MyHealth@Eu Electronic Prescription and Dispense
1.0.0-poc - qa-preview 150

This page is part of the MyHealth@Eu Electronic Prescription and Dispense (v1.0.0-poc: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MedicationMyHealthEuEpd - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the medication-myhealtheu-epd resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Medication
Definition

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

ShortDefinition of a Medication
Control0..*
Is Modifierfalse
Impose ProfileThis profile also requires that the instance also conform this additional profile:
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Medication.extension:productName
Slice NameproductName
Definition

Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

ShortMedication - Product Name
Comments

This obligation applies in the eDispensation context (MyHealthEuMedicationEd). For ePrescription, product name is optional.

Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Medication - Product Name) (Extension Type: string)
Is Modifierfalse
Obligations
    ObligationsActor
    SHALL:handleMyHealth@EU Handler
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Medication.extension:classification
    Slice Nameclassification
    Definition

    Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

    ShortMedication - Classification
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(Medication - Classification) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Medication.extension:classification.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 10. Medication.extension:classification.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
      12. Medication.extension:classification.value[x]
      Definition

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortValue of extension
      Control0..1
      BindingFor example codes, see For codes, see ProductClassification
      (example to http://hl7.org/fhir/ValueSet/medicinal-product-classification)
      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Medication.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • type @ $this
      • 14. Medication.extension:classification.value[x]:valueCodeableConcept
        Slice NamevalueCodeableConcept
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..1
        BindingUnless not suitable, these codes SHALL be taken from For codes, see eHDSI Active Ingredient
        (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient)
        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        16. Medication.extension:sizeOfItem
        Slice NamesizeOfItem
        Definition

        Size of a manufactured item or unit of presentation. For example, size of one vial in a package that may contain several vials.

        ShortMedication - Size of Item
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(Medication - Size of Item) (Extension Type: Quantity)
        Is Modifierfalse
        Obligations
          ObligationsActor
          SHOULD:handleMyHealth@EU Handler
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. Medication.extension:characteristic
          Slice Namecharacteristic
          Definition

          Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

          ShortSpecifies other descriptive properties of the medication.
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(Medication - Characteristic) (Complex Extension)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          20. Medication.extension:unitOfPresentation
          Slice NameunitOfPresentation
          Definition

          Unit of presentation, typically describing the smallest countable package item (e.g tablet, vial, ampoule, etc). Unit of presentation is also often used in describing pack size and the denominator of strength. If the size of presentation unit is relevant, it should be described in sizeOfItem extension.

          ShortMedication - Unit of presentation
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeExtension(Medication - Unit of presentation) (Extension Type: CodeableConcept)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          22. Medication.extension:unitOfPresentation.extension
          Definition

          An Extension


          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortExtensionAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..0*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 24. Medication.extension:unitOfPresentation.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
            26. Medication.extension:unitOfPresentation.value[x]
            Definition

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            ShortValue of extension
            Control10..1
            BindingFor example codes, see For codes, see UnitOfPresentation
            (example to http://hl7.org/fhir/ValueSet/unit-of-presentation)
            TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Medication.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
            • type @ $this
            • 28. Medication.extension:unitOfPresentation.value[x]:valueCodeableConcept
              Slice NamevalueCodeableConcept
              Definition

              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

              ShortValue of extension
              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from For codes, see eHDSI Quantity Unit
              (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSIQuantityUnit)
              TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. Medication.extension:packageType
              Slice NamepackageType
              Definition

              This extension applies to Medication and expresses the type of the container for the product (e.g. bottle, unit-dose blister, pre-filled pen).

              ShortMedication: Package type
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(Medication: Package type) (Extension Type: CodeableConcept)
              Is Modifierfalse
              Obligations
                ObligationsActor
                SHOULD:handleMyHealth@EU Handler
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                32. Medication.extension:packageType.extension
                Definition

                An Extension


                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortExtensionAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..0*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 34. Medication.extension:packageType.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuehttp://hl7.eu/fhir/StructureDefinition/medication-package-type
                  36. Medication.extension:device
                  Slice Namedevice
                  Definition

                  Device, typically an administration device, included in the medicinal product.

