Medication

This resource is used to capture information about a medication.

Note: The current resource is created for Therapies where there current scope is to only store a dummy Medication resource for every Substance resource. Hence only the reference to the Substance resource is enabled

Overview

The below overview shows the elements of the resource, data type and the cardinality of each. Further details like "Binding"/"Fixed values"/"contraints" etc can be found on clicking on each element.

Canonical URL - http://roche.com/fhir/rdc/StructureDefinition/medication

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
textC0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
codeΣ0..1CodeableConcept
statusΣ0..1codeBinding
isBrandΣ0..1boolean
isOverTheCounterΣ0..1boolean
manufacturerΣ C0..1Reference(Organization)
form0..1CodeableConcept
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
itemReference1..1Reference(substance)
isActive0..1boolean
amountC0..1Ratio
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
container0..1CodeableConcept
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
itemCodeableConceptCodeableConcept
itemReferenceReference(Medication)
amountC0..1SimpleQuantity
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
lotNumber0..1string
expirationDate0..1dateTime
imageC0..1Attachment

Details

Medication
ShortDefinition of a Medication
Definition

This resource is primarily used for the identification and definition of a medication. It covers the ingredients and the packaging for a medication.

Cardinality0..*
Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    contained.text.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
    contained.where(('#'+id in %resource.descendants().reference).not()).empty()
Mappings
  • rim: Entity. Role, or Act
  • script10.6: NewRx/MedicationPrescribed -or- RxFill/MedicationDispensed -or- RxHistoryResponse/MedicationDispensed -or- RxHistoryResponse/MedicationPrescribed
  • rim: ManufacturedProduct[classCode=ADMM]
  • w5: clinical.medication
Medication.id
ShortLogical 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.

Cardinality0..1
Typeid
SummaryTrue
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.

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
Medication.meta
ShortMetadata about the resource
Definition

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

Cardinality0..1
TypeMeta
SummaryTrue
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Medication.implicitRules
ShortA 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.

Cardinality0..1
Typeuri
ModifierTrue
SummaryTrue
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.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
Medication.language
ShortLanguage of the resource content
Definition

The base language in which the resource is written.

Cardinality0..1
Typecode
Binding

A human language.

Common Languages (extensible)

Binding extensions
maxValueSetAll Languages
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).

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
Medication.text
ShortText summary of the resource, for human interpretation
Definition

A human-readable narrative that contains a summary of the resource, and may 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.

Cardinality0..1
TypeNarrative
Aliasnarrative, html, xhtml, display
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 in formation is added later.

ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, dom-1
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
Medication.contained
ShortContained, inline 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.

Cardinality0..*
TypeResource
Aliasinline resources, anonymous resources, contained resources
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.

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
Medication.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order 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.

Cardinality0..*
TypeExtension
Aliasextensions, user content
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.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe 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() | (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
Medication.modifierExtension
ShortExtensions that cannot be ignored
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. Usually modifier elements provide negation or qualification. In order 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.

Cardinality0..*
TypeExtension
ModifierTrue
Aliasextensions, user content
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.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe 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() | (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
Medication.code
ShortCodes that identify this medication
Definition

A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

Cardinality0..1
TypeCodeableConcept
Binding

A coded concept that defines the type of a medication

SNOMED CT Medication Codes (example)

SummaryTrue
Comments

Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc.

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • script10.6: coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription
  • v2: RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code
  • rim: .code
  • w5: class
Medication.status
Shortactive | inactive | entered-in-error
Definition

A code to indicate if the medication is in active use.

Cardinality0..1
Typecode
Binding

A coded concept defining if the medication is in active use

MedicationStatus (required)

SummaryTrue
Comments

This status is not intended to specify if a medication is part of a formulary.

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: .statusCode
Medication.isBrand
ShortTrue if a brand
Definition

Set to true if the item is attributable to a specific manufacturer.

