHALL:handle HDR Handler
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Active Ingredient (required)
code	O	0..1	CodeableConcept	National product code Obligations Actor SHALL:handle HDR Handler
form	O	1..1	CodeableConcept	add expectional values and make it required Binding: eHDSI Dose Form (extensible) Obligations Actor SHALL:handle HDR Handler
ingredient		1..*	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
Slices for item[x]				Content/Rules for all slices
item[x]:itemReference		0..1	Reference(Medication: HDR)	The actual ingredient or content
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: eHDSI Substance with exceptions (required) Obligations Actor SHALL:handle HDR Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.extension:classification.value[x]	required	EHDSIActiveIngredient http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient From this IG
Medication.form	extensible	EHDSIDoseForm http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm From this IG
Medication.ingredient.item[x]:itemCodeableConcept	required	EHDSISubstanceWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSISubstanceWithExceptions From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	MedicationEuHdr	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName	O	0..1	string	Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Obligations Actor SHALL:handle HDR Handler
extension:classification	O	0..*	(Complex)	Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Obligations Actor SHALL:handle HDR Handler
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Active Ingredient (required)
extension: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: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code	OΣ	0..1	CodeableConcept	National product code Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. Obligations Actor SHALL:handle HDR Handler
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	O	1..1	CodeableConcept	add expectional values and make it required Binding: eHDSI Dose Form (extensible) Obligations Actor SHALL:handle HDR Handler
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		1..*	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
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemReference			Reference(Any)
itemCodeableConcept			CodeableConcept
item[x]:itemReference		0..1	Reference(Medication: HDR)	The actual ingredient or content
item[x]:itemCodeableConcept	O	0..1	CodeableConcept	The actual ingredient or content Binding: eHDSI Substance with exceptions (required) Obligations Actor SHALL:handle HDR Handler
isActive		0..1	boolean	Active ingredient flag
strength		0..1	Ratio	Amount of substance in product (presentation or concentration strength)
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
extension:strengthSubstance		0..1	CodeableConcept	Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator	Σ	0..1	Quantity	Numerator value
denominator	Σ	0..1	Quantity	Denominator value
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.extension:classification.value[x]	required	EHDSIActiveIngredient http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient From this IG
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 From the FHIR Standard
Medication.form	extensible	EHDSIDoseForm http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm From this IG
Medication.ingredient.item[x]:itemCodeableConcept	required	EHDSISubstanceWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSISubstanceWithExceptions From this IG

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()

This structure is derived from MedicationEuHdr

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Medication: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/medication-hdr-myhealtheu)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron