HL7 Europe Medication Prescription and Dispense
0.1.0-ballot - ballot 150

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## Resource Profile: Medication: MPD

Official URL: http://hl7.eu/fhir/mpd-r5/StructureDefinition/Medication-eu-mpd | Version: 0.1.0-ballot
Draft as of 2025-06-04 | Computable Name: MedicationEuMpd
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

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