Cardinality0..1
Typeboolean
SummaryTrue
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: no mapping
  • rim: true if .player.scopingRole[typeCode=MANU] exists
  • w5: class
Medication.isOverTheCounter
ShortTrue if medication does not require a prescription
Definition

Set to true if the medication can be obtained without an order from a prescriber.

Cardinality0..1
Typeboolean
SummaryTrue
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: NA
  • w5: class
Medication.manufacturer
ShortManufacturer of the item
Definition

Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

Cardinality0..1
TypeReference(Organization)
SummaryTrue
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.

ConditionsThe 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() | (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • script10.6: no mapping
  • v2: RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name
  • rim: .player.scopingRole[typeCode=MANU].scoper
  • w5: who.actor
Medication.form
Shortpowder | tablets | capsule +
Definition

Describes the form of the item. Powder; tablets; capsule.

Cardinality0..1
TypeCodeableConcept
Binding

A coded concept defining the form of a medication

SNOMED CT Form Codes (example)

Comments

When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • script10.6: coding.code = //element(*,DrugCodedType)/FormCode coding.system = //element(*,DrugCodedType)/FormSourceCode
  • v2: RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form
  • rim: .formCode
Medication.ingredient
ShortActive or inactive ingredient
Definition

Identifies a particular constituent of interest in the product.

Cardinality0..*
TypeBackboneElement
Comments

The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: .scopesRole[typeCode=INGR]
Medication.ingredient.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
Medication.ingredient.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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.

Cardinality0..*
TypeExtension
Aliasextensions, user content
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.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe 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() | (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
Medication.ingredient.modifierExtension
ShortExtensions that cannot be ignored
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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

Cardinality0..*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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.

ConditionsThe 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() | (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
Medication.ingredient.item[x]:itemReference
ShortThe product contained
Definition

The actual ingredient - either a substance (simple ingredient) or another medication.

Cardinality1..1
TypeReference(substance)
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription
  • v2: RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code
  • rim: .player
Medication.ingredient.isActive
ShortActive ingredient indicator
Definition

Indication of whether this ingredient affects the therapeutic action of the drug.

Cardinality0..1
Typeboolean
Requirements

True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: NA
Medication.ingredient.amount
ShortQuantity of ingredient present
Definition

Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

Cardinality0..1
TypeRatio
ConditionsThe 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() | (children().count() > id.count())
  • rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
    (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: RTO
  • script10.6: //element(*,DrugCodedType)/Strength
  • v2: RXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units
  • rim: .quantity
Medication.package
ShortDetails about packaged medications
Definition

Information that only applies to packages (not products).

Cardinality0..1
TypeBackboneElement
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: no mapping
  • rim: .player[classCode=CONT]
Medication.package.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
Medication.package.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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.

Cardinality0..*
TypeExtension
Aliasextensions, user content
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.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe 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() | (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
Medication.package.modifierExtension
ShortExtensions that cannot be ignored
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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

Cardinality0..*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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.

ConditionsThe 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() | (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
Medication.package.container
ShortE.g. box, vial, blister-pack
Definition

The kind of container that this package comes as.

Cardinality0..1
TypeCodeableConcept
Binding

A coded concept defining the kind of container a medication package is packaged in

MedicationContainer (example)

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.

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • script10.6: no mapping
  • rim: .code
Medication.package.content
ShortWhat is in the package
Definition

A set of components that go to make up the described item.

Cardinality0..*
TypeBackboneElement
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: no mapping
  • rim: .scopesRole[typeCode=CONT]
Medication.package.content.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
Medication.package.content.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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.

Cardinality0..*
TypeExtension
Aliasextensions, user content
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.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe 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() | (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
Medication.package.content.modifierExtension
ShortExtensions that cannot be ignored
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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

Cardinality0..*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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.

ConditionsThe 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() | (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
Medication.package.content.item[x]
ShortThe item in the package
Definition

Identifies one of the items in the package.

Cardinality1..1
TypeCodeableConcept | Reference(Medication)
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: no mapping
  • rim: .player
Medication.package.content.amount
ShortQuantity present in the package
Definition

The amount of the product that is in the package.