                  ShortMedication - Device
                  Control0..*
                  This element is affected by the following invariants: ele-1
                  TypeExtension(Medication - Device) (Complex Extension)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  38. Medication.extension:device.extension
                  Definition

                  An Extension


                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortExtensionAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control20..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 40. Medication.extension:device.extension:device
                    Slice Namedevice
                    Definition

                    An Extension

                    ShortExtensionAdditional content defined by implementations
                    Control10..1*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    42. Medication.extension:device.extension:device.extension
                    Definition

                    An Extension


                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortExtensionAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..0*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Medication.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 44. Medication.extension:device.extension:device.url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Control1..1
                      Typeuri
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      Fixed Valuedevice
                      46. Medication.extension:device.extension:quantity
                      Slice Namequantity
                      Definition

                      An Extension

                      ShortNumber of defined devices in te packageAdditional content defined by implementations
                      Control10..1*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      48. Medication.extension:device.extension:quantity.extension
                      Definition

                      An Extension


                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortExtensionAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..0*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Medication.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 50. Medication.extension:device.extension:quantity.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuequantity
                        52. Medication.extension:device.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
                        54. Medication.extension:device.value[x]
                        Definition

                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        ShortValue of extension
                        Control0..01
                        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        56. Medication.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                        Summaryfalse
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        58. Medication.status
                        Definition

                        A code to indicate if the medication is in active use.

                        Shortactive | inactive | entered-in-error
                        Comments

                        This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

                        Control0..1
                        BindingThe codes SHALL be taken from Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
                        (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

                        A coded concept defining if the medication is in active use.

                        Typecode
                        Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        60. Medication.form
                        Definition

                        Describes the form of the item. Powder; tablets; capsule.

                        Shortpowder | tablets | capsule +
                        Comments

                        When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

                        Control0..1
                        BindingThe codes SHALL be taken from For example codes, see eHDSI Dose Formhttp://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1
                        (required to http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Obligations
                          ObligationsActor
                          SHALL:handleMyHealth@EU Handler
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          62. Medication.amount
                          Definition

                          Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

                          ShortAmount of the medication (for example, in a package or a vial)Amount of drug in package
                          Control0..1
                          TypeRatio(Ratio (MyHealth@EU))
                          Is Modifierfalse
                          Obligations
                            ObligationsActor
                            SHOULD:handleMyHealth@EU Handler
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            64. Medication.ingredient
                            Definition

                            Identifies a particular constituent of interest in the product.

                            ShortIngredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strengthActive or inactive ingredient
                            Comments

                            The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Obligations
                              ObligationsActorSource
                              SHOULD:handleMyHealth@EU Handlerfrom Medication (Core)
                              SHOULD:handle & SHALL:handleMyHealth@EU HandlerMyHealth@EU Handlerfrom Medication (Core)
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              66. Medication.ingredient.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              68. Medication.ingredient.item[x]
                              Definition

                              The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                              ShortThe actual ingredient or content
                              Control1..1
                              TypeChoice of: CodeableConcept, Reference(Substance, Medication)
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summaryfalse
                              Requirements

                              The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Medication.ingredient.item[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 70. Medication.ingredient.item[x]:itemCodeableConcept
                                Slice NameitemCodeableConcept
                                Definition

                                The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                                ShortThe actual ingredient or content
                                Control01..1
                                BindingThe codes SHALL be taken from For codes, see eHDSI Substance With Exceptions
                                (required to http://fhir.ehdsi.eu/core/ValueSet/eHDSISubstanceWithExceptions)
                                TypeCodeableConcept, Reference(Substance, Medication)
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Obligations
                                  ObligationsActor
                                  SHALL:handleMyHealth@EU Handler
                                  Summaryfalse
                                  Requirements

                                  The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  72. Medication.ingredient.item[x]:itemReference
                                  Slice NameitemReference
                                  Definition

                                  The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                                  ShortThe actual ingredient or content
                                  Control01..1
                                  TypeReference(Medication (Core), Substance, Medication), CodeableConcept
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  74. Medication.ingredient.isActive
                                  Definition

                                  Indication of whether this ingredient affects the therapeutic action of the drug.

