Implementation Guide for NOMA's FHIR API v2.0

Profile: Medicinal Product

The Medicinal Product resource represents medicinal products authorised to be marketed in Norway and has been adapted to the needs of the Norwegian healthcare services.

Definition by EDQM:
Any substance or combination of substances, which may be administered to human beings or animals for treating or preventing disease, with the view to making a medical diagnosis or to restore, correct or modify physiological functions.
NOTE: A medicinal product may consist of one or more manufactured items and one or more pharmaceutical products.

name	type	status	version	url
MedicinalProductNOMA	MedicinalProduct	active	2.0.0	https://example.org/fhir/StructureDefinition/2.0.0/MedicinalProductNOMA

The Medicinal Product FHIR Information Model

The Medicinal Product FHIR Pofile Structure

MedicinalProductNOMA (MedicinalProduct)

MedicinalProduct

Element id

MedicinalProduct

Short description

Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use) TEST TESST

Definition

Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use).

Data type

MedicinalProduct

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()

Mappings

rim: Entity. Role, or Act

0..1

There are no (further) constraints on this element

Element id

MedicinalProduct.id

Short description

Logical id of this artifact

Definition

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

Comments

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Meta

There are no (further) constraints on this element

Element id

MedicinalProduct.meta

Short description

Metadata about the resource

Definition

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

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

MedicinalProduct.implicitRules

Short description

A set of rules under which this content was created

Definition

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

Comments

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

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

MedicinalProduct.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

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

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

text

0..1

Narrative

There are no (further) constraints on this element

Element id

MedicinalProduct.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

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

Comments

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

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

MedicinalProduct.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

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

Comments

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

Data type

Resource

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

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.

Comments

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

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

authorizedPharmaceuticalDoseForm

0..1

Extension(CodeableConcept)

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm

Short description

The Medicinal Product's Authorized Pharmaceutical Dose form

Alternate names

extensions, user content

Definition

Representing the Authorized Pharmaceutical Dose form for the medicinal product. This may be one of the following types, each defined by a separate Code System. All codes are EDQM codes, except local Norwegian codes not present in EDQM, which are published as supplement. All Urls are preliminary and will be changed in the near future.

Pharmaceutical Dose Form

In this case, the Authorized Pharmaceutical Dose Form is equal to the Manufactured Dose Form on the Manufactured Item Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/c32a474c-be97-4e15-8977-5d0ae6acfaf8
Supplement Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/fca77bf0-11be-4c33-970e-735453b9da1c

Combined pharmaceutical dose form

Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/5e4998a0-9012-4989-95fc-4efc225c331a
Supplement Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/d46985c5-0709-48a9-b0e5-45bb6c6954bf

Combined Term

Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/4e05e38c-ff04-4706-ade1-1365d996b63a
Supplement Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/1c30e3f2-869a-4edf-8212-0fdcf322c76f

Combination Pack

Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/91fc1aaf-d702-495d-8841-ea2014b04e7e
Supplement Url: N/A

Comments

Data type

Extension(CodeableConcept)

Extension URL

http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-authorized-pharmaceutical-dose-form-safest

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..0

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

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

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.url

Short description

identifies the meaning of the extension

Definition

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

Comments

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

Data type

uri

Fixed value

http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-authorized-pharmaceutical-dose-form-safest

Mappings

rim: N/A

value[x]

0..1

CodeableConcept

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x]

Short description

Specifies the dose form

Definition

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

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

0..*

Coding

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

0..1

uri

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.version

Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

0..1

code

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.code

Short description

The code of the dose form

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

string

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.display

Short description

The name of the dose form

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

boolean

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

nutritionDoseForm

0..*

Extension

Element id

MedicinalProduct.extension:nutritionDoseForm

Short description

A Medicinal Product's Nutrition Dose Form.

Alternate names

extensions, user content

Definition

A Medicinal Product's Nutrition Dose Form, in case it is representing a Nutrition Product.
The URL points to national Nowegian code system used to classify the nutrition dose form.
Utl (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/ac8e8700-2554-48eb-af05-d1b8e3e54e9f

Comments

Meaning when missing

When missing, the Medicinal Product is not a nutritional product

Data type

Extension

Extension URL

http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-nutrition-dose-form

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:nutritionDoseForm.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:nutritionDoseForm.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:nutritionDoseForm.url

Short description

identifies the meaning of the extension

Definition

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

Comments

Data type

uri

Fixed value

http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-nutrition-dose-form

Mappings

rim: N/A

value[x]

0..1

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:nutritionDoseForm.value[x]

Short description

Value of extension

Definition

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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:nutritionDoseForm.value[x].id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:nutritionDoseForm.value[x].extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

There are no (further) constraints on this element

Element id

MedicinalProduct.extension:nutritionDoseForm.value[x].coding

valueAddress

Address

There are no (further) constraints on this element

Data type

Address

valueAge

Age

There are no (further) constraints on this element

Data type

Age

valueAnnotation

Annotation

There are no (further) constraints on this element

Data type

Annotation

valueAttachment

Attachment

There are no (further) constraints on this element

Data type

Attachment

valueBase64Binary

base64Binary

There are no (further) constraints on this element

Data type

base64Binary

valueBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

valueCanonical

canonical

There are no (further) constraints on this element

Data type

canonical

valueCode

code

There are no (further) constraints on this element

Data type

code

valueCodeableConcept

CodeableConcept

There are no (further) constraints on this element

Data type

CodeableConcept

valueCoding

Coding

There are no (further) constraints on this element

Data type

Coding

valueContactDetail

ContactDetail

There are no (further) constraints on this element

Data type

ContactDetail

valueContactPoint

ContactPoint

There are no (further) constraints on this element

Data type

ContactPoint

valueContributor

Contributor

There are no (further) constraints on this element

Data type

Contributor

valueCount

Count

There are no (further) constraints on this element

Data type

Count

valueDataRequirement

DataRequirement

There are no (further) constraints on this element

Data type

DataRequirement

valueDate

date

There are no (further) constraints on this element

Data type

date

valueDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

valueDecimal

decimal

There are no (further) constraints on this element

Data type

decimal

valueDistance

Distance

There are no (further) constraints on this element

Data type

Distance

valueDosage

Dosage

There are no (further) constraints on this element

Data type

Dosage

valueDuration

Duration

There are no (further) constraints on this element

Data type

Duration

valueExpression

Expression

There are no (further) constraints on this element

Data type

Expression

valueHumanName

HumanName

There are no (further) constraints on this element

Data type

HumanName

valueId

There are no (further) constraints on this element

Data type

valueIdentifier

Identifier

There are no (further) constraints on this element

Data type

Identifier

valueInstant

instant

There are no (further) constraints on this element

Data type

instant

valueInteger

integer

There are no (further) constraints on this element

Data type

integer

valueMarkdown

markdown

There are no (further) constraints on this element

Data type

markdown

valueMeta

Meta

There are no (further) constraints on this element

Data type

Meta

valueMoney

Money

There are no (further) constraints on this element

Data type

Money

valueOid

oid

There are no (further) constraints on this element

Data type

oid

valueParameterDefinition

ParameterDefinition

There are no (further) constraints on this element

Data type

ParameterDefinition

valuePeriod

Period

There are no (further) constraints on this element

Data type

Period

valuePositiveInt

positiveInt

There are no (further) constraints on this element

Data type

positiveInt

valueQuantity

Quantity

There are no (further) constraints on this element

Data type

Quantity

valueRange

Range

There are no (further) constraints on this element

Data type

Range

valueRatio

Ratio

There are no (further) constraints on this element

Data type

Ratio

valueReference

Reference

There are no (further) constraints on this element

Data type

Reference

valueRelatedArtifact

RelatedArtifact

There are no (further) constraints on this element

Data type

RelatedArtifact

valueSampledData

SampledData

There are no (further) constraints on this element

Data type

SampledData

valueSignature

Signature

There are no (further) constraints on this element

Data type

Signature

valueString

string

There are no (further) constraints on this element

Data type

string

valueTime

time

There are no (further) constraints on this element

Data type

time

valueTiming

Timing

There are no (further) constraints on this element

Data type

Timing

valueTriggerDefinition

TriggerDefinition

There are no (further) constraints on this element

Data type

TriggerDefinition

valueUnsignedInt

unsignedInt

There are no (further) constraints on this element

Data type

unsignedInt

valueUri

uri

There are no (further) constraints on this element

Data type

uri

valueUrl

url

There are no (further) constraints on this element

Data type

url

valueUsageContext

UsageContext

There are no (further) constraints on this element

Data type

UsageContext

valueUuid

uuid

There are no (further) constraints on this element

Data type

uuid

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

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

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

Requirements

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

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..*

Identifier

Element id

MedicinalProduct.identifier

Short description

Business identifier for this product. Could be an MPID

Alternate names

MPID

Definition

Business identifier for this product. Could be an MPID.

Data type

Identifier

Slicing

Unordered, Open, by

Sliced

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

nomaMedicinalProductID

1..1

Identifier

Element id

MedicinalProduct.identifier:nomaMedicinalProductID

Short description

Equal to the element's ID

Alternate names

MPID

Definition

Equal to the element's ID, specific to NoMA's FHIR API Url (preliminary): http://legemiddelverket.no/fhir/SAFEST/SafestMedicinalProductID

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

use

Σ ?!