Cardinality0..1
TypeSimpleQuantity
Comments

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

ConditionsThe 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() | (children().count() > id.count())
  • qty-3: If a code for the unit is present, the system SHALL also be present
    code.empty() or system.exists()
  • sqty-1: The comparator is not used on a SimpleQuantity
    comparator.empty()
Mappings
  • rim: n/a
  • v2: SN (see also Range) or CQ
  • rim: PQ, IVL<PQ>, MO, CO, depending on the values
  • script10.6: no mapping
  • rim: .quantity
Medication.package.batch
ShortIdentifies a single production run
Definition

Information about a group of medication produced or packaged from one production run.

Cardinality0..*
TypeBackboneElement
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: no mapping
  • rim: participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id
Medication.package.batch.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
Medication.package.batch.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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.

Cardinality0..*
TypeExtension
Aliasextensions, user content
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.

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

ConditionsThe 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() | (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
Medication.package.batch.modifierExtension
ShortExtensions that cannot be ignored
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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

Cardinality0..*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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.

ConditionsThe 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() | (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
Medication.package.batch.lotNumber
ShortIdentifier assigned to batch
Definition

The assigned lot number of a batch of the specified product.

Cardinality0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: no mapping
  • v2: RXA-15 Substance Lot Number / RXG-19 Substance Lot Number
  • rim: .id
Medication.package.batch.expirationDate
ShortWhen batch will expire
Definition

When this specific batch of product will expire.

Cardinality0..1
TypedateTime
ConditionsThe 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() | (children().count() > id.count())
Mappings
  • rim: n/a
  • script10.6: no mapping
  • v2: RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date
  • rim: participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime
Medication.image
ShortPicture of the medication
Definition

Photo(s) or graphic representation(s) of the medication.

Cardinality0..1
TypeAttachment
Requirements

Note that "image" is only applicable when the medication.code represents a physical item (e.g. Amoxil 250 mg capsule) and not an abstract item (e.g. amoxicillin 250 mg).

Comments

When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Attachment".

ConditionsThe 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() | (children().count() > id.count())
  • att-1: It the Attachment has data, it SHALL have a contentType
    data.empty() or contentType.exists()
Mappings
  • rim: n/a
  • v2: ED/RP
  • rim: ED
  • rim: .participation[typeCode=SUBJ].role[classCode=MANU],source[classCode=OBS,moodCode=EVN,code="type of image"].value(ED.image)

Table

Medication0..*
Medication.idid0..1
Medication.metaMeta0..1
Medication.implicitRulesuri0..1
Medication.languagecode0..1
Medication.textNarrative0..1
Medication.containedResource0..*
Medication.extensionExtension0..*
Medication.modifierExtensionExtension0..*
Medication.codeCodeableConcept0..1
Medication.statuscode0..1
Medication.isBrandboolean0..1
Medication.isOverTheCounterboolean0..1
Medication.manufacturerReference(Organization)0..1
Medication.formCodeableConcept0..1
Medication.ingredientBackboneElement0..*
Medication.ingredient.idstring0..1
Medication.ingredient.extensionExtension0..*
Medication.ingredient.modifierExtensionExtension0..*
Medication.ingredient.item[x]:itemReferenceReference(substance)1..1
Medication.ingredient.isActiveboolean0..1
Medication.ingredient.amountRatio0..1
Medication.packageBackboneElement0..1
Medication.package.idstring0..1
Medication.package.extensionExtension0..*
Medication.package.modifierExtensionExtension0..*
Medication.package.containerCodeableConcept0..1
Medication.package.contentBackboneElement0..*
Medication.package.content.idstring0..1
Medication.package.content.extensionExtension0..*
Medication.package.content.modifierExtensionExtension0..*
Medication.package.content.item[x]CodeableConcept | Reference(Medication)1..1
Medication.package.content.amountSimpleQuantity0..1
Medication.package.batchBackboneElement0..*
Medication.package.batch.idstring0..1
Medication.package.batch.extensionExtension0..*
Medication.package.batch.modifierExtensionExtension0..*
Medication.package.batch.lotNumberstring0..1
Medication.package.batch.expirationDatedateTime0..1
Medication.imageAttachment0..1