                                  ShortActive ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
                                  Control0..1
                                  Typeboolean
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Obligations
                                    ObligationsActor
                                    SHALL:handleMyHealth@EU Handler
                                    Summaryfalse
                                    Requirements

                                    True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    76. Medication.ingredient.strength
                                    Definition

                                    Definitional resources should be used for specifying the different types of strengths: presentation; concentration.


                                    Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

                                    ShortAmount of substance in product (presentation or concentration strength)Quantity of ingredient present
                                    Control0..1
                                    TypeRatio(Ratio (MyHealth@EU))
                                    Is Modifierfalse
                                    Obligations
                                      ObligationsActorSource
                                      SHOULD:handleMyHealth@EU Handlerfrom Medication (Core)
                                      SHOULD:handle & SHOULD:handleMyHealth@EU HandlerMyHealth@EU Handlerfrom Medication (Core)
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      78. Medication.ingredient.strength.extension:basisOfStrengthSubstance
                                      Slice NamebasisOfStrengthSubstance
                                      Definition

                                      Substance for marking the basis of strength. When the precise active ingredient is a salt, the strength is often provided for the active moiety (basis of strength).

                                      ShortMedication - Strength substance
                                      Control0..1
                                      TypeExtension(Medication - Strength substance) (Extension Type: CodeableConcept)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      80. Medication.ingredient.strength.extension:basisOfStrengthSubstance.extension
                                      Definition

                                      An Extension


                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortExtensionAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..0*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Medication.ingredient.strength.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 82. Medication.ingredient.strength.extension:basisOfStrengthSubstance.url
                                        Definition

                                        Source of the definition for the extension code - a logical name or a URL.

                                        Shortidentifies the meaning of the extension
                                        Comments

                                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance
                                        84. Medication.ingredient.strength.extension:basisOfStrengthSubstance.value[x]
                                        Definition

                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                        ShortValue of extension
                                        Control10..1
                                        BindingFor example codes, see For codes, see SNOMEDCTSubstanceCodes
                                        (example to http://hl7.org/fhir/ValueSet/substance-codes)
                                        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on Medication.ingredient.strength.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                        • type @ $this
                                        • 86. Medication.ingredient.strength.extension:basisOfStrengthSubstance.value[x]:valueCodeableConcept
                                          Slice NamevalueCodeableConcept
                                          Definition

                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                          ShortValue of extension
                                          Control0..1
                                          BindingThe codes SHALL be taken from For codes, see eHDSI Substance With Exceptions
                                          (required to http://fhir.ehdsi.eu/core/ValueSet/eHDSISubstanceWithExceptions)
                                          TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                          Guidance on how to interpret the contents of this table can be foundhere

                                          0. Medication
                                          Impose ProfileThis profile also requires that the instance also conform this additional profile:
                                          2. Medication.extension:productName
                                          Slice NameproductName
                                          Comments

                                          This obligation applies in the eDispensation context (MyHealthEuMedicationEd). For ePrescription, product name is optional.

                                          Obligations
                                            ObligationsActor
                                            SHALL:handleMyHealth@EU Handler
                                            4. Medication.extension:sizeOfItem
                                            Slice NamesizeOfItem
                                            Obligations
                                              ObligationsActor
                                              SHOULD:handleMyHealth@EU Handler
                                              6. Medication.extension:packageType
                                              Slice NamepackageType
                                              Obligations
                                                ObligationsActor
                                                SHOULD:handleMyHealth@EU Handler
                                                8. Medication.form
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handleMyHealth@EU Handler
                                                  10. Medication.amount
                                                  Obligations
                                                    ObligationsActor
                                                    SHOULD:handleMyHealth@EU Handler
                                                    12. Medication.ingredient
                                                    Obligations
                                                      ObligationsActorSource
                                                      SHOULD:handle & SHALL:handleMyHealth@EU HandlerMyHealth@EU Handlerfrom Medication (Core)
                                                      14. Medication.ingredient.item[x]:itemCodeableConcept
                                                      Slice NameitemCodeableConcept
                                                      TypeCodeableConcept
                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:handleMyHealth@EU Handler
                                                        16. Medication.ingredient.isActive
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:handleMyHealth@EU Handler
                                                          18. Medication.ingredient.strength
                                                          Obligations
                                                            ObligationsActorSource
                                                            SHOULD:handle & SHOULD:handleMyHealth@EU HandlerMyHealth@EU Handlerfrom Medication (Core)