0..0

codeBinding

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Role.code or implied by context

type

0..0

CodeableConceptBinding

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: CX.5
rim: Role.code or implied by context

system

1..1

uri

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

rim: n/a
v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: n/a
v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

Σ C

0..1

Period

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

Σ C

0..0

Reference(Organization)

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:nomaMedicinalProductID.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

legemiddelmerkevareId

0..1

Identifier

Element id

MedicinalProduct.identifier:legemiddelmerkevareId

Short description

The medicinal product's FEST (legemiddelMerkevare) ID

Alternate names

MPID

Definition

Ensures referential integrity with the medicinal product's representation in the FEST master data.
Url (preliminary): http://legemiddelverket.no/FEST/LegemiddelMerkevareID There are cases in which two Medicinal Products (temporarily) reference to the same FEST legemiddekMerkevareId, if there is a change in the medicinal product's invented name.

Meaning when missing

When missing, the medicinal product is not represented as a product in the FEST master data. For example if the medicinal product represents a combinationpack or a multi strength package which are not represented as a product in FEST.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

use

Σ ?!

0..0

codeBinding

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Role.code or implied by context

type

0..0

CodeableConceptBinding

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: CX.5
rim: Role.code or implied by context

system

1..1

uri

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

rim: n/a
v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: n/a
v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

Σ C

0..1

Period

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

Σ C

0..0

Reference(Organization)

There are no (further) constraints on this element

Element id

MedicinalProduct.identifier:legemiddelmerkevareId.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

type

0..0

CodeableConcept

There are no (further) constraints on this element

Element id

MedicinalProduct.type

Short description

Regulatory type, e.g. Investigational or Authorized

Definition

Regulatory type, e.g. Investigational or Authorized.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

domain

0..0

Coding

There are no (further) constraints on this element

Element id

MedicinalProduct.domain

Short description

If this medicine applies to human or veterinary uses

Definition

If this medicine applies to human or veterinary uses.

Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

combinedPharmaceuticalDoseForm

0..0

CodeableConcept

There are no (further) constraints on this element

Element id

MedicinalProduct.combinedPharmaceuticalDoseForm

Short description

The dose form for a single part product, or combined form of a multiple part product

Definition

The dose form for a single part product, or combined form of a multiple part product.

Comments

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

legalStatusOfSupply

0..1

CodeableConcept

Element id

MedicinalProduct.legalStatusOfSupply

Short description

The legal status of supply of the medicinal product as classified by the regulator

Definition

Contains the legal status of supply of the medicinal product if every package connected to it has the same status. If there is one or more packages with different statuses, then the legal status of supply will be defined on the package and this element will be empty.

Comments

Details on the Norwegian code system for Legal Status of Supply: Finnkode Reseptgruppe Usually, only the code (e.g. "C") and not the display text (e.g. "Reseptgruppe C") is used by the consumers.

Meaning when missing

When missing, the underlying packages do not all have the same legal status of suppply.

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

0..*

Coding

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.coding.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

1..1

uri

Element id

MedicinalProduct.legalStatusOfSupply.coding.system

Short description

Identity of the terminology system

Definition

(preliminary) https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7421

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..0

string

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.coding.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

1..1

code

Element id

MedicinalProduct.legalStatusOfSupply.coding.code

Short description

Symbol in syntax defined by the system

Definition

The letter code for the legal status of supply - A, B, C, F or K

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

string

Element id

MedicinalProduct.legalStatusOfSupply.coding.display

Short description

Representation defined by the system

Definition

E.g. "Reseptgruppe C"

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..0

boolean

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.legalStatusOfSupply.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

additionalMonitoringIndicator

0..0

CodeableConcept

There are no (further) constraints on this element

Element id

MedicinalProduct.additionalMonitoringIndicator

Short description

Whether the Medicinal Product is subject to additional monitoring for regulatory reasons

Definition

Whether the Medicinal Product is subject to additional monitoring for regulatory reasons.

Comments

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

specialMeasures

0..0

string

There are no (further) constraints on this element

Element id

MedicinalProduct.specialMeasures

Short description

Whether the Medicinal Product is subject to special measures for regulatory reasons

Definition

Whether the Medicinal Product is subject to special measures for regulatory reasons.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

paediatricUseIndicator

0..0

CodeableConcept

There are no (further) constraints on this element

Element id

MedicinalProduct.paediatricUseIndicator

Short description

If authorised for use in children

Definition

If authorised for use in children.

Comments

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

productClassification

0..*

CodeableConcept

Element id

MedicinalProduct.productClassification

Short description

Allows the product to be classified by various systems

Definition

Allows the product to be classified by various systems such as ATC.

Comments

Published (optional) classification categorie for the Medicinal Product::

Medicinal Product Type (Preparattype)

The medicinal product type Finnkode Preparattype Legemidler.
Cardinality: 0..1
Code: The medicinal product type code
Display: The medicinal product type such as "Legemiddel" or "Enteral ernæring"
Url (preliminary): https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7424

XEVMPD Medicinal Product Type (Søknadstype)

The SPOR RMS classification of a medicinal product according to how itt is authorised. Only used if the medicinal product has been Parallel imported
Cardinality: 0..1
Code: The SPOR RMS code for the classification
Display: THe SPOR RMS name for the classification
Url (preliminary): https://spor.ema.europa.eu/rmswi/#/lists/200000000324/terms

Søknadstype godkjenningsfritak

Whether dispensing the medicinal product requires individual authorisation by the Norwegian Medicinal Agency, is at the discretion of the dispenser or can be dispensed without any further considerations. Code system published at Finnkode Søknadstyper
Cardinality: 0..1
Code: According to the code system
Display: According to the code system
Url (preliminary): https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7422

Har utvidet ernæringsinformasjon

Whether the Medicinal Product has expanded nutritional information such as vitamins and minerals. Used for paranteral nutrition.
Cardinality: 0..1
Code: "true"
Display: "Har utvidet ernæringsinformasjon"
Url (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/81153ebc-9be0-468b-8676-44152dcb04d5

ATC codes

All the medicinal product's ATC code(s). One entry per code. May represent combination of substances according to the medicinal product's ingredients.
Cardinality: 0..*
Code: The ATC code
Display: The (substances) name
Urls (preliminary), one per first-level ATC:

First-level ATC category	Url
Alimentary tract and metabolism	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/dcedfe5f-d7dd-43f4-a351-8744395249dd
Blood and blood forming organs	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/127f5448-fa44-4da4-9589-438749da0158
Cardiovascular system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e104a7eb-e832-4d57-946d-d402b71ecc22
Dermatologicals	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f5a60497-f1c5-4163-ad34-a3c614d2f6b4
Genito urinary system and sex hormones	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/1fd6dad4-6b05-44ee-9a61-9409927bf195
Systemic hormonal preparations, excl. sex hormones and insulins	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/bd343711-ab45-4ebd-9f2c-b128f422645e
Antiinfectives for systemic use	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e9f15a26-d384-48c2-a74d-3fa95f44a9dc
Antineoplastic and immunomodulating agents	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/849bc27b-a66d-49ad-9389-d8f19d63b480
Musculo-skeletal system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/82311936-f7e3-4c24-8821-229f055f7c64
Nervous system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f7949a93-d26e-4235-ac5d-d2b898a7aad4
Antiparasitic products, insecticides and repellents	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/a9a04ea3-c412-4c27-b191-fddb4ae4d162
Respiratory system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/451f509c-f18b-48e1-ac75-d1852b846eee
Sensory organs	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/2949f36e-6b6f-496a-96c8-c61429e75797
Various	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e5390228-1602-4bef-8ca9-fca1771de4d1

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

0..*

Coding

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

1..1

uri

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..0

string

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

1..1

code

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding.code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..0

boolean

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.productClassification.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

marketingStatus

0..0

MarketingStatus

There are no (further) constraints on this element

Element id

MedicinalProduct.marketingStatus

Short description

Marketing status of the medicinal product, in contrast to marketing authorizaton

Definition

Marketing status of the medicinal product, in contrast to marketing authorizaton.

Data type

MarketingStatus

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

pharmaceuticalProduct

Σ C

0..0

Reference(MedicinalProductPharmaceutical)

There are no (further) constraints on this element

Element id

MedicinalProduct.pharmaceuticalProduct

Short description

Pharmaceutical aspects of product

Definition

Pharmaceutical aspects of product.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(MedicinalProductPharmaceutical)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

packagedMedicinalProduct

Σ C

1..*

Reference(MedicinalProductPackaged)

There are no (further) constraints on this element

Element id

MedicinalProduct.packagedMedicinalProduct

Short description

Package representation for the product

Definition

Package representation for the product.

Comments

Data type

Reference(MedicinalProductPackaged)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.packagedMedicinalProduct.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.packagedMedicinalProduct.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

reference

Σ C

1..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.packagedMedicinalProduct.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

type

1..1

uriBinding

There are no (further) constraints on this element

Element id

MedicinalProduct.packagedMedicinalProduct.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

identifier

0..0

Identifier

There are no (further) constraints on this element

Element id

MedicinalProduct.packagedMedicinalProduct.identifier

Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .identifier

display

0..0

string

There are no (further) constraints on this element

Element id

MedicinalProduct.packagedMedicinalProduct.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

attachedDocument

Σ C

0..0

Reference(DocumentReference)

There are no (further) constraints on this element

Element id

MedicinalProduct.attachedDocument

Short description

Supporting documentation, typically for regulatory submission

Definition

Supporting documentation, typically for regulatory submission.

Comments

Data type

Reference(DocumentReference)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

masterFile

Σ C

0..0

Reference(DocumentReference)

There are no (further) constraints on this element

Element id

MedicinalProduct.masterFile

Short description

A master file for to the medicinal product (e.g. Pharmacovigilance System Master File)

Definition

A master file for to the medicinal product (e.g. Pharmacovigilance System Master File).

Comments

Data type

Reference(DocumentReference)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

contact

Σ C

0..0

Reference(Organization | PractitionerRole)

There are no (further) constraints on this element

Element id

MedicinalProduct.contact

Short description

A product specific contact, person (in a role), or an organization

Definition

A product specific contact, person (in a role), or an organization.