XML

<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="015f9757-f6c5-4c67-94bd-751560691a75" />
<url value="http://roche.com/fhir/rdc/StructureDefinition/medication" />
<version value="1.0" />
<name value="medication" />
<status value="active" />
<description value="This resource is used to capture information about a medication" />
<fhirVersion value="3.0.2" />
<kind value="resource" />
<abstract value="false" />
<type value="Medication" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Medication" />
<derivation value="constraint" />
<element id="Medication">
<path value="Medication" />
<short value="Definition of a Medication" />
<definition value="This resource is primarily used for the identification and definition of a medication. It covers the ingredients and the packaging for a medication." />
<min value="0" />
<max value="*" />
<path value="Resource" />
<min value="0" />
<max value="*" />
</base>
<key value="dom-2" />
<severity value="error" />
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
<expression value="contained.contained.empty()" />
<xpath value="not(parent::f:contained and f:contained)" />
</constraint>
<key value="dom-1" />
<severity value="error" />
<human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" />
<expression value="contained.text.empty()" />
<xpath value="not(parent::f:contained and f:text)" />
</constraint>
<key value="dom-4" />
<severity value="error" />
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
</constraint>
<key value="dom-3" />
<severity value="error" />
<human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" />
<expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()" />
<xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" />
</constraint>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<identity value="script10.6" />
<map value="NewRx/MedicationPrescribed\n-or-\nRxFill/MedicationDispensed\n-or-\nRxHistoryResponse/MedicationDispensed\n-or-\nRxHistoryResponse/MedicationPrescribed" />
</mapping>
<identity value="rim" />
<map value="ManufacturedProduct[classCode=ADMM]" />
</mapping>
<identity value="w5" />
<map value="clinical.medication" />
</mapping>
</element>
<element id="Medication.id">
<path value="Medication.id" />
<short value="Logical id of this artifact" />
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
<min value="0" />
<max value="1" />
<path value="Resource.id" />
<min value="0" />
<max value="1" />
</base>
<code value="id" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Medication.meta">
<path value="Medication.meta" />
<short value="Metadata about the resource" />
<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." />
<min value="0" />
<max value="1" />
<path value="Resource.meta" />
<min value="0" />
<max value="1" />
</base>
<code value="Meta" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.implicitRules">
<path value="Medication.implicitRules" />
<short value="A set of rules under which this content was created" />
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." />
<comment value="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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." />
<min value="0" />
<max value="1" />
<path value="Resource.implicitRules" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<isModifier value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Medication.language">
<path value="Medication.language" />
<short value="Language of the resource content" />
<definition value="The base language in which the resource is written." />
<comment value="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)." />
<min value="0" />
<max value="1" />
<path value="Resource.language" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<reference value="http://hl7.org/fhir/ValueSet/all-languages" />
</valueReference>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
<valueBoolean value="true" />
</extension>
<strength value="extensible" />
<description value="A human language." />
<reference value="http://hl7.org/fhir/ValueSet/languages" />
</valueSetReference>
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Medication.text">
<path value="Medication.text" />
<short value="Text summary of the resource, for human interpretation" />
<definition value="A human-readable narrative that contains a summary of the resource, and may 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." />
<comment value="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 in formation is added later." />
<alias value="narrative" />
<alias value="html" />
<alias value="xhtml" />
<alias value="display" />
<min value="0" />
<max value="1" />
<path value="DomainResource.text" />
<min value="0" />
<max value="1" />
</base>
<code value="Narrative" />
</type>
<condition value="ele-1" />
<condition value="dom-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
<identity value="rim" />
<map value="Act.text?" />
</mapping>
</element>
<element id="Medication.contained">
<path value="Medication.contained" />
<short value="Contained, inline Resources" />
<definition value="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." />
<comment value="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." />
<alias value="inline resources" />
<alias value="anonymous resources" />
<alias value="contained resources" />
<min value="0" />
<max value="*" />
<path value="DomainResource.contained" />
<min value="0" />
<max value="*" />
</base>