                                                            Guidance on how to interpret the contents of this table can be foundhere

                                                            0. Medication
                                                            Definition

                                                            This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

                                                            ShortDefinition of a Medication
                                                            Control0..*
                                                            Is Modifierfalse
                                                            Impose ProfileThis profile also requires that the instance also conform this additional profile:
                                                            Summaryfalse
                                                            Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                            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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                            dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                            2. Medication.id
                                                            Definition

                                                            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                            ShortLogical id of this artifact
                                                            Comments

                                                            The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                            Control0..1
                                                            Typeid
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            4. Medication.meta
                                                            Definition

                                                            The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                            ShortMetadata about the resource
                                                            Control0..1
                                                            TypeMeta
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            6. Medication.implicitRules
                                                            Definition

                                                            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                            ShortA set of rules under which this content was created
                                                            Comments

                                                            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                            Control0..1
                                                            Typeuri
                                                            Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            8. Medication.language
                                                            Definition

                                                            The base language in which the resource is written.

                                                            ShortLanguage of the resource content
                                                            Comments

                                                            Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                            Control0..1
                                                            BindingThe codes SHALL be taken from eHDSI Language
                                                            (required to http://terminology.ehdsi.eu/ValueSet/eHDSILanguage)
                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            10. Medication.text
                                                            Definition

                                                            A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                            ShortText summary of the resource, for human interpretation
                                                            Comments

                                                            Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                            Control0..1
                                                            TypeNarrative
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesnarrative, html, xhtml, display
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            12. Medication.contained
                                                            Definition

                                                            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                                            ShortContained, inline Resources
                                                            Comments

                                                            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                            Control0..*
                                                            TypeResource
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesinline resources, anonymous resources, contained resources
                                                            14. Medication.extension
                                                            Definition

                                                            An Extension

                                                            ShortExtension
                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            SlicingThis element introduces a set of slices on Medication.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 16. Medication.extension:productName
                                                              Slice NameproductName
                                                              Definition

                                                              Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

                                                              ShortMedication - Product Name
                                                              Comments

                                                              This obligation applies in the eDispensation context (MyHealthEuMedicationEd). For ePrescription, product name is optional.

                                                              Control0..1
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension(Medication - Product Name) (Extension Type: string)
                                                              Is Modifierfalse
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:handleMyHealth@EU Handler
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                18. Medication.extension:classification
                                                                Slice Nameclassification
                                                                Definition

                                                                Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

                                                                ShortMedication - Classification
                                                                Control0..*
                                                                This element is affected by the following invariants: ele-1
                                                                TypeExtension(Medication - Classification) (Extension Type: CodeableConcept)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                20. Medication.extension:classification.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                22. Medication.extension:classification.extension
                                                                Definition

                                                                An Extension

                                                                ShortExtension
                                                                Control0..0
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 24. Medication.extension:classification.url
                                                                  Definition

                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                  Shortidentifies the meaning of the extension
                                                                  Comments

                                                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                  Control1..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
                                                                  26. Medication.extension:classification.value[x]
                                                                  Definition

                                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                  ShortValue of extension
                                                                  Control0..1
                                                                  BindingFor example codes, see ProductClassification
                                                                  (example to http://hl7.org/fhir/ValueSet/medicinal-product-classification)
                                                                  TypeCodeableConcept
                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  SlicingThis element introduces a set of slices on Medication.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                  • type @ $this
                                                                  • 28. Medication.extension:classification.value[x]:valueCodeableConcept
                                                                    Slice NamevalueCodeableConcept
                                                                    Definition

                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                    ShortValue of extension
                                                                    Control0..1
                                                                    BindingUnless not suitable, these codes SHALL be taken from eHDSI Active Ingredient
                                                                    (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSIActiveIngredient)
                                                                    TypeCodeableConcept
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    30. Medication.extension:sizeOfItem
                                                                    Slice NamesizeOfItem
                                                                    Definition

                                                                    Size of a manufactured item or unit of presentation. For example, size of one vial in a package that may contain several vials.