Comments

Data type

Reference(Organization | PractitionerRole)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

clinicalTrial

Σ C

0..0

Reference(ResearchStudy)

There are no (further) constraints on this element

Element id

MedicinalProduct.clinicalTrial

Short description

Clinical trials or studies that this product is involved in

Definition

Clinical trials or studies that this product is involved in.

Comments

Data type

Reference(ResearchStudy)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

name

1..*

BackboneElement

Element id

MedicinalProduct.name

Short description

The product's name, including full name and possibly coded parts

Definition

The product's name, including full name and possibly coded parts. For now, only the "intended name" part is being published.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.name.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.name.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.name.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

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

Requirements

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

productName

1..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.name.productName

Short description

The full product name

Definition

The full product name.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

namePart

0..*

BackboneElement

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart

Short description

Coding words or phrases of the name

Definition

Coding words or phrases of the name.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

part

1..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.part

Short description

A fragment of a product name

Definition

A fragment of a product name.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

type

1..1

Coding

Element id

MedicinalProduct.name.namePart.type

Short description

Idenifying type for this part of the name (e.g. strength part)

Definition

Idenifying type for this part of the name (e.g. strength part).

Comments

Name part types are coded using SPOR RMS

Data type

Coding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.type.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.type.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

1..1

uri

Element id

MedicinalProduct.name.namePart.type.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Name part types are coded using SPOR RMS.
Url (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/b9ab9d4b-d268-42cc-82bc-0d4d0d5d3a41

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..0

string

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.type.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

1..1

code

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.type.code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

string

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.type.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..0

boolean

There are no (further) constraints on this element

Element id

MedicinalProduct.name.namePart.type.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

countryLanguage

0..0

BackboneElement

There are no (further) constraints on this element

Element id

MedicinalProduct.name.countryLanguage

Short description

Country where the name applies

Definition

Country where the name applies.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

crossReference

0..0

Identifier

There are no (further) constraints on this element

Element id

MedicinalProduct.crossReference

Short description

Reference to another product, e.g. for linking authorised to investigational product

Definition

Reference to another product, e.g. for linking authorised to investigational product.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

manufacturingBusinessOperation

0..0

BackboneElement

There are no (further) constraints on this element

Element id

MedicinalProduct.manufacturingBusinessOperation

Short description

An operation applied to the product, for manufacturing or adminsitrative purpose

Definition

An operation applied to the product, for manufacturing or adminsitrative purpose.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

specialDesignation

0..0

BackboneElement

There are no (further) constraints on this element

Element id

MedicinalProduct.specialDesignation

Short description

Indicates if the medicinal product has an orphan designation for the treatment of a rare disease

Definition

Indicates if the medicinal product has an orphan designation for the treatment of a rare disease.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct

Short Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use) TEST TESST

Definition

Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use).

Cardinality 0..*

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()

Mappings

rim: Entity. Role, or Act

MedicinalProduct.id

Short Logical id of this artifact

Definition

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

Cardinality 0..1

Type

Summary True

Comments

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

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.meta

Short Metadata about the resource

Definition

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

Cardinality 0..1

Type

Meta

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

MedicinalProduct.implicitRules

Short A set of rules under which this content was created

Definition

Cardinality 0..1

Type

uri

Modifier True

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.language

Short Language of the resource content

Definition

The base language in which the resource is written.

Cardinality 0..1

Type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.text

Short Text summary of the resource, for human interpretation

Definition

Cardinality 0..1

Type

Narrative

Alias narrative, html, xhtml, display

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

MedicinalProduct.contained

Short Contained, inline Resources

Definition

Cardinality 0..*

Type

Resource

Alias inline resources, anonymous resources, contained resources

Comments

Mappings

rim: Entity. Role, or Act
rim: N/A

MedicinalProduct.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm

Short The Medicinal Product's Authorized Pharmaceutical Dose form

Definition

Pharmaceutical Dose Form

Combined pharmaceutical dose form

Combined Term

Combination Pack

Url: https://api.legemiddelverket.no/FHIR-R4/CodeSystem/91fc1aaf-d702-495d-8841-ea2014b04e7e
Supplement Url: N/A

Cardinality 0..1

Type Extension(CodeableConcept)

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.extension

Short Additional content defined by implementations

Definition

Cardinality 0..0

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.url

Short identifies the meaning of the extension

Definition

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

Cardinality 1..1

Type

uri

Comments

Fixed Value

http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-authorized-pharmaceutical-dose-form-safest

Mappings

rim: N/A

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x]

Short Specifies the dose form

Definition

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

Cardinality 0..1

Type

CodeableConcept

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding

Short Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Cardinality 0..*

Type

Coding

Summary True

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.system

Short Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Cardinality 0..1

Type

uri

Summary True

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.version

Short Version of the system - if relevant

Definition

Cardinality 0..1

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.code

Short The code of the dose form

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Cardinality 0..1

Type

code

Summary True

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.display

Short The name of the dose form

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Cardinality 0..1

Type

string

Summary True

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.userSelected

Short If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Cardinality 0..1

Type

boolean

Summary True

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].text

Short Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Cardinality 0..1

Type

string

Summary True

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

MedicinalProduct.extension:nutritionDoseForm

Short A Medicinal Product's Nutrition Dose Form.

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Meaning when missing

When missing, the Medicinal Product is not a nutritional product

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:nutritionDoseForm.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.extension:nutritionDoseForm.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:nutritionDoseForm.url

Short identifies the meaning of the extension

Definition

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

Cardinality 1..1

Type

uri

Comments

Fixed Value

http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-nutrition-dose-form

Mappings

rim: N/A

MedicinalProduct.extension:nutritionDoseForm.value[x]

Short Value of extension

Definition

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

Cardinality 0..1

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:nutritionDoseForm.value[x].id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.extension:nutritionDoseForm.value[x].extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.extension:nutritionDoseForm.value[x].coding

MedicinalProduct.modifierExtension

Short Extensions that cannot be ignored

Definition

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

Cardinality 0..*

Type

Extension

Modifier True

Alias extensions, user content

Requirements

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.identifier

Short Business identifier for this product. Could be an MPID

Definition

Business identifier for this product. Could be an MPID.

Cardinality 0..*

Type

Identifier

Summary True

Alias MPID

Slicing

Unordered, Open, by

Sliced

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

MedicinalProduct.identifier:nomaMedicinalProductID

Short Equal to the element's ID

Definition

Equal to the element's ID, specific to NoMA's FHIR API Url (preliminary): http://legemiddelverket.no/fhir/SAFEST/SafestMedicinalProductID

Cardinality 1..1

Type

Identifier

Summary True

Alias MPID

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

MedicinalProduct.identifier:nomaMedicinalProductID.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.identifier:nomaMedicinalProductID.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.identifier:nomaMedicinalProductID.use

Short usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Cardinality 0..0

Type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Modifier True

Summary True

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Role.code or implied by context

MedicinalProduct.identifier:nomaMedicinalProductID.type

Short Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Cardinality 0..0

Type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Summary True

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: CX.5
rim: Role.code or implied by context

MedicinalProduct.identifier:nomaMedicinalProductID.system

Short The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Cardinality 1..1

Type

uri

Summary True

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples

General

http://www.acme.com/identifiers/patient

Mappings

rim: n/a
v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

MedicinalProduct.identifier:nomaMedicinalProductID.value

Short The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Cardinality 1..1

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples

General

Mappings

rim: n/a
v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

MedicinalProduct.identifier:nomaMedicinalProductID.period

Short Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Cardinality 0..1

Type

Period

Summary True

Comments

Period is not used for a duration (a measure of elapsed time). See Duration.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

MedicinalProduct.identifier:nomaMedicinalProductID.assigner

Short Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Cardinality 0..0

Type Reference(Organization)

Summary True

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

MedicinalProduct.identifier:legemiddelmerkevareId

Short The medicinal product's FEST (legemiddelMerkevare) ID

Definition

Cardinality 0..1

Type

Identifier

Summary True

Alias MPID

Meaning when missing

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

MedicinalProduct.identifier:legemiddelmerkevareId.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.identifier:legemiddelmerkevareId.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.identifier:legemiddelmerkevareId.use

Short usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Cardinality 0..0

Type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Modifier True

Summary True

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Role.code or implied by context

MedicinalProduct.identifier:legemiddelmerkevareId.type

Short Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Cardinality 0..0

Type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Summary True

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: CX.5
rim: Role.code or implied by context

MedicinalProduct.identifier:legemiddelmerkevareId.system

Short The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Cardinality 1..1

Type

uri

Summary True

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples

General

http://www.acme.com/identifiers/patient

Mappings

rim: n/a
v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

MedicinalProduct.identifier:legemiddelmerkevareId.value

Short The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Cardinality 1..1

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples

General

Mappings

rim: n/a
v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

MedicinalProduct.identifier:legemiddelmerkevareId.period

Short Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Cardinality 0..1

Type

Period

Summary True

Comments

Period is not used for a duration (a measure of elapsed time). See Duration.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

MedicinalProduct.identifier:legemiddelmerkevareId.assigner

Short Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Cardinality 0..0

Type Reference(Organization)

Summary True

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

MedicinalProduct.type

Short Regulatory type, e.g. Investigational or Authorized

Definition

Regulatory type, e.g. Investigational or Authorized.

Cardinality 0..0

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.domain

Short If this medicine applies to human or veterinary uses

Definition

If this medicine applies to human or veterinary uses.

Cardinality 0..0

Type

Coding

Summary True

Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

MedicinalProduct.combinedPharmaceuticalDoseForm

Short The dose form for a single part product, or combined form of a multiple part product

Definition

The dose form for a single part product, or combined form of a multiple part product.

