HL7 Europe Patient Summary
1.0.0-alpha - qa-preview 150

HL7 Europe Patient Summary - Downloaded Version 1.0.0-alpha See the Directory of published versions

## Resource Profile: Medication Obligations (EPS)

Official URL: http://hl7.eu/fhir/eps/StructureDefinition/medication-obl-eu-eps | Version: 1.0.0-alpha
Draft as of 2026-02-25 | Computable Name: MedicationOblEuEps
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

IPS obligations extracted from the Medication profile.

Usages:

- Use this Profile: Bundle (EPS)

You can also check for usages in the FHIR IG Statistics

### 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..* | MedicationEuCore | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:productName |  | 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 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "device"
extension:quantity |  | 1..1 | Extension | Number of defined devices in te package
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "quantity"
url |  | 1..1 | uri | "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
code | O Σ | 0..1 | CodeableConcept | Code of the medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: eHDSI Dose Form (example)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | O | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication (EU core)) | The actual ingredient or content
item[x]:itemCodeableConcept |  | 0..1 | CodeableConcept | The actual ingredient or content Binding: Medicine Active Substances - IPS (example)
Additional Bindings | Purpose
eHDSI Substance | candidate
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for extension |  |  |  | Content/Rules for all slices
extension:basisOfStrengthSubstance |  | 0..1 | CodeableConcept | Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | eHDSI Dose Form | ⏿8.1.0 | tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept | Base | example | Medicine Active Substances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### Constraints

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

This structure is derived from MedicationEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  |  | MedicationEuCore |
code | O | 0..1 | CodeableConcept | Code of the medication
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
form | O | 0..1 | CodeableConcept | powder | tablets | capsule +
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | O | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
item[x] | O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuCore | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Human readable summary of the medication, for example, the name and form of the medication. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | string | 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 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier of the medication
code | O Σ | 0..1 | CodeableConcept | Code of the medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: eHDSI Dose Form (example)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
amount | Σ | 0..1 | Ratio | Amount of the medication (for example, in a package or a vial)
ingredient | O | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication (EU core)) | The actual ingredient or content
item[x]:itemCodeableConcept |  | 0..1 | CodeableConcept | The actual ingredient or content Binding: Medicine Active Substances - IPS (example)
Additional Bindings | Purpose
eHDSI Substance | candidate
isActive |  | 0..1 | boolean | Active ingredient indicator
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator | Σ | 0..1 | Quantity | Numerator value
denominator | Σ | 0..1 | Quantity | Denominator value
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Lot Number
expirationDate |  | 0..1 | dateTime | Expiration Date
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.extension:device.​extension:device.value[x] | Base | example | eHDSI Package | ⏿8.1.0 | tx.hl7europe.eu
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | eHDSI Dose Form | ⏿8.1.0 | tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept | Base | example | Medicine Active Substances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### Constraints

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

This structure is derived from MedicationEuCore

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuCore | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:productName |  | 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 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "device"
extension:quantity |  | 1..1 | Extension | Number of defined devices in te package
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "quantity"
url |  | 1..1 | uri | "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
code | O Σ | 0..1 | CodeableConcept | Code of the medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: eHDSI Dose Form (example)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | O | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication (EU core)) | The actual ingredient or content
item[x]:itemCodeableConcept |  | 0..1 | CodeableConcept | The actual ingredient or content Binding: Medicine Active Substances - IPS (example)
Additional Bindings | Purpose
eHDSI Substance | candidate
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Slices for extension |  |  |  | Content/Rules for all slices
extension:basisOfStrengthSubstance |  | 0..1 | CodeableConcept | Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | eHDSI Dose Form | ⏿8.1.0 | tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept | Base | example | Medicine Active Substances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### Constraints

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

Differential View

This structure is derived from MedicationEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  |  | MedicationEuCore |
code | O | 0..1 | CodeableConcept | Code of the medication
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
form | O | 0..1 | CodeableConcept | powder | tablets | capsule +
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
ingredient | O | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
item[x] | O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuCore | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Human readable summary of the medication, for example, the name and form of the medication. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | string | 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 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier of the medication
code | O Σ | 0..1 | CodeableConcept | Code of the medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: eHDSI Dose Form (example)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
amount | Σ | 0..1 | Ratio | Amount of the medication (for example, in a package or a vial)
ingredient | O | 0..* | BackboneElement | Active or inactive ingredient
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication (EU core)) | The actual ingredient or content
item[x]:itemCodeableConcept |  | 0..1 | CodeableConcept | The actual ingredient or content Binding: Medicine Active Substances - IPS (example)
Additional Bindings | Purpose
eHDSI Substance | candidate
isActive |  | 0..1 | boolean | Active ingredient indicator
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
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 | Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator | Σ | 0..1 | Quantity | Numerator value
denominator | Σ | 0..1 | Quantity | Denominator value
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Lot Number
expirationDate |  | 0..1 | dateTime | Expiration Date
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.extension:device.​extension:device.value[x] | Base | example | eHDSI Package | ⏿8.1.0 | tx.hl7europe.eu
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | eHDSI Dose Form | ⏿8.1.0 | tx.hl7europe.eu
Medication.ingredient.​item[x]:itemCodeableConcept | Base | example | Medicine Active Substances - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### Constraints

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

This structure is derived from MedicationEuCore

Summary

Other representations of profile: CSV, Excel, Schematron