                                                                    ShortMedication - Size of Item
                                                                    Control0..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeExtension(Medication - Size of Item) (Extension Type: Quantity)
                                                                    Is Modifierfalse
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHOULD:handleMyHealth@EU Handler
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      32. Medication.extension:characteristic
                                                                      Slice Namecharacteristic
                                                                      Definition

                                                                      Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

                                                                      ShortSpecifies other descriptive properties of the medication.
                                                                      Control0..*
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypeExtension(Medication - Characteristic) (Complex Extension)
                                                                      Is Modifierfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      34. Medication.extension:unitOfPresentation
                                                                      Slice NameunitOfPresentation
                                                                      Definition

                                                                      Unit of presentation, typically describing the smallest countable package item (e.g tablet, vial, ampoule, etc). Unit of presentation is also often used in describing pack size and the denominator of strength. If the size of presentation unit is relevant, it should be described in sizeOfItem extension.

                                                                      ShortMedication - Unit of presentation
                                                                      Control0..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypeExtension(Medication - Unit of presentation) (Extension Type: CodeableConcept)
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      36. Medication.extension:unitOfPresentation.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      38. Medication.extension:unitOfPresentation.extension
                                                                      Definition

                                                                      An Extension

                                                                      ShortExtension
                                                                      Control0..0
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 40. Medication.extension:unitOfPresentation.url
                                                                        Definition

                                                                        Source of the definition for the extension code - a logical name or a URL.

                                                                        Shortidentifies the meaning of the extension
                                                                        Comments

                                                                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                        Control1..1
                                                                        Typeuri
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
                                                                        42. Medication.extension:unitOfPresentation.value[x]
                                                                        Definition

                                                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                        ShortValue of extension
                                                                        Control1..1
                                                                        BindingFor example codes, see UnitOfPresentation
                                                                        (example to http://hl7.org/fhir/ValueSet/unit-of-presentation)
                                                                        TypeCodeableConcept
                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        SlicingThis element introduces a set of slices on Medication.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                        • type @ $this
                                                                        • 44. Medication.extension:unitOfPresentation.value[x]:valueCodeableConcept
                                                                          Slice NamevalueCodeableConcept
                                                                          Definition

                                                                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                          ShortValue of extension
                                                                          Control0..1
                                                                          BindingUnless not suitable, these codes SHALL be taken from eHDSI Quantity Unit
                                                                          (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSIQuantityUnit)
                                                                          TypeCodeableConcept
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          46. Medication.extension:packageType
                                                                          Slice NamepackageType
                                                                          Definition

                                                                          This extension applies to Medication and expresses the type of the container for the product (e.g. bottle, unit-dose blister, pre-filled pen).

                                                                          ShortMedication: Package type
                                                                          Control0..1
                                                                          This element is affected by the following invariants: ele-1
                                                                          TypeExtension(Medication: Package type) (Extension Type: CodeableConcept)
                                                                          Is Modifierfalse
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHOULD:handleMyHealth@EU Handler
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            48. Medication.extension:packageType.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            50. Medication.extension:packageType.extension
                                                                            Definition

                                                                            An Extension

                                                                            ShortExtension
                                                                            Control0..0
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 52. Medication.extension:packageType.url
                                                                              Definition

                                                                              Source of the definition for the extension code - a logical name or a URL.

                                                                              Shortidentifies the meaning of the extension
                                                                              Comments

                                                                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                              Control1..1
                                                                              Typeuri
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              Fixed Valuehttp://hl7.eu/fhir/StructureDefinition/medication-package-type
                                                                              54. Medication.extension:packageType.value[x]
                                                                              Definition

                                                                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                              ShortType of container, e.g pre-filled syringe, unit-dose blister, sachet, etc.
                                                                              Control0..1
                                                                              BindingUnless not suitable, these codes SHALL be taken from eHDSI Package
                                                                              (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSIPackage)
                                                                              TypeCodeableConcept
                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              56. Medication.extension:device
                                                                              Slice Namedevice
                                                                              Definition

                                                                              Device, typically an administration device, included in the medicinal product.