Cardinality 0..0

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.legalStatusOfSupply

Short The legal status of supply of the medicinal product as classified by the regulator

Definition

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Details on the Norwegian code system for Legal Status of Supply: Finnkode Reseptgruppe Usually, only the code (e.g. "C") and not the display text (e.g. "Reseptgruppe C") is used by the consumers.

Meaning when missing

When missing, the underlying packages do not all have the same legal status of suppply.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.legalStatusOfSupply.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.legalStatusOfSupply.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.legalStatusOfSupply.coding

Short Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Cardinality 0..*

Type

Coding

Summary True

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

MedicinalProduct.legalStatusOfSupply.coding.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.legalStatusOfSupply.coding.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.legalStatusOfSupply.coding.system

Short Identity of the terminology system

Definition

(preliminary) https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7421

Cardinality 1..1

Type

uri

Summary True

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

MedicinalProduct.legalStatusOfSupply.coding.version

Short Version of the system - if relevant

Definition

Cardinality 0..0

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

MedicinalProduct.legalStatusOfSupply.coding.code

Short Symbol in syntax defined by the system

Definition

The letter code for the legal status of supply - A, B, C, F or K

Cardinality 1..1

Type

code

Summary True

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

MedicinalProduct.legalStatusOfSupply.coding.display

Short Representation defined by the system

Definition

E.g. "Reseptgruppe C"

Cardinality 0..1

Type

string

Summary True

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

MedicinalProduct.legalStatusOfSupply.coding.userSelected

Short If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Cardinality 0..0

Type

boolean

Summary True

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

MedicinalProduct.legalStatusOfSupply.text

Short Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Cardinality 0..1

Type

string

Summary True

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

MedicinalProduct.additionalMonitoringIndicator

Short Whether the Medicinal Product is subject to additional monitoring for regulatory reasons

Definition

Whether the Medicinal Product is subject to additional monitoring for regulatory reasons.

Cardinality 0..0

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.specialMeasures

Short Whether the Medicinal Product is subject to special measures for regulatory reasons

Definition

Whether the Medicinal Product is subject to special measures for regulatory reasons.

Cardinality 0..0

Type

string

Summary True

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.paediatricUseIndicator

Short If authorised for use in children

Definition

If authorised for use in children.

Cardinality 0..0

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.productClassification

Short Allows the product to be classified by various systems

Definition

Allows the product to be classified by various systems such as ATC.

Cardinality 0..*

Type

CodeableConcept

Summary True

Comments

Published (optional) classification categorie for the Medicinal Product::

Medicinal Product Type (Preparattype)

XEVMPD Medicinal Product Type (Søknadstype)

Søknadstype godkjenningsfritak

Har utvidet ernæringsinformasjon

ATC codes

First-level ATC category	Url
Alimentary tract and metabolism	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/dcedfe5f-d7dd-43f4-a351-8744395249dd
Blood and blood forming organs	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/127f5448-fa44-4da4-9589-438749da0158
Cardiovascular system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e104a7eb-e832-4d57-946d-d402b71ecc22
Dermatologicals	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f5a60497-f1c5-4163-ad34-a3c614d2f6b4
Genito urinary system and sex hormones	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/1fd6dad4-6b05-44ee-9a61-9409927bf195
Systemic hormonal preparations, excl. sex hormones and insulins	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/bd343711-ab45-4ebd-9f2c-b128f422645e
Antiinfectives for systemic use	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e9f15a26-d384-48c2-a74d-3fa95f44a9dc
Antineoplastic and immunomodulating agents	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/849bc27b-a66d-49ad-9389-d8f19d63b480
Musculo-skeletal system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/82311936-f7e3-4c24-8821-229f055f7c64
Nervous system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f7949a93-d26e-4235-ac5d-d2b898a7aad4
Antiparasitic products, insecticides and repellents	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/a9a04ea3-c412-4c27-b191-fddb4ae4d162
Respiratory system	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/451f509c-f18b-48e1-ac75-d1852b846eee
Sensory organs	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/2949f36e-6b6f-496a-96c8-c61429e75797
Various	https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e5390228-1602-4bef-8ca9-fca1771de4d1

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.productClassification.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.productClassification.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.productClassification.coding

Short Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Cardinality 0..*

Type

Coding

Summary True

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

MedicinalProduct.productClassification.coding.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.productClassification.coding.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.productClassification.coding.system

Short Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Cardinality 1..1

Type

uri

Summary True

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

MedicinalProduct.productClassification.coding.version

Short Version of the system - if relevant

Definition

Cardinality 0..0

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

MedicinalProduct.productClassification.coding.code

Short Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Cardinality 1..1

Type

code

Summary True

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

MedicinalProduct.productClassification.coding.display

Short Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Cardinality 0..1

Type

string

Summary True

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

MedicinalProduct.productClassification.coding.userSelected

Short If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Cardinality 0..0

Type

boolean

Summary True

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

MedicinalProduct.productClassification.text

Short Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Cardinality 0..1

Type

string

Summary True

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

MedicinalProduct.marketingStatus

Short Marketing status of the medicinal product, in contrast to marketing authorizaton

Definition

Marketing status of the medicinal product, in contrast to marketing authorizaton.

Cardinality 0..0

Type

MarketingStatus

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.pharmaceuticalProduct

Short Pharmaceutical aspects of product

Definition

Pharmaceutical aspects of product.

Cardinality 0..0

Type Reference(MedicinalProductPharmaceutical)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.packagedMedicinalProduct

Short Package representation for the product

Definition

Package representation for the product.

Cardinality 1..*

Type Reference(MedicinalProductPackaged)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.packagedMedicinalProduct.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.packagedMedicinalProduct.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.packagedMedicinalProduct.reference

Short Literal reference, Relative, internal or absolute URL

Definition

Cardinality 1..1

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

MedicinalProduct.packagedMedicinalProduct.type

Short Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Cardinality 1..1

Type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

MedicinalProduct.packagedMedicinalProduct.identifier

Short Logical reference, when literal reference is not known

Definition

Cardinality 0..0

Type

Identifier

Summary True

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .identifier

MedicinalProduct.packagedMedicinalProduct.display

Short Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Cardinality 0..0

Type

string

Summary True

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

MedicinalProduct.attachedDocument

Short Supporting documentation, typically for regulatory submission

Definition

Supporting documentation, typically for regulatory submission.

Cardinality 0..0

Type Reference(DocumentReference)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.masterFile

Short A master file for to the medicinal product (e.g. Pharmacovigilance System Master File)

Definition

A master file for to the medicinal product (e.g. Pharmacovigilance System Master File).

Cardinality 0..0

Type Reference(DocumentReference)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.contact

Short A product specific contact, person (in a role), or an organization

Definition

A product specific contact, person (in a role), or an organization.

Cardinality 0..0

Type Reference(Organization | PractitionerRole)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.clinicalTrial

Short Clinical trials or studies that this product is involved in

Definition

Clinical trials or studies that this product is involved in.

Cardinality 0..0

Type Reference(ResearchStudy)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.name

Short The product's name, including full name and possibly coded parts

Definition

The product's name, including full name and possibly coded parts. For now, only the "intended name" part is being published.

Cardinality 1..*

Type

BackboneElement

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.name.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.name.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.name.modifierExtension

Short Extensions that cannot be ignored even if unrecognized

Definition

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

Cardinality 0..*

Type

Extension

Modifier True

Summary True

Alias extensions, user content, modifiers

Requirements

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.name.productName

Short The full product name

Definition

The full product name.

Cardinality 1..1

Type

string

Summary True

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.name.namePart

Short Coding words or phrases of the name

Definition

Coding words or phrases of the name.

Cardinality 0..*

Type

BackboneElement

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.name.namePart.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.name.namePart.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.name.namePart.modifierExtension

Short Extensions that cannot be ignored even if unrecognized

Definition

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

Cardinality 0..*

Type

Extension

Modifier True

Summary True

Alias extensions, user content, modifiers

Requirements

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.name.namePart.part

Short A fragment of a product name

Definition

A fragment of a product name.

Cardinality 1..1

Type

string

Summary True

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.name.namePart.type

Short Idenifying type for this part of the name (e.g. strength part)

Definition

Idenifying type for this part of the name (e.g. strength part).

Cardinality 1..1

Type

Coding

Summary True

Comments

Name part types are coded using SPOR RMS

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

MedicinalProduct.name.namePart.type.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.name.namePart.type.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.name.namePart.type.system

Short Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Cardinality 1..1

Type

uri

Summary True

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Name part types are coded using SPOR RMS.
Url (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/b9ab9d4b-d268-42cc-82bc-0d4d0d5d3a41

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

MedicinalProduct.name.namePart.type.version

Short Version of the system - if relevant

Definition

Cardinality 0..0

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

MedicinalProduct.name.namePart.type.code

Short Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Cardinality 1..1

Type

code

Summary True

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

MedicinalProduct.name.namePart.type.display

Short Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Cardinality 0..1

Type

string

Summary True

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

MedicinalProduct.name.namePart.type.userSelected

Short If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Cardinality 0..0

Type

boolean

Summary True

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

MedicinalProduct.name.countryLanguage

Short Country where the name applies

Definition

Country where the name applies.

Cardinality 0..0

Type

BackboneElement

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.name.countryLanguage.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.name.countryLanguage.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.name.countryLanguage.modifierExtension

Short Extensions that cannot be ignored even if unrecognized

Definition

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

Cardinality 0..*

Type

Extension

Modifier True

Summary True

Alias extensions, user content, modifiers

Requirements

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.name.countryLanguage.country

Short Country code for where this name applies

Definition

Country code for where this name applies.

Cardinality 1..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.name.countryLanguage.jurisdiction

Short Jurisdiction code for where this name applies

Definition

Jurisdiction code for where this name applies.