<code value="Resource" />
</type>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.extension">
<path value="Medication.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional Content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.modifierExtension">
<path value="Medication.modifierExtension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Extensions that cannot be ignored" />
<definition value="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. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="DomainResource.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<isModifier value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.code">
<path value="Medication.code" />
<short value="Codes that identify this medication" />
<definition value="A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems." />
<comment value="Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc." />
<min value="0" />
<max value="1" />
<path value="Medication.code" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationFormalRepresentation" />
</extension>
<strength value="example" />
<description value="A coded concept that defines the type of a medication" />
<reference value="http://hl7.org/fhir/ValueSet/medication-codes" />
</valueSetReference>
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="script10.6" />
<map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\n\ncoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\n\ncoding.display = //element(*,MedicationType)/DrugDescription" />
</mapping>
<identity value="v2" />
<map value="RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code" />
</mapping>
<identity value="rim" />
<map value=".code" />
</mapping>
<identity value="w5" />
<map value="class" />
</mapping>
</element>
<element id="Medication.status">
<path value="Medication.status" />
<short value="active | inactive | entered-in-error" />
<definition value="A code to indicate if the medication is in active use." />
<comment value="This status is not intended to specify if a medication is part of a formulary." />
<min value="0" />
<max value="1" />
<path value="Medication.status" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationStatus" />
</extension>
<strength value="required" />
<description value="A coded concept defining if the medication is in active use" />
<reference value="http://hl7.org/fhir/ValueSet/medication-status" />
</valueSetReference>
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".statusCode" />
</mapping>
</element>
<element id="Medication.isBrand">
<path value="Medication.isBrand" />
<short value="True if a brand" />
<definition value="Set to true if the item is attributable to a specific manufacturer." />
<min value="0" />
<max value="1" />
<path value="Medication.isBrand" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="rim" />
<map value="true if .player.scopingRole[typeCode=MANU] exists" />
</mapping>
<identity value="w5" />
<map value="class" />
</mapping>
</element>
<element id="Medication.isOverTheCounter">
<path value="Medication.isOverTheCounter" />
<short value="True if medication does not require a prescription" />
<definition value="Set to true if the medication can be obtained without an order from a prescriber." />
<min value="0" />
<max value="1" />
<path value="Medication.isOverTheCounter" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="NA" />
</mapping>
<identity value="w5" />
<map value="class" />
</mapping>
</element>
<element id="Medication.manufacturer">
<path value="Medication.manufacturer" />
<short value="Manufacturer of the item" />
<definition value="Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Medication.manufacturer" />
<min value="0" />
<max value="1" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="v2" />
<map value="RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name" />
</mapping>
<identity value="rim" />
<map value=".player.scopingRole[typeCode=MANU].scoper" />
</mapping>
<identity value="w5" />
<map value="who.actor" />
</mapping>
</element>
<element id="Medication.form">
<path value="Medication.form" />
<short value="powder | tablets | capsule +" />
<definition value="Describes the form of the item. Powder; tablets; capsule." />
<comment value="When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form." />
<min value="0" />
<max value="1" />
<path value="Medication.form" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationForm" />
</extension>
<strength value="example" />
<description value="A coded concept defining the form of a medication" />
<reference value="http://hl7.org/fhir/ValueSet/medication-form-codes" />
</valueSetReference>
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="script10.6" />
<map value="coding.code = //element(*,DrugCodedType)/FormCode\n\ncoding.system = //element(*,DrugCodedType)/FormSourceCode" />
</mapping>
<identity value="v2" />
<map value="RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form" />
</mapping>
<identity value="rim" />
<map value=".formCode" />
</mapping>
</element>
<element id="Medication.ingredient">
<path value="Medication.ingredient" />
<short value="Active or inactive ingredient" />
<definition value="Identifies a particular constituent of interest in the product." />
<comment value="The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients." />
<min value="0" />
<max value="*" />
<path value="Medication.ingredient" />
<min value="0" />