                                                                              ShortMedication - Device
                                                                              Control0..*
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension(Medication - Device) (Complex Extension)
                                                                              Is Modifierfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              58. Medication.extension:device.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              60. Medication.extension:device.extension
                                                                              Definition

                                                                              An Extension

                                                                              ShortExtension
                                                                              Control2..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on Medication.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 62. Medication.extension:device.extension:device
                                                                                Slice Namedevice
                                                                                Definition

                                                                                An Extension

                                                                                ShortExtension
                                                                                Control1..1
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                64. Medication.extension:device.extension:device.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                66. Medication.extension:device.extension:device.extension
                                                                                Definition

                                                                                An Extension

                                                                                ShortExtension
                                                                                Control0..0
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Medication.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 68. Medication.extension:device.extension:device.url
                                                                                  Definition

                                                                                  Source of the definition for the extension code - a logical name or a URL.

                                                                                  Shortidentifies the meaning of the extension
                                                                                  Comments

                                                                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                  Control1..1
                                                                                  Typeuri
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  Fixed Valuedevice
                                                                                  70. Medication.extension:device.extension:device.value[x]
                                                                                  Definition

                                                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                  ShortValue of extension
                                                                                  Control0..1
                                                                                  BindingUnless not suitable, these codes SHALL be taken from eHDSI Package
                                                                                  (extensible to http://terminology.ehdsi.eu/ValueSet/eHDSIPackage)
                                                                                  TypeCodeableConcept
                                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  72. Medication.extension:device.extension:quantity
                                                                                  Slice Namequantity
                                                                                  Definition

                                                                                  An Extension

                                                                                  ShortNumber of defined devices in te package
                                                                                  Control1..1
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  74. Medication.extension:device.extension:quantity.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  76. Medication.extension:device.extension:quantity.extension
                                                                                  Definition

                                                                                  An Extension

                                                                                  ShortExtension
                                                                                  Control0..0
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Medication.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 78. Medication.extension:device.extension:quantity.url
                                                                                    Definition

                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                    Shortidentifies the meaning of the extension
                                                                                    Comments

                                                                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                    Control1..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    Fixed Valuequantity
                                                                                    80. Medication.extension:device.extension:quantity.value[x]
                                                                                    Definition

                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                    ShortValue of extension
                                                                                    Control0..1
                                                                                    TypeQuantity
                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    82. Medication.extension:device.url
                                                                                    Definition

                                                                                    Source of the definition for the extension code - a logical name or a URL.

                                                                                    Shortidentifies the meaning of the extension
                                                                                    Comments

                                                                                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                    Control1..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
                                                                                    84. Medication.extension:device.value[x]
                                                                                    Definition

                                                                                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                    ShortValue of extension
                                                                                    Control0..0
                                                                                    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    86. Medication.modifierExtension
                                                                                    Definition

                                                                                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                    ShortExtensions that cannot be ignored
                                                                                    Comments

                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    88. Medication.identifier
                                                                                    Definition

                                                                                    Business identifier for this medication.

                                                                                    ShortIdentifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
                                                                                    Comments

                                                                                    The serial number could be included as an identifier.

                                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                    Control0..*
                                                                                    TypeIdentifier
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    90. Medication.code
                                                                                    Definition

                                                                                    A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

                                                                                    ShortNational product code
                                                                                    Comments

                                                                                    Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

                                                                                    Control0..1
                                                                                    BindingFor example codes, see SNOMEDCTMedicationCodes
                                                                                    (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

                                                                                    A coded concept that defines the type of a medication.

                                                                                    TypeCodeableConcept
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    92. Medication.status
                                                                                    Definition

                                                                                    A code to indicate if the medication is in active use.

                                                                                    Shortactive | inactive | entered-in-error
                                                                                    Comments

                                                                                    This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

                                                                                    Control0..1
                                                                                    BindingThe codes SHALL be taken from Medication Status Codes
                                                                                    (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

                                                                                    A coded concept defining if the medication is in active use.