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.name.countryLanguage.language

Short Language code for this name

Definition

Language code for this name.

Cardinality 1..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.crossReference

Short Reference to another product, e.g. for linking authorised to investigational product

Definition

Reference to another product, e.g. for linking authorised to investigational product.

Cardinality 0..0

Type

Identifier

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

MedicinalProduct.manufacturingBusinessOperation

Short An operation applied to the product, for manufacturing or adminsitrative purpose

Definition

An operation applied to the product, for manufacturing or adminsitrative purpose.

Cardinality 0..0

Type

BackboneElement

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.manufacturingBusinessOperation.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.manufacturingBusinessOperation.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.manufacturingBusinessOperation.modifierExtension

Short Extensions that cannot be ignored even if unrecognized

Definition

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

Cardinality 0..*

Type

Extension

Modifier True

Summary True

Alias extensions, user content, modifiers

Requirements

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.manufacturingBusinessOperation.operationType

Short The type of manufacturing operation

Definition

The type of manufacturing operation.

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.manufacturingBusinessOperation.authorisationReferenceNumber

Short Regulatory authorization reference number

Definition

Regulatory authorization reference number.

Cardinality 0..1

Type

Identifier

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

MedicinalProduct.manufacturingBusinessOperation.effectiveDate

Short Regulatory authorization date

Definition

Regulatory authorization date.

Cardinality 0..1

Type

dateTime

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.manufacturingBusinessOperation.confidentialityIndicator

Short To indicate if this proces is commercially confidential

Definition

To indicate if this proces is commercially confidential.

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.manufacturingBusinessOperation.manufacturer

Short The manufacturer or establishment associated with the process

Definition

The manufacturer or establishment associated with the process.

Cardinality 0..*

Type Reference(Organization)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.manufacturingBusinessOperation.regulator

Short A regulator which oversees the operation

Definition

A regulator which oversees the operation.

Cardinality 0..1

Type Reference(Organization)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

MedicinalProduct.specialDesignation

Short Indicates if the medicinal product has an orphan designation for the treatment of a rare disease

Definition

Indicates if the medicinal product has an orphan designation for the treatment of a rare disease.

Cardinality 0..0

Type

BackboneElement

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.specialDesignation.id

Short Unique id for inter-element referencing

Definition

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

Cardinality 0..1

Type

string

Mappings

rim: n/a

MedicinalProduct.specialDesignation.extension

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.specialDesignation.modifierExtension

Short Extensions that cannot be ignored even if unrecognized

Definition

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

Cardinality 0..*

Type

Extension

Modifier True

Summary True

Alias extensions, user content, modifiers

Requirements

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

MedicinalProduct.specialDesignation.identifier

Short Identifier for the designation, or procedure number

Definition

Identifier for the designation, or procedure number.

Cardinality 0..*

Type

Identifier

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

MedicinalProduct.specialDesignation.type

Short The type of special designation, e.g. orphan drug, minor use

Definition

The type of special designation, e.g. orphan drug, minor use.

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.specialDesignation.intendedUse

Short The intended use of the product, e.g. prevention, treatment

Definition

The intended use of the product, e.g. prevention, treatment.

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.specialDesignation.indication[x]

Short Condition for which the medicinal use applies

Definition

Condition for which the medicinal use applies.

Cardinality 0..1

Type CodeableConcept | Reference(MedicinalProductIndication)

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.specialDesignation.status

Short For example granted, pending, expired or withdrawn

Definition

For example granted, pending, expired or withdrawn.

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

MedicinalProduct.specialDesignation.date

Short Date when the designation was granted

Definition

Date when the designation was granted.

Cardinality 0..1

Type

dateTime

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

MedicinalProduct.specialDesignation.species

Short Animal species for which this applies

Definition

Animal species for which this applies.

