This page is part of the HL7 Europe Medication Prescription and Dispense (v0.1.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: Medication: MPD

This profile defines how to represent Medication data on ePrescription and eDispensation

Usages:

• Refer to this Profile: Medication: MPD, MedicationDispense: MPD and MedicationRequest: MPD
• Examples for this Profile: Medication/01A-Cefuroxime1500GenericExplicit, Medication/01B-Cefuroxime1500GenericConcept, Medication/01C-Cefuroxime1500Branded, Medication/01D-Cefuroxime750Branded... Show 6 more, Medication/02A-ClotrimazoleCanifugCremolum, Medication/02A1-CanifugCremolumCreamItem, Medication/02A2-CanifugCremolumPessaryItem, Medication/03B-VitaminBComplexBranded, Medication/04A-FirmagonBranded and Medication/05A-Tilidin-Branded

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication This profile also imposes the profile IHE Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
extension		0..0
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
extension		0..0
url		1..1	uri	"quantity"
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code	Σ	0..1	CodeableConcept	A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	CodeableReference(Substance | Medication: MPD)	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example) Additional Bindings Purpose eHDSI Substance candidate
strength[x]		0..1		Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strength[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.extension:device.extension:device.value[x]	example	eHDSIPackage http://terminology.ehdsi.eu/ValueSet/eHDSIPackage From http://tx.hl7europe.eu/r5
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	MedicationStatusCodes http://hl7.org/fhir/ValueSet/medication-status|5.0.0 From the FHIR Standard
Medication.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.ingredient.item	example	SNOMEDCTSubstanceCodes http://hl7.org/fhir/ValueSet/substance-codes From the FHIR Standard
Medication.ingredient.strength[x]	preferred	MedicationIngredientStrengthCodes http://hl7.org/fhir/ValueSet/medication-ingredientstrength From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication This profile also imposes the profile IHE Medication
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension				Content/Rules for all slices
extension:device		1..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
identifier		0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code		0..1	CodeableConcept	A terminology-based code for the product
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume		0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
item		1..1	CodeableReference(Substance | Medication: MPD)	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example) Additional Bindings Purpose eHDSI Substance candidate
strength[x]		0..1	Ratio, CodeableConcept, Quantity	Amount of substance in product (presentation or concentration strength)
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.extension:device.extension:device.value[x]	example	eHDSIPackage http://terminology.ehdsi.eu/ValueSet/eHDSIPackage From http://tx.hl7europe.eu/r5
Medication.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.ingredient.item	example	SNOMEDCTSubstanceCodes http://hl7.org/fhir/ValueSet/substance-codes From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication This profile also imposes the profile IHE Medication
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	id	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code	Σ	0..1	CodeableConcept	A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
marketingAuthorizationHolder	Σ	0..1	Reference(Organization)	Organization that has authorization to market medication
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	CodeableReference(Substance | Medication: MPD)	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example) Additional Bindings Purpose eHDSI Substance candidate
isActive		0..1	boolean	Active ingredient indicator
strength[x]		0..1		Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strength[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
definition		0..1	Reference(MedicationKnowledge)	Knowledge about this medication
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Medication.extension:device.extension:device.value[x]	example	eHDSIPackage http://terminology.ehdsi.eu/ValueSet/eHDSIPackage From http://tx.hl7europe.eu/r5
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	MedicationStatusCodes http://hl7.org/fhir/ValueSet/medication-status|5.0.0 From the FHIR Standard
Medication.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.ingredient.item	example	SNOMEDCTSubstanceCodes http://hl7.org/fhir/ValueSet/substance-codes From the FHIR Standard
Medication.ingredient.strength[x]	preferred	MedicationIngredientStrengthCodes http://hl7.org/fhir/ValueSet/medication-ingredientstrength From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Medication

Summary

Structures

This structure refers to these other structures:

• Medication: MPD (http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
• http://hl7.eu/fhir/StructureDefinition/medication-package-type
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication This profile also imposes the profile IHE Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
extension		0..0
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
extension		0..0
url		1..1	uri	"quantity"
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code	Σ	0..1	CodeableConcept	A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	CodeableReference(Substance | Medication: MPD)	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example) Additional Bindings Purpose eHDSI Substance candidate
strength[x]		0..1		Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strength[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.extension:device.extension:device.value[x]	example	eHDSIPackage http://terminology.ehdsi.eu/ValueSet/eHDSIPackage From http://tx.hl7europe.eu/r5
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	MedicationStatusCodes http://hl7.org/fhir/ValueSet/medication-status|5.0.0 From the FHIR Standard
Medication.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.ingredient.item	example	SNOMEDCTSubstanceCodes http://hl7.org/fhir/ValueSet/substance-codes From the FHIR Standard
Medication.ingredient.strength[x]	preferred	MedicationIngredientStrengthCodes http://hl7.org/fhir/ValueSet/medication-ingredientstrength From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication This profile also imposes the profile IHE Medication
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
Slices for extension				Content/Rules for all slices
extension:device		1..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
identifier		0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code		0..1	CodeableConcept	A terminology-based code for the product
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume		0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
item		1..1	CodeableReference(Substance | Medication: MPD)	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example) Additional Bindings Purpose eHDSI Substance candidate
strength[x]		0..1	Ratio, CodeableConcept, Quantity	Amount of substance in product (presentation or concentration strength)
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.extension:device.extension:device.value[x]	example	eHDSIPackage http://terminology.ehdsi.eu/ValueSet/eHDSIPackage From http://tx.hl7europe.eu/r5
Medication.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.ingredient.item	example	SNOMEDCTSubstanceCodes http://hl7.org/fhir/ValueSet/substance-codes From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication	Definition of a Medication This profile also imposes the profile IHE Medication
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName		0..1	string	Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification		0..*	CodeableConcept	Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
extension:sizeOfItem		0..1	Quantity	Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:characteristic		0..*	(Complex)	Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation		0..1	CodeableConcept	Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
extension:packageType		0..1	CodeableConcept	Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe) URL: http://hl7.eu/fhir/StructureDefinition/medication-package-type Binding: eHDSI Package (example)
extension:device		0..*	(Complex)	Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
id		0..1	id	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:device		1..1	Extension	Extension
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"device"
value[x]		0..1	CodeableConcept	Value of extension Binding: eHDSI Package (example)
extension:quantity		1..1	Extension	Number of defined devices in te package
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"quantity"
value[x]		0..1	Quantity	Value of extension
url		1..1	uri	"https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the medicinal product, its generic representation, or packaged product.
code	Σ	0..1	CodeableConcept	A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationStatusCodes (required): A coded concept defining if the medication is in active use.
marketingAuthorizationHolder	Σ	0..1	Reference(Organization)	Organization that has authorization to market medication
doseForm		0..1	CodeableConcept	Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item's individual dose form. Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication. Additional Bindings Purpose eHDSI Dose Form candidate
totalVolume	Σ	0..1	Quantity	Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.
ingredient		0..*	BackboneElement	Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	CodeableReference(Substance | Medication: MPD)	Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets) Binding: SNOMEDCTSubstanceCodes (example) Additional Bindings Purpose eHDSI Substance candidate
isActive		0..1	boolean	Active ingredient indicator
strength[x]		0..1		Amount of substance in product (presentation or concentration strength) Binding: MedicationIngredientStrengthCodes (preferred): A coded concpet defining the strength of an ingredient.
strength[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:basisOfStrengthSubstance		0..1	CodeableConcept	Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
strengthRatio			Ratio
strengthCodeableConcept			CodeableConcept
strengthQuantity			Quantity
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
definition		0..1	Reference(MedicationKnowledge)	Knowledge about this medication
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Medication.extension:device.extension:device.value[x]	example	eHDSIPackage http://terminology.ehdsi.eu/ValueSet/eHDSIPackage From http://tx.hl7europe.eu/r5
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
Medication.status	required	MedicationStatusCodes http://hl7.org/fhir/ValueSet/medication-status|5.0.0 From the FHIR Standard
Medication.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes From the FHIR Standard
Medication.ingredient.item	example	SNOMEDCTSubstanceCodes http://hl7.org/fhir/ValueSet/substance-codes From the FHIR Standard
Medication.ingredient.strength[x]	preferred	MedicationIngredientStrengthCodes http://hl7.org/fhir/ValueSet/medication-ingredientstrength From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Medication

Summary

Structures

This structure refers to these other structures:

• Medication: MPD (http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation
• http://hl7.eu/fhir/StructureDefinition/medication-package-type
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance

Other representations of profile: CSV, Excel, Schematron