                                                                                    Typecode
                                                                                    Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    94. Medication.manufacturer
                                                                                    Definition

                                                                                    Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

                                                                                    ShortManufacturer
                                                                                    Control0..1
                                                                                    TypeReference(Organization)
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    96. Medication.form
                                                                                    Definition

                                                                                    Describes the form of the item. Powder; tablets; capsule.

                                                                                    Shortpowder | tablets | capsule +
                                                                                    Comments

                                                                                    When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

                                                                                    Control0..1
                                                                                    BindingThe codes SHALL be taken from eHDSI Dose Form
                                                                                    (required to http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm)
                                                                                    TypeCodeableConcept
                                                                                    Is Modifierfalse
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:handleMyHealth@EU Handler
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      98. Medication.amount
                                                                                      Definition

                                                                                      Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

                                                                                      ShortAmount of the medication (for example, in a package or a vial)
                                                                                      Control0..1
                                                                                      TypeRatio(Ratio (MyHealth@EU))
                                                                                      Is Modifierfalse
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHOULD:handleMyHealth@EU Handler
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        100. Medication.ingredient
                                                                                        Definition

                                                                                        Identifies a particular constituent of interest in the product.

                                                                                        ShortIngredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
                                                                                        Comments

                                                                                        The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

                                                                                        Control0..*
                                                                                        TypeBackboneElement
                                                                                        Is Modifierfalse
                                                                                        Obligations
                                                                                          ObligationsActorSource
                                                                                          SHOULD:handleMyHealth@EU Handlerfrom Medication (Core)
                                                                                          SHOULD:handle & SHALL:handleMyHealth@EU HandlerMyHealth@EU Handlerfrom Medication (Core)
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          102. Medication.ingredient.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          104. Medication.ingredient.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          106. Medication.ingredient.modifierExtension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          108. Medication.ingredient.item[x]
                                                                                          Definition

                                                                                          The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                                                                                          ShortThe actual ingredient or content
                                                                                          Control1..1
                                                                                          TypeChoice of: CodeableConcept, Reference(Substance, Medication)
                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Requirements

                                                                                          The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          SlicingThis element introduces a set of slices on Medication.ingredient.item[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                          • type @ $this
                                                                                          • 110. Medication.ingredient.item[x]:itemCodeableConcept
                                                                                            Slice NameitemCodeableConcept
                                                                                            Definition

                                                                                            The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                                                                                            ShortThe actual ingredient or content
                                                                                            Control0..1
                                                                                            BindingThe codes SHALL be taken from eHDSI Substance With Exceptions
                                                                                            (required to http://fhir.ehdsi.eu/core/ValueSet/eHDSISubstanceWithExceptions)
                                                                                            TypeCodeableConcept
                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                            Is Modifierfalse
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHALL:handleMyHealth@EU Handler
                                                                                              Summaryfalse
                                                                                              Requirements

                                                                                              The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              112. Medication.ingredient.item[x]:itemReference
                                                                                              Slice NameitemReference
                                                                                              Definition

                                                                                              The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                                                                                              ShortThe actual ingredient or content
                                                                                              Control0..1
                                                                                              TypeReference(Medication (Core))
                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Requirements

                                                                                              The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              114. Medication.ingredient.isActive
                                                                                              Definition

                                                                                              Indication of whether this ingredient affects the therapeutic action of the drug.

                                                                                              ShortActive ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
                                                                                              Control0..1
                                                                                              Typeboolean
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Obligations
                                                                                                ObligationsActor
                                                                                                SHALL:handleMyHealth@EU Handler
                                                                                                Summaryfalse
                                                                                                Requirements

                                                                                                True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                116. Medication.ingredient.strength
                                                                                                Definition

                                                                                                Definitional resources should be used for specifying the different types of strengths: presentation; concentration.