Cardinality 0..1

Type

CodeableConcept

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

<url value="https://example.org/fhir/StructureDefinition/2.0.0/MedicinalProductNOMA" />
<version value="2.0.0" />
<name value="MedicinalProductNOMA" />
<status value="active" />
<description value="Representing the Medicinal Products approved to be marketed in the Norwegian market. May also represent Nutrition Products." />
<fhirVersion value="4.0.1" />
<kind value="resource" />
<abstract value="false" />
<type value="MedicinalProduct" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicinalProduct" />
<derivation value="constraint" />
<differential>
<element id="MedicinalProduct">
<path value="MedicinalProduct" />
<short value="Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use) TEST TESST" />
</element>
<element id="MedicinalProduct.extension:authorizedPharmaceuticalDoseForm">
<path value="MedicinalProduct.extension" />
<sliceName value="authorizedPharmaceuticalDoseForm" />
<short value="The Medicinal Product's Authorized Pharmaceutical Dose form" />
<definition value="Representing the Authorized Pharmaceutical Dose form for the medicinal product. This may be one of the following types, each defined by a separate Code System. All codes are EDQM codes, except local Norwegian codes not present in EDQM, which are published as supplement.\nAll Urls are preliminary and will be changed in the near future.\n\n###### Pharmaceutical Dose Form \nIn this case, the Authorized Pharmaceutical Dose Form is equal to the Manufactured Dose Form on the Manufactured Item\n**Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/c32a474c-be97-4e15-8977-5d0ae6acfaf8  \n**Supplement Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/fca77bf0-11be-4c33-970e-735453b9da1c\n\n###### Combined pharmaceutical dose form  \n**Url:**  https://api.legemiddelverket.no/FHIR-R4/CodeSystem/5e4998a0-9012-4989-95fc-4efc225c331a  \n**Supplement Url:**  https://api.legemiddelverket.no/FHIR-R4/CodeSystem/d46985c5-0709-48a9-b0e5-45bb6c6954bf\n\n###### Combined Term  \n**Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/4e05e38c-ff04-4706-ade1-1365d996b63a  \n**Supplement Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/1c30e3f2-869a-4edf-8212-0fdcf322c76f\n\n###### Combination Pack   \n**Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/91fc1aaf-d702-495d-8841-ea2014b04e7e  \n**Supplement Url:** N/A" />
<type>
<code value="Extension" />
<profile value="http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-authorized-pharmaceutical-dose-form-safest" />
</type>
<isModifier value="false" />
</element>
<element id="MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x]">
<path value="MedicinalProduct.extension.value[x]" />
<short value="Specifies the dose form" />
</element>
<element id="MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.code">
<path value="MedicinalProduct.extension.value[x].coding.code" />
<short value="The code of the dose form" />
</element>
<element id="MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.display">
<path value="MedicinalProduct.extension.value[x].coding.display" />
<short value="The name of the dose form" />
</element>
<element id="MedicinalProduct.extension:nutritionDoseForm">
<path value="MedicinalProduct.extension" />
<sliceName value="nutritionDoseForm" />
<short value="A Medicinal Product's Nutrition Dose Form." />
<definition value="A Medicinal Product's Nutrition Dose Form, in case it is representing a Nutrition Product.  \nThe URL points to national Nowegian code system used to classify the nutrition dose form.  \nUtl (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/ac8e8700-2554-48eb-af05-d1b8e3e54e9f" />
<type>
<code value="Extension" />
<profile value="http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-nutrition-dose-form" />
</type>
<meaningWhenMissing value="When missing, the Medicinal Product is not a nutritional product" />
<isModifier value="false" />
</element>
<element id="MedicinalProduct.extension:nutritionDoseForm.value[x].coding.code">
<path value="MedicinalProduct.extension.value[x].coding.code" />
<short value="The code of the nutrition dose form" />
</element>
<element id="MedicinalProduct.extension:nutritionDoseForm.value[x].coding.display">
<path value="MedicinalProduct.extension.value[x].coding.display" />
<short value="The name of the nutrition dose form" />
</element>
<element id="MedicinalProduct.identifier">
<path value="MedicinalProduct.identifier" />
<slicing>
<description value="Sliced" />
<rules value="open" />
</slicing>
</element>
<element id="MedicinalProduct.identifier:nomaMedicinalProductID">
<path value="MedicinalProduct.identifier" />
<sliceName value="nomaMedicinalProductID" />
<short value="Equal to the element's ID" />
<definition value="Equal to the element's ID, specific to NoMA's FHIR API\nUrl (preliminary): http://legemiddelverket.no/fhir/SAFEST/SafestMedicinalProductID" />
<min value="1" />
<max value="1" />
</element>
<element id="MedicinalProduct.identifier:nomaMedicinalProductID.use">
<path value="MedicinalProduct.identifier.use" />
<max value="0" />
</element>
<element id="MedicinalProduct.identifier:nomaMedicinalProductID.type">
<path value="MedicinalProduct.identifier.type" />
<max value="0" />
</element>
<element id="MedicinalProduct.identifier:nomaMedicinalProductID.system">
<path value="MedicinalProduct.identifier.system" />
<min value="1" />
</element>
<element id="MedicinalProduct.identifier:nomaMedicinalProductID.value">
<path value="MedicinalProduct.identifier.value" />
<min value="1" />
</element>
<element id="MedicinalProduct.identifier:nomaMedicinalProductID.assigner">
<path value="MedicinalProduct.identifier.assigner" />
<max value="0" />
</element>
<element id="MedicinalProduct.identifier:legemiddelmerkevareId">
<path value="MedicinalProduct.identifier" />
<sliceName value="legemiddelmerkevareId" />
<short value="The medicinal product's FEST (legemiddelMerkevare) ID" />
<definition value="Ensures referential integrity with the medicinal product's representation in the FEST master data.  \nUrl (preliminary): http://legemiddelverket.no/FEST/LegemiddelMerkevareID\nThere are cases in which two Medicinal Products (temporarily) reference to the same FEST legemiddekMerkevareId, if there is a change in the medicinal product's invented name." />
<max value="1" />
<meaningWhenMissing value="When missing, the medicinal product is not represented as a product in the FEST master data. For example if the medicinal product represents a combinationpack or a multi strength package which are not represented as a product in FEST." />
</element>
<element id="MedicinalProduct.identifier:legemiddelmerkevareId.use">
<path value="MedicinalProduct.identifier.use" />
<max value="0" />
</element>
<element id="MedicinalProduct.identifier:legemiddelmerkevareId.type">
<path value="MedicinalProduct.identifier.type" />
<max value="0" />
</element>
<element id="MedicinalProduct.identifier:legemiddelmerkevareId.system">
<path value="MedicinalProduct.identifier.system" />
<min value="1" />
</element>
<element id="MedicinalProduct.identifier:legemiddelmerkevareId.value">
<path value="MedicinalProduct.identifier.value" />
<min value="1" />
</element>
<element id="MedicinalProduct.identifier:legemiddelmerkevareId.assigner">
<path value="MedicinalProduct.identifier.assigner" />
<max value="0" />
</element>
<element id="MedicinalProduct.type">
<path value="MedicinalProduct.type" />
<max value="0" />
</element>
<element id="MedicinalProduct.domain">
<path value="MedicinalProduct.domain" />
<max value="0" />
</element>
<element id="MedicinalProduct.combinedPharmaceuticalDoseForm">
<path value="MedicinalProduct.combinedPharmaceuticalDoseForm" />
<max value="0" />
</element>
<element id="MedicinalProduct.legalStatusOfSupply">
<path value="MedicinalProduct.legalStatusOfSupply" />
<definition value="Contains the legal status of supply of the medicinal product if every package connected to it has the same status. If there is one or more packages with different statuses, then the legal status of supply will be defined on the package and this element will be empty." />
<comment value="Details on the Norwegian code system for Legal Status of Supply: [Finnkode Reseptgruppe](https://finnkode.helsedirektoratet.no/adm/collections/7421?q=7421)\nUsually, only the code (e.g. "C") and not the display text (e.g. "Reseptgruppe C") is used by the consumers." />
<meaningWhenMissing value="When missing, the underlying packages do not all have the same legal status of suppply." />
</element>
<element id="MedicinalProduct.legalStatusOfSupply.coding.system">
<path value="MedicinalProduct.legalStatusOfSupply.coding.system" />
<definition value="(preliminary) https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7421" />
<min value="1" />
</element>
<element id="MedicinalProduct.legalStatusOfSupply.coding.version">
<path value="MedicinalProduct.legalStatusOfSupply.coding.version" />
<max value="0" />
</element>
<element id="MedicinalProduct.legalStatusOfSupply.coding.code">
<path value="MedicinalProduct.legalStatusOfSupply.coding.code" />
<definition value="The letter code for the legal status of supply - A, B, C, F or K" />
<min value="1" />
</element>
<element id="MedicinalProduct.legalStatusOfSupply.coding.display">
<path value="MedicinalProduct.legalStatusOfSupply.coding.display" />
<definition value="E.g. "Reseptgruppe C"" />
</element>
<element id="MedicinalProduct.legalStatusOfSupply.coding.userSelected">
<path value="MedicinalProduct.legalStatusOfSupply.coding.userSelected" />
<max value="0" />
</element>
<element id="MedicinalProduct.additionalMonitoringIndicator">
<path value="MedicinalProduct.additionalMonitoringIndicator" />
<max value="0" />
</element>
<element id="MedicinalProduct.specialMeasures">
<path value="MedicinalProduct.specialMeasures" />
<max value="0" />
</element>
<element id="MedicinalProduct.paediatricUseIndicator">
<path value="MedicinalProduct.paediatricUseIndicator" />
<max value="0" />
</element>
<element id="MedicinalProduct.productClassification">
<path value="MedicinalProduct.productClassification" />
<definition value="Allows the product to be classified by various systems such as ATC." />
