## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips vs http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core

Left: | Medication (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips)
Right: | Medication (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips' vs 'http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core'
Information | StructureDefinition.name | Values for name differ: 'MedicationIPS' vs 'MedicationEuCore'
Information | StructureDefinition.title | Values for title differ: 'Medication (IPS)' vs 'Medication (EU core)'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2026-04-27T22:41:19+03:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
Warning | StructureDefinition.fhirVersion | Values for fhirVersion differ: '4.0.1' vs '5.0.0'
Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.'
Information | StructureDefinition.comment | Values for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
Information | StructureDefinition.comment | Values for comment differ: '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.' vs '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 its narrative along with other profiles, value sets, etc.'
Information | StructureDefinition.comment | Values for comment differ: '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.' vs 'Contained resources do not have a 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.'
Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
Information | StructureDefinition.comment | Values for comment differ: '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.' vs '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.'
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. 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.' vs 'An Extension'
Information | StructureDefinition.definition | Values for definition differ: '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).' vs '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 managable, 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).'
Information | StructureDefinition.requirements | Values for requirements differ: '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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs '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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
Information | StructureDefinition.short | Values for short differ: 'Business identifier for this medication' vs 'Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)'
Information | StructureDefinition.short | Values for short differ: 'Medication that was administered or was to be administered (medication code from any code system)' vs 'A terminology-based code for the product (e.g. SNOMED CT code)'
Information | StructureDefinition.definition | Values for definition differ: 'Medication that was administered or was to be administered. Several kinds of medication coding could be provided as: 1. The IDMP Pharmaceutical Product Identifier (PhPID), Level 1, [Substance(s)]. Example: Amoxicillin and Clavulanate Potassium; or any other equivalent coded concept; 2. The IDMP Pharmaceutical Product Identifier (PhPID), Level 2 [Substance(s) + Strength + reference strength]. Example: Amoxicillin 875 mg and Clavulanate Potassium 125 mg; or any other equivalent coded concept; 3. The IDMP Pharmaceutical Product Identifier (PhPID), Level 3 [Substance(s) + administrable dose form]. Example: Amoxicillin and Clavulanate Potassium, Oral Tablet; or any other equivalent coded concept; 4. The IDMP Pharmaceutical Product Identifier (PhPID), Level 4 [Substance(s) + strength + reference strength + administrable dose form]. Example: Amoxicillin 875 mg and clavulanate potassium 125 mg, oral tablet; or any other equivalent coded concept 5. The IDMP Medicinal Product Identifier (MPID) or any equivalent Medicinal Product Identifier. IDMP MPID uniquely identifies a Medicinal Product, reflecting (but not replacing) any other authorization numbers allocated by a regulator. MPID implies one (set of) PhPID. The MPID shall use a common segment pattern related to a Medicinal Product, which, when each segment is valued shall define a specific MPID concept. 6. The IDMP Packaged Medicinal Product Identifier (PCID) or any equivalent Packaged Medicinal Product Identifier. Uniquely identifies a Medicinal Product based on its packaging. This implies one MPID can be associated with more than one PCID, if the same Medicinal Product has more than one type of package. 7. Any other kind of code that that identifies, classifies or cluster the administered product (e.g. the medicinal product or the product class) The value sets used for the PhPID, MPID and PCID identifiers are provisional and include only few equivalent concepts used for exemplification purposes, they will be updated with real IDMP identifiers when they will become available.' vs '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.'
Warning | Medication.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Medication.code | Element minimum cardinalities differ: '1' vs '0'
Information | Medication.code | Example/preferred bindings differ at Medication.code using binding from MedicationIPS
Information | StructureDefinition.short | Values for short differ: 'Active or inactive ingredient' vs 'Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength'
Warning | Medication.ingredient | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.definition | Values for definition differ: '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.' vs '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 managable, 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.'
Information | StructureDefinition.definition | Values for definition differ: '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).' vs '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 managable, 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).'
Information | StructureDefinition.requirements | Values for requirements differ: '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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs '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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
Information | StructureDefinition.short | Values for short differ: 'Active ingredient indicator' vs 'Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.'
Information | StructureDefinition.definition | Values for definition differ: '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.' vs '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 managable, 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.'