<max value="*" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".scopesRole[typeCode=INGR]" />
</mapping>
</element>
<element id="Medication.ingredient.id">
<path value="Medication.ingredient.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<comment value="Note that FHIR strings may not exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Medication.ingredient.extension">
<path value="Medication.ingredient.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional Content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.ingredient.modifierExtension">
<path value="Medication.ingredient.modifierExtension" />
<short value="Extensions that cannot be ignored" />
<definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<isModifier value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.ingredient.item[x]:itemReference">
<path value="Medication.ingredient.itemReference" />
<sliceName value="itemReference" />
<short value="The product contained" />
<definition value="The actual ingredient - either a substance (simple ingredient) or another medication." />
<comment value="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." />
<min value="1" />
<max value="1" />
<path value="Medication.ingredient.item[x]" />
<min value="1" />
<max value="1" />
</base>
<code value="Reference" />
<targetProfile value="http://roche.com/fhir/rdc/StructureDefinition/substance" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="script10.6" />
<map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\n\ncoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\n\ncoding.display = //element(*,MedicationType)/DrugDescription" />
</mapping>
<identity value="v2" />
<map value="RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code" />
</mapping>
<identity value="rim" />
<map value=".player" />
</mapping>
</element>
<element id="Medication.ingredient.isActive">
<path value="Medication.ingredient.isActive" />
<short value="Active ingredient indicator" />
<definition value="Indication of whether this ingredient affects the therapeutic action of the drug." />
<requirements value="True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \nFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive)." />
<min value="0" />
<max value="1" />
<path value="Medication.ingredient.isActive" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="NA" />
</mapping>
</element>
<element id="Medication.ingredient.amount">
<path value="Medication.ingredient.amount" />
<short value="Quantity of ingredient present" />
<definition value="Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet." />
<min value="0" />
<max value="1" />
<path value="Medication.ingredient.amount" />
<min value="0" />
<max value="1" />
</base>
<code value="Ratio" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="rat-1" />
<severity value="error" />
<human value="Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present" />
<expression value="(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())" />
<xpath value="(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<identity value="rim" />
<map value="RTO" />
</mapping>
<identity value="script10.6" />
<map value="//element(*,DrugCodedType)/Strength" />
</mapping>
<identity value="v2" />
<map value="RXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units" />
</mapping>
<identity value="rim" />
<map value=".quantity" />
</mapping>
</element>
<element id="Medication.package">
<path value="Medication.package" />
<short value="Details about packaged medications" />
<definition value="Information that only applies to packages (not products)." />
<min value="0" />
<max value="1" />
<path value="Medication.package" />
<min value="0" />
<max value="1" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="rim" />
<map value=".player[classCode=CONT]" />
</mapping>
</element>
<element id="Medication.package.id">
<path value="Medication.package.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<comment value="Note that FHIR strings may not exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Medication.package.extension">
<path value="Medication.package.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional Content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.package.modifierExtension">
<path value="Medication.package.modifierExtension" />
<short value="Extensions that cannot be ignored" />
<definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<isModifier value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.package.container">
<path value="Medication.package.container" />
<short value="E.g. box, vial, blister-pack" />
<definition value="The kind of container that this package comes as." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Medication.package.container" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MedicationContainer" />
</extension>
<strength value="example" />
<description value="A coded concept defining the kind of container a medication package is packaged in" />
<reference value="http://hl7.org/fhir/ValueSet/medication-package-form" />
</valueSetReference>
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="rim" />
<map value=".code" />
</mapping>
</element>
<element id="Medication.package.content">
<path value="Medication.package.content" />
<short value="What is in the package" />
<definition value="A set of components that go to make up the described item." />
<min value="0" />
<max value="*" />
<path value="Medication.package.content" />