<comment value="##### Published (optional) classification categorie for the Medicinal Product::\n\n###### **Medicinal Product Type (Preparattype)**\nThe medicinal product type [Finnkode Preparattype Legemidler](https://finnkode.helsedirektoratet.no/adm/collections/7424?q=7424).  \nCardinality: 0..1  \nCode: The medicinal product type code  \nDisplay: The medicinal product type such as "Legemiddel"  or "Enteral ernæring"  \nUrl (preliminary): https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7424  \n###### **XEVMPD Medicinal Product Type (Søknadstype)**\nThe [SPOR RMS classification of a medicinal product](https://spor.ema.europa.eu/rmswi/#/lists/200000000324/terms) according to how itt is authorised. Only used if the medicinal product has been Parallel imported  \nCardinality: 0..1  \nCode: The SPOR RMS code for the classification  \nDisplay: THe SPOR RMS name for the classification  \nUrl (preliminary): https://spor.ema.europa.eu/rmswi/#/lists/200000000324/terms  \n###### **Søknadstype godkjenningsfritak**\nWhether dispensing the medicinal product requires individual authorisation by the Norwegian Medicinal Agency, is at the discretion of the dispenser or can be dispensed without any further considerations. Code system published at [Finnkode Søknadstyper](https://finnkode.helsedirektoratet.no/adm/collections/7422?q=7422)  \nCardinality: 0..1  \nCode: According to the code system  \nDisplay: According to the code system  \nUrl (preliminary): https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7422  \n###### **Har utvidet ernæringsinformasjon**\nWhether the Medicinal Product has expanded nutritional information such as vitamins and minerals. Used for paranteral nutrition.  \nCardinality: 0..1  \nCode: "true"  \nDisplay: "Har utvidet ernæringsinformasjon"   \nUrl (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/81153ebc-9be0-468b-8676-44152dcb04d5  \n###### **ATC codes**\nAll the medicinal product's ATC code(s). One entry per code. May represent combination of substances according to the medicinal product's ingredients.  \nCardinality: 0..*  \nCode: The ATC code  \nDisplay: The (substances) name  \nUrls (preliminary), one per first-level ATC:  \n\n| First-level ATC category | Url |\n| :------- | :------ |\n| Alimentary tract and metabolism | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/dcedfe5f-d7dd-43f4-a351-8744395249dd |\n| Blood and blood forming organs | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/127f5448-fa44-4da4-9589-438749da0158 |\n| Cardiovascular system | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e104a7eb-e832-4d57-946d-d402b71ecc22 |\n| Dermatologicals | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f5a60497-f1c5-4163-ad34-a3c614d2f6b4 |\n| Genito urinary system and sex hormones | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/1fd6dad4-6b05-44ee-9a61-9409927bf195 |\n| Systemic hormonal preparations, excl. sex hormones and insulins | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/bd343711-ab45-4ebd-9f2c-b128f422645e |\n| Antiinfectives for systemic use | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e9f15a26-d384-48c2-a74d-3fa95f44a9dc |\n| Antineoplastic and immunomodulating agents | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/849bc27b-a66d-49ad-9389-d8f19d63b480 |\n| Musculo-skeletal system | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/82311936-f7e3-4c24-8821-229f055f7c64 |\n| Nervous system |  https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f7949a93-d26e-4235-ac5d-d2b898a7aad4 |\n| Antiparasitic products, insecticides and repellents | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/a9a04ea3-c412-4c27-b191-fddb4ae4d162 |\n| Respiratory system | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/451f509c-f18b-48e1-ac75-d1852b846eee |\n| Sensory organs | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/2949f36e-6b6f-496a-96c8-c61429e75797 |\n| Various | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e5390228-1602-4bef-8ca9-fca1771de4d1 |" />
</element>
<element id="MedicinalProduct.productClassification.coding.system">
<path value="MedicinalProduct.productClassification.coding.system" />
<min value="1" />
</element>
<element id="MedicinalProduct.productClassification.coding.version">
<path value="MedicinalProduct.productClassification.coding.version" />
<max value="0" />
</element>
<element id="MedicinalProduct.productClassification.coding.code">
<path value="MedicinalProduct.productClassification.coding.code" />
<min value="1" />
</element>
<element id="MedicinalProduct.productClassification.coding.userSelected">
<path value="MedicinalProduct.productClassification.coding.userSelected" />
<max value="0" />
</element>
<element id="MedicinalProduct.marketingStatus">
<path value="MedicinalProduct.marketingStatus" />
<max value="0" />
</element>
<element id="MedicinalProduct.pharmaceuticalProduct">
<path value="MedicinalProduct.pharmaceuticalProduct" />
<max value="0" />
</element>
<element id="MedicinalProduct.packagedMedicinalProduct">
<path value="MedicinalProduct.packagedMedicinalProduct" />
<min value="1" />
</element>
<element id="MedicinalProduct.packagedMedicinalProduct.reference">
<path value="MedicinalProduct.packagedMedicinalProduct.reference" />
<min value="1" />
</element>
<element id="MedicinalProduct.packagedMedicinalProduct.type">
<path value="MedicinalProduct.packagedMedicinalProduct.type" />
<min value="1" />
</element>
<element id="MedicinalProduct.packagedMedicinalProduct.identifier">
<path value="MedicinalProduct.packagedMedicinalProduct.identifier" />
<max value="0" />
</element>
<element id="MedicinalProduct.packagedMedicinalProduct.display">
<path value="MedicinalProduct.packagedMedicinalProduct.display" />
<max value="0" />
</element>
<element id="MedicinalProduct.attachedDocument">
<path value="MedicinalProduct.attachedDocument" />
<max value="0" />
</element>
<element id="MedicinalProduct.masterFile">
<path value="MedicinalProduct.masterFile" />
<max value="0" />
</element>
<element id="MedicinalProduct.contact">
<path value="MedicinalProduct.contact" />
<max value="0" />
</element>
<element id="MedicinalProduct.clinicalTrial">
<path value="MedicinalProduct.clinicalTrial" />
<max value="0" />
</element>
<element id="MedicinalProduct.name">
<path value="MedicinalProduct.name" />
<definition value="The product's name, including full name and possibly coded parts.\nFor now, only the "intended name" part is being published." />
</element>
<element id="MedicinalProduct.name.namePart.type">
<path value="MedicinalProduct.name.namePart.type" />
<comment value="Name part types are coded using SPOR RMS" />
</element>
<element id="MedicinalProduct.name.namePart.type.system">
<path value="MedicinalProduct.name.namePart.type.system" />
<comment value="Name part types are coded using SPOR RMS.  \nUrl (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/b9ab9d4b-d268-42cc-82bc-0d4d0d5d3a41" />
<min value="1" />
</element>
<element id="MedicinalProduct.name.namePart.type.version">
<path value="MedicinalProduct.name.namePart.type.version" />
<max value="0" />
</element>
<element id="MedicinalProduct.name.namePart.type.code">
<path value="MedicinalProduct.name.namePart.type.code" />
<min value="1" />
</element>
<element id="MedicinalProduct.name.namePart.type.userSelected">
<path value="MedicinalProduct.name.namePart.type.userSelected" />
<max value="0" />
</element>
<element id="MedicinalProduct.name.countryLanguage">
<path value="MedicinalProduct.name.countryLanguage" />
<max value="0" />
</element>
<element id="MedicinalProduct.crossReference">
<path value="MedicinalProduct.crossReference" />
<max value="0" />
</element>
<element id="MedicinalProduct.manufacturingBusinessOperation">
<path value="MedicinalProduct.manufacturingBusinessOperation" />
<max value="0" />
</element>
<element id="MedicinalProduct.specialDesignation">
<path value="MedicinalProduct.specialDesignation" />
<max value="0" />
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"url": "https://example.org/fhir/StructureDefinition/2.0.0/MedicinalProductNOMA",
"version": "2.0.0",
"name": "MedicinalProductNOMA",
"status": "active",
"description": "Representing the Medicinal Products approved to be marketed in the Norwegian market. May also represent Nutrition Products.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "MedicinalProduct",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "MedicinalProduct",
"path": "MedicinalProduct",
"short": "Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use) TEST TESST"
},
{
"id": "MedicinalProduct.extension:authorizedPharmaceuticalDoseForm",
"path": "MedicinalProduct.extension",
"sliceName": "authorizedPharmaceuticalDoseForm",
"short": "The Medicinal Product's Authorized Pharmaceutical Dose form",
"definition": "Representing the Authorized Pharmaceutical Dose form for the medicinal product. This may be one of the following types, each defined by a separate Code System. All codes are EDQM codes, except local Norwegian codes not present in EDQM, which are published as supplement.\nAll Urls are preliminary and will be changed in the near future.\n\n###### Pharmaceutical Dose Form \nIn this case, the Authorized Pharmaceutical Dose Form is equal to the Manufactured Dose Form on the Manufactured Item\n**Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/c32a474c-be97-4e15-8977-5d0ae6acfaf8  \n**Supplement Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/fca77bf0-11be-4c33-970e-735453b9da1c\n\n###### Combined pharmaceutical dose form  \n**Url:**  https://api.legemiddelverket.no/FHIR-R4/CodeSystem/5e4998a0-9012-4989-95fc-4efc225c331a  \n**Supplement Url:**  https://api.legemiddelverket.no/FHIR-R4/CodeSystem/d46985c5-0709-48a9-b0e5-45bb6c6954bf\n\n###### Combined Term  \n**Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/4e05e38c-ff04-4706-ade1-1365d996b63a  \n**Supplement Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/1c30e3f2-869a-4edf-8212-0fdcf322c76f\n\n###### Combination Pack   \n**Url:** https://api.legemiddelverket.no/FHIR-R4/CodeSystem/91fc1aaf-d702-495d-8841-ea2014b04e7e  \n**Supplement Url:** N/A",
"type": [
{
"code": "Extension",
"profile": [
"http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-authorized-pharmaceutical-dose-form-safest"
]
}
],
"isModifier": false
},
{
"id": "MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x]",
"path": "MedicinalProduct.extension.value[x]",
"short": "Specifies the dose form"
},
{
"id": "MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.code",
"path": "MedicinalProduct.extension.value[x].coding.code",
"short": "The code of the dose form"
},
{
"id": "MedicinalProduct.extension:authorizedPharmaceuticalDoseForm.value[x].coding.display",
"path": "MedicinalProduct.extension.value[x].coding.display",
"short": "The name of the dose form"
},
{
"id": "MedicinalProduct.extension:nutritionDoseForm",
"path": "MedicinalProduct.extension",
"sliceName": "nutritionDoseForm",
"short": "A Medicinal Product's Nutrition Dose Form.",
"definition": "A Medicinal Product's Nutrition Dose Form, in case it is representing a Nutrition Product.  \nThe URL points to national Nowegian code system used to classify the nutrition dose form.  \nUtl (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/ac8e8700-2554-48eb-af05-d1b8e3e54e9f",
"type": [
{
"code": "Extension",
"profile": [
"http://legemiddelverket.no/fhir/StructureDefinition/medicinalproduct-nutrition-dose-form"
]
}
],
"meaningWhenMissing": "When missing, the Medicinal Product is not a nutritional product",
"isModifier": false
},
{
"id": "MedicinalProduct.extension:nutritionDoseForm.value[x].coding.code",
"path": "MedicinalProduct.extension.value[x].coding.code",
"short": "The code of the nutrition dose form"
},
{
"id": "MedicinalProduct.extension:nutritionDoseForm.value[x].coding.display",
"path": "MedicinalProduct.extension.value[x].coding.display",
"short": "The name of the nutrition dose form"
},
{
"id": "MedicinalProduct.identifier",
"path": "MedicinalProduct.identifier",
"slicing": {
"description": "Sliced",
"rules": "open"
}
},
{
"id": "MedicinalProduct.identifier:nomaMedicinalProductID",
"path": "MedicinalProduct.identifier",
"sliceName": "nomaMedicinalProductID",
"short": "Equal to the element's ID",
"definition": "Equal to the element's ID, specific to NoMA's FHIR API\nUrl (preliminary): http://legemiddelverket.no/fhir/SAFEST/SafestMedicinalProductID",
"min": 1,
"max": "1"
},
{
"id": "MedicinalProduct.identifier:nomaMedicinalProductID.use",
"path": "MedicinalProduct.identifier.use",
"max": "0"
},
{
"id": "MedicinalProduct.identifier:nomaMedicinalProductID.type",
"path": "MedicinalProduct.identifier.type",
"max": "0"
},
{
"id": "MedicinalProduct.identifier:nomaMedicinalProductID.system",
"path": "MedicinalProduct.identifier.system",
"min": 1
},
{