Information | StructureDefinition.definition | Values for definition differ: '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).' vs '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 managable, 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).'
Information | StructureDefinition.requirements | Values for requirements differ: '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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs '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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
Information | StructureDefinition.short | Values for short differ: 'Identifier assigned to batch' vs 'Lot Number'
Information | StructureDefinition.short | Values for short differ: 'When batch will expire' vs 'Expiration Date'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Medication |
copyright |  | Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date | 2024-06-19T10:50:07-05:00 | 2026-04-27T22:41:19+03:00 | Values Differ
description | This profile represents the constraints applied to the Medication resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A medication is described in the patient summary as an instance of a Medication resource constrained by this profile. | This profile introduces essential constraints and extensions for the Medication resource that apply across multiple use cases. | Values Differ
experimental | false |  | Removed the item 'false'
fhirVersion | 4.0.1 | 5.0.0 | Values Differ
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |  | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1] |  | http://unstats.un.org/unsd/methods/m49/m49.htm#150 | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind | resource |
name | MedicationIPS | MedicationEuCore | Values Differ
publisher | HL7 International / Patient Care | HL7 Europe | Values Differ
purpose | This profile constrains the representation of a medication, in the context of the international patient summary as specified by the IPS project of HL7 International. |  | Removed the item 'This profile constrains the representation of a medication, in the context of the international patient summary as specified by the IPS project of HL7 International.'
status | active |
title | Medication (IPS) | Medication (EU core) | Values Differ
type | Medication |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips | http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core | Values Differ
version | 2.0.0 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication |  | 0..* | Medication | Definition of a Medication |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (required): IETF language tag for a human language
Additional Bindings | Purpose
?? | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Business identifier for this medication | Σ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level) |
code | SO Σ | 1..1 | ?? | Medication that was administered or was to be administered (medication code from any code system) Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Additional Bindings | Purpose
?? | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 0..1 | CodeableConcept | A terminology-based code for the product (e.g. SNOMED CT code) Binding: ?? (example): A coded concept that defines the type of a medication. | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0' Example/preferred bindings differ at Medication.code using binding from MedicationIPS
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: ?? (required): A coded concept defining if the medication is in active use. | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: ?? (required): A coded concept defining if the medication is in active use. |
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item |  |  |  |  | Removed this element
form | SO | 0..1 | ?? | powder | tablets | capsule + Binding: ?? (preferred): SNOMED Doseform Terms
Additional Bindings | Purpose
?? | candidate
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  |  |  |  | Removed this element
amount | Σ | 0..1 | Ratio | Amount of drug in package |  |  |  |  | Removed this element
ingredient | SO | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  | 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 | Elements differ in definition for mustSupport: 'true' vs 'false'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
item[x] | SO | 1..1 | ??, Reference(Substance | Medication) | The actual ingredient or content Binding: ?? (preferred): SNOMED CT drug substances
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  |  |  |  | Removed this element
isActive |  | 0..1 | boolean | Active ingredient indicator |  | 0..1 | boolean | Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true. |
strength | SO | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  |  |  |  | Removed this element
item |  |  |  |  |  | 1..1 | CodeableReference(Substance | Medication (EU core)) | 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: ?? (example)
Additional Bindings | Purpose
?? | Preferred
| Added this element
strength[x] |  |  |  |  |  | 0..1 | Ratio, CodeableConcept, Quantity | Amount of substance in product (presentation or concentration strength) Binding: ?? (preferred): A coded concpet defining the strength of an ingredient. | Added this element
batch |  | 0..1 | BackboneElement | Details about packaged medications |  | 0..1 | BackboneElement | Details about packaged medications |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
lotNumber |  | 0..1 | string | Identifier assigned to batch |  | 0..1 | string | Lot Number |
expirationDate |  | 0..1 | dateTime | When batch will expire |  | 0..1 | dateTime | Expiration Date |
marketingAuthorizationHolder |  |  |  |  | Σ | 0..1 | Reference(Organization) | Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation. | Added this element
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: ?? (example): A coded concept defining the form of a medication.
Additional Bindings | Purpose
?? | Preferred
| Added this element
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. | Added this element
definition |  |  |  |  |  | 0..1 | Reference(MedicationKnowledge) | Knowledge about this medication | Added this element
Documentation for this format