                                                                                                ShortAmount of substance in product (presentation or concentration strength)
                                                                                                Control0..1
                                                                                                TypeRatio(Ratio (MyHealth@EU))
                                                                                                Is Modifierfalse
                                                                                                Obligations
                                                                                                  ObligationsActorSource
                                                                                                  SHOULD:handleMyHealth@EU Handlerfrom Medication (Core)
                                                                                                  SHOULD:handle & SHOULD:handleMyHealth@EU HandlerMyHealth@EU Handlerfrom Medication (Core)
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  118. Medication.ingredient.strength.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  120. Medication.ingredient.strength.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  SlicingThis element introduces a set of slices on Medication.ingredient.strength.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                  • value @ url
                                                                                                  • 122. Medication.ingredient.strength.extension:basisOfStrengthSubstance
                                                                                                    Slice NamebasisOfStrengthSubstance
                                                                                                    Definition

                                                                                                    Substance for marking the basis of strength. When the precise active ingredient is a salt, the strength is often provided for the active moiety (basis of strength).

                                                                                                    ShortMedication - Strength substance
                                                                                                    Control0..1
                                                                                                    TypeExtension(Medication - Strength substance) (Extension Type: CodeableConcept)
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    124. Medication.ingredient.strength.extension:basisOfStrengthSubstance.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    126. Medication.ingredient.strength.extension:basisOfStrengthSubstance.extension
                                                                                                    Definition

                                                                                                    An Extension

                                                                                                    ShortExtension
                                                                                                    Control0..0
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    SlicingThis element introduces a set of slices on Medication.ingredient.strength.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                    • value @ url
                                                                                                    • 128. Medication.ingredient.strength.extension:basisOfStrengthSubstance.url
                                                                                                      Definition

                                                                                                      Source of the definition for the extension code - a logical name or a URL.

                                                                                                      Shortidentifies the meaning of the extension
                                                                                                      Comments

                                                                                                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                                                                      Control1..1
                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      Fixed Valuehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance
                                                                                                      130. Medication.ingredient.strength.extension:basisOfStrengthSubstance.value[x]
                                                                                                      Definition

                                                                                                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                      ShortValue of extension
                                                                                                      Control1..1
                                                                                                      BindingFor example codes, see SNOMEDCTSubstanceCodes
                                                                                                      (example to http://hl7.org/fhir/ValueSet/substance-codes)
                                                                                                      TypeCodeableConcept
                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      SlicingThis element introduces a set of slices on Medication.ingredient.strength.extension.value[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                      • type @ $this
                                                                                                      • 132. Medication.ingredient.strength.extension:basisOfStrengthSubstance.value[x]:valueCodeableConcept
                                                                                                        Slice NamevalueCodeableConcept
                                                                                                        Definition

                                                                                                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                                                                        ShortValue of extension
                                                                                                        Control0..1
                                                                                                        BindingThe codes SHALL be taken from eHDSI Substance With Exceptions
                                                                                                        (required to http://fhir.ehdsi.eu/core/ValueSet/eHDSISubstanceWithExceptions)
                                                                                                        TypeCodeableConcept
                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        134. Medication.ingredient.strength.numerator
                                                                                                        Definition

                                                                                                        The value of the numerator.

                                                                                                        ShortNumerator value
                                                                                                        Control0..1
                                                                                                        TypeQuantity
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        136. Medication.ingredient.strength.denominator
                                                                                                        Definition

                                                                                                        The value of the denominator.

                                                                                                        ShortDenominator value
                                                                                                        Control0..1
                                                                                                        TypeQuantity
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        138. Medication.batch
                                                                                                        Definition

                                                                                                        Information that only applies to packages (not products).

                                                                                                        ShortDetails about packaged medications
                                                                                                        Control0..1
                                                                                                        TypeBackboneElement
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        140. Medication.batch.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        142. Medication.batch.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        144. Medication.batch.modifierExtension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        146. Medication.batch.lotNumber
                                                                                                        Definition

                                                                                                        The assigned lot number of a batch of the specified product.

                                                                                                        ShortLot Number
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        148. Medication.batch.expirationDate
                                                                                                        Definition

                                                                                                        When this specific batch of product will expire.

                                                                                                        ShortExpiration Date
                                                                                                        Control0..1
                                                                                                        TypedateTime
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))