<min value="0" />
<max value="*" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="rim" />
<map value=".scopesRole[typeCode=CONT]" />
</mapping>
</element>
<element id="Medication.package.content.id">
<path value="Medication.package.content.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<comment value="Note that FHIR strings may not exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Medication.package.content.extension">
<path value="Medication.package.content.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional Content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.package.content.modifierExtension">
<path value="Medication.package.content.modifierExtension" />
<short value="Extensions that cannot be ignored" />
<definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<isModifier value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.package.content.item[x]">
<path value="Medication.package.content.item[x]" />
<short value="The item in the package" />
<definition value="Identifies one of the items in the package." />
<comment value="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." />
<min value="1" />
<max value="1" />
<path value="Medication.package.content.item[x]" />
<min value="1" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="rim" />
<map value=".player" />
</mapping>
</element>
<element id="Medication.package.content.amount">
<path value="Medication.package.content.amount" />
<short value="Quantity present in the package" />
<definition value="The amount of the product that is in the package." />
<comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." />
<min value="0" />
<max value="1" />
<path value="Medication.package.content.amount" />
<min value="0" />
<max value="1" />
</base>
<code value="Quantity" />
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="qty-3" />
<severity value="error" />
<human value="If a code for the unit is present, the system SHALL also be present" />
<expression value="code.empty() or system.exists()" />
<xpath value="not(exists(f:code)) or exists(f:system)" />
</constraint>
<key value="sqty-1" />
<severity value="error" />
<human value="The comparator is not used on a SimpleQuantity" />
<expression value="comparator.empty()" />
<xpath value="not(exists(f:comparator))" />
</constraint>
<isModifier value="false" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="SN (see also Range) or CQ" />
</mapping>
<identity value="rim" />
<map value="PQ, IVL<PQ>, MO, CO, depending on the values" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="rim" />
<map value=".quantity" />
</mapping>
</element>
<element id="Medication.package.batch">
<path value="Medication.package.batch" />
<short value="Identifies a single production run" />
<definition value="Information about a group of medication produced or packaged from one production run." />
<min value="0" />
<max value="*" />
<path value="Medication.package.batch" />
<min value="0" />
<max value="*" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="rim" />
<map value="participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id" />
</mapping>
</element>
<element id="Medication.package.batch.id">
<path value="Medication.package.batch.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<comment value="Note that FHIR strings may not exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Medication.package.batch.extension">
<path value="Medication.package.batch.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional Content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.package.batch.modifierExtension">
<path value="Medication.package.batch.modifierExtension" />
<short value="Extensions that cannot be ignored" />
<definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
</constraint>
<isModifier value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Medication.package.batch.lotNumber">
<path value="Medication.package.batch.lotNumber" />
<short value="Identifier assigned to batch" />
<definition value="The assigned lot number of a batch of the specified product." />
<comment value="Note that FHIR strings may not exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Medication.package.batch.lotNumber" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="v2" />
<map value="RXA-15 Substance Lot Number / RXG-19 Substance Lot Number" />
</mapping>
<identity value="rim" />
<map value=".id" />
</mapping>
</element>
<element id="Medication.package.batch.expirationDate">
<path value="Medication.package.batch.expirationDate" />
<short value="When batch will expire" />
<definition value="When this specific batch of product will expire." />
<min value="0" />
<max value="1" />
<path value="Medication.package.batch.expirationDate" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="script10.6" />
<map value="no mapping" />
</mapping>
<identity value="v2" />
<map value="RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date" />
</mapping>
<identity value="rim" />
<map value="participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime" />
</mapping>
</element>
<element id="Medication.image">
<path value="Medication.image" />
<short value="Picture of the medication" />
<definition value="Photo(s) or graphic representation(s) of the medication." />
<comment value="When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Attachment"." />
<requirements value="Note that "image" is only applicable when