"id": "MedicinalProduct.identifier:nomaMedicinalProductID.value",
"path": "MedicinalProduct.identifier.value",
"min": 1
},
{
"id": "MedicinalProduct.identifier:nomaMedicinalProductID.assigner",
"path": "MedicinalProduct.identifier.assigner",
"max": "0"
},
{
"id": "MedicinalProduct.identifier:legemiddelmerkevareId",
"path": "MedicinalProduct.identifier",
"sliceName": "legemiddelmerkevareId",
"short": "The medicinal product's FEST (legemiddelMerkevare) ID",
"definition": "Ensures referential integrity with the medicinal product's representation in the FEST master data.  \nUrl (preliminary): http://legemiddelverket.no/FEST/LegemiddelMerkevareID\nThere are cases in which two Medicinal Products (temporarily) reference to the same FEST legemiddekMerkevareId, if there is a change in the medicinal product's invented name.",
"max": "1",
"meaningWhenMissing": "When missing, the medicinal product is not represented as a product in the FEST master data. For example if the medicinal product represents a combinationpack or a multi strength package which are not represented as a product in FEST."
},
{
"id": "MedicinalProduct.identifier:legemiddelmerkevareId.use",
"path": "MedicinalProduct.identifier.use",
"max": "0"
},
{
"id": "MedicinalProduct.identifier:legemiddelmerkevareId.type",
"path": "MedicinalProduct.identifier.type",
"max": "0"
},
{
"id": "MedicinalProduct.identifier:legemiddelmerkevareId.system",
"path": "MedicinalProduct.identifier.system",
"min": 1
},
{
"id": "MedicinalProduct.identifier:legemiddelmerkevareId.value",
"path": "MedicinalProduct.identifier.value",
"min": 1
},
{
"id": "MedicinalProduct.identifier:legemiddelmerkevareId.assigner",
"path": "MedicinalProduct.identifier.assigner",
"max": "0"
},
{
"id": "MedicinalProduct.type",
"path": "MedicinalProduct.type",
"max": "0"
},
{
"id": "MedicinalProduct.domain",
"path": "MedicinalProduct.domain",
"max": "0"
},
{
"id": "MedicinalProduct.combinedPharmaceuticalDoseForm",
"path": "MedicinalProduct.combinedPharmaceuticalDoseForm",
"max": "0"
},
{
"id": "MedicinalProduct.legalStatusOfSupply",
"path": "MedicinalProduct.legalStatusOfSupply",
"definition": "Contains the legal status of supply of the medicinal product if every package connected to it has the same status. If there is one or more packages with different statuses, then the legal status of supply will be defined on the package and this element will be empty.",
"comment": "Details on the Norwegian code system for Legal Status of Supply: [Finnkode Reseptgruppe](https://finnkode.helsedirektoratet.no/adm/collections/7421?q=7421)\nUsually, only the code (e.g. \"C\") and not the display text (e.g. \"Reseptgruppe C\") is used by the consumers.",
"meaningWhenMissing": "When missing, the underlying packages do not all have the same legal status of suppply."
},
{
"id": "MedicinalProduct.legalStatusOfSupply.coding.system",
"path": "MedicinalProduct.legalStatusOfSupply.coding.system",
"definition": "(preliminary) https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7421",
"min": 1
},
{
"id": "MedicinalProduct.legalStatusOfSupply.coding.version",
"path": "MedicinalProduct.legalStatusOfSupply.coding.version",
"max": "0"
},
{
"id": "MedicinalProduct.legalStatusOfSupply.coding.code",
"path": "MedicinalProduct.legalStatusOfSupply.coding.code",
"definition": "The letter code for the legal status of supply - A, B, C, F or K",
"min": 1
},
{
"id": "MedicinalProduct.legalStatusOfSupply.coding.display",
"path": "MedicinalProduct.legalStatusOfSupply.coding.display",
"definition": "E.g. \"Reseptgruppe C\""
},
{
"id": "MedicinalProduct.legalStatusOfSupply.coding.userSelected",
"path": "MedicinalProduct.legalStatusOfSupply.coding.userSelected",
"max": "0"
},
{
"id": "MedicinalProduct.additionalMonitoringIndicator",
"path": "MedicinalProduct.additionalMonitoringIndicator",
"max": "0"
},
{
"id": "MedicinalProduct.specialMeasures",
"path": "MedicinalProduct.specialMeasures",
"max": "0"
},
{
"id": "MedicinalProduct.paediatricUseIndicator",
"path": "MedicinalProduct.paediatricUseIndicator",
"max": "0"
},
{
"id": "MedicinalProduct.productClassification",
"path": "MedicinalProduct.productClassification",
"definition": "Allows the product to be classified by various systems such as ATC.",
"comment": "##### Published (optional) classification categorie for the Medicinal Product::\n\n###### **Medicinal Product Type (Preparattype)**\nThe medicinal product type [Finnkode Preparattype Legemidler](https://finnkode.helsedirektoratet.no/adm/collections/7424?q=7424).  \nCardinality: 0..1  \nCode: The medicinal product type code  \nDisplay: The medicinal product type such as \"Legemiddel\"  or \"Enteral ernæring\"  \nUrl (preliminary): https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7424  \n###### **XEVMPD Medicinal Product Type (Søknadstype)**\nThe [SPOR RMS classification of a medicinal product](https://spor.ema.europa.eu/rmswi/#/lists/200000000324/terms) according to how itt is authorised. Only used if the medicinal product has been Parallel imported  \nCardinality: 0..1  \nCode: The SPOR RMS code for the classification  \nDisplay: THe SPOR RMS name for the classification  \nUrl (preliminary): https://spor.ema.europa.eu/rmswi/#/lists/200000000324/terms  \n###### **Søknadstype godkjenningsfritak**\nWhether dispensing the medicinal product requires individual authorisation by the Norwegian Medicinal Agency, is at the discretion of the dispenser or can be dispensed without any further considerations. Code system published at [Finnkode Søknadstyper](https://finnkode.helsedirektoratet.no/adm/collections/7422?q=7422)  \nCardinality: 0..1  \nCode: According to the code system  \nDisplay: According to the code system  \nUrl (preliminary): https://volven.no/toolws/index.asmx/wsAppInfoSchema?strKveKode=7422  \n###### **Har utvidet ernæringsinformasjon**\nWhether the Medicinal Product has expanded nutritional information such as vitamins and minerals. Used for paranteral nutrition.  \nCardinality: 0..1  \nCode: \"true\"  \nDisplay: \"Har utvidet ernæringsinformasjon\"   \nUrl (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/81153ebc-9be0-468b-8676-44152dcb04d5  \n###### **ATC codes**\nAll the medicinal product's ATC code(s). One entry per code. May represent combination of substances according to the medicinal product's ingredients.  \nCardinality: 0..*  \nCode: The ATC code  \nDisplay: The (substances) name  \nUrls (preliminary), one per first-level ATC:  \n\n| First-level ATC category | Url |\n| :------- | :------ |\n| Alimentary tract and metabolism | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/dcedfe5f-d7dd-43f4-a351-8744395249dd |\n| Blood and blood forming organs | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/127f5448-fa44-4da4-9589-438749da0158 |\n| Cardiovascular system | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e104a7eb-e832-4d57-946d-d402b71ecc22 |\n| Dermatologicals | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f5a60497-f1c5-4163-ad34-a3c614d2f6b4 |\n| Genito urinary system and sex hormones | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/1fd6dad4-6b05-44ee-9a61-9409927bf195 |\n| Systemic hormonal preparations, excl. sex hormones and insulins | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/bd343711-ab45-4ebd-9f2c-b128f422645e |\n| Antiinfectives for systemic use | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e9f15a26-d384-48c2-a74d-3fa95f44a9dc |\n| Antineoplastic and immunomodulating agents | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/849bc27b-a66d-49ad-9389-d8f19d63b480 |\n| Musculo-skeletal system | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/82311936-f7e3-4c24-8821-229f055f7c64 |\n| Nervous system |  https://api.legemiddelverket.no/FHIR-R4/CodeSystem/f7949a93-d26e-4235-ac5d-d2b898a7aad4 |\n| Antiparasitic products, insecticides and repellents | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/a9a04ea3-c412-4c27-b191-fddb4ae4d162 |\n| Respiratory system | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/451f509c-f18b-48e1-ac75-d1852b846eee |\n| Sensory organs | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/2949f36e-6b6f-496a-96c8-c61429e75797 |\n| Various | https://api.legemiddelverket.no/FHIR-R4/CodeSystem/e5390228-1602-4bef-8ca9-fca1771de4d1 |"
},
{
"id": "MedicinalProduct.productClassification.coding.system",
"path": "MedicinalProduct.productClassification.coding.system",
"min": 1
},
{
"id": "MedicinalProduct.productClassification.coding.version",
"path": "MedicinalProduct.productClassification.coding.version",
"max": "0"
},
{
"id": "MedicinalProduct.productClassification.coding.code",
"path": "MedicinalProduct.productClassification.coding.code",
"min": 1
},
{
"id": "MedicinalProduct.productClassification.coding.userSelected",
"path": "MedicinalProduct.productClassification.coding.userSelected",
"max": "0"
},
{
"id": "MedicinalProduct.marketingStatus",
"path": "MedicinalProduct.marketingStatus",
"max": "0"
},
{
"id": "MedicinalProduct.pharmaceuticalProduct",
"path": "MedicinalProduct.pharmaceuticalProduct",
"max": "0"
},
{
"id": "MedicinalProduct.packagedMedicinalProduct",
"path": "MedicinalProduct.packagedMedicinalProduct",
"min": 1
},
{
"id": "MedicinalProduct.packagedMedicinalProduct.reference",
"path": "MedicinalProduct.packagedMedicinalProduct.reference",
"min": 1
},
{
"id": "MedicinalProduct.packagedMedicinalProduct.type",
"path": "MedicinalProduct.packagedMedicinalProduct.type",
"min": 1
},
{
"id": "MedicinalProduct.packagedMedicinalProduct.identifier",
"path": "MedicinalProduct.packagedMedicinalProduct.identifier",
"max": "0"
},
{
"id": "MedicinalProduct.packagedMedicinalProduct.display",
"path": "MedicinalProduct.packagedMedicinalProduct.display",
"max": "0"
},
{
"id": "MedicinalProduct.attachedDocument",
"path": "MedicinalProduct.attachedDocument",
"max": "0"
},
{
"id": "MedicinalProduct.masterFile",
"path": "MedicinalProduct.masterFile",
"max": "0"
},
{
"id": "MedicinalProduct.contact",
"path": "MedicinalProduct.contact",
"max": "0"
},
{
"id": "MedicinalProduct.clinicalTrial",
"path": "MedicinalProduct.clinicalTrial",
"max": "0"
},
{
"id": "MedicinalProduct.name",
"path": "MedicinalProduct.name",
"definition": "The product's name, including full name and possibly coded parts.\nFor now, only the \"intended name\" part is being published."
},
{
"id": "MedicinalProduct.name.namePart.type",
"path": "MedicinalProduct.name.namePart.type",
"comment": "Name part types are coded using SPOR RMS"
},
{
"id": "MedicinalProduct.name.namePart.type.system",
"path": "MedicinalProduct.name.namePart.type.system",
"comment": "Name part types are coded using SPOR RMS.  \nUrl (preliminary): https://api.legemiddelverket.no/FHIR-R4/CodeSystem/b9ab9d4b-d268-42cc-82bc-0d4d0d5d3a41",
"min": 1
},
{
"id": "MedicinalProduct.name.namePart.type.version",
"path": "MedicinalProduct.name.namePart.type.version",
"max": "0"
},
{
"id": "MedicinalProduct.name.namePart.type.code",
"path": "MedicinalProduct.name.namePart.type.code",
"min": 1
},
{
"id": "MedicinalProduct.name.namePart.type.userSelected",
"path": "MedicinalProduct.name.namePart.type.userSelected",
"max": "0"
},
{
"id": "MedicinalProduct.name.countryLanguage",
"path": "MedicinalProduct.name.countryLanguage",
"max": "0"
},
{
"id": "MedicinalProduct.crossReference",
"path": "MedicinalProduct.crossReference",
"max": "0"
},
{
"id": "MedicinalProduct.manufacturingBusinessOperation",
"path": "MedicinalProduct.manufacturingBusinessOperation",
"max": "0"
},
{
"id": "MedicinalProduct.specialDesignation",
"path": "MedicinalProduct.specialDesignation",
"max": "0"
}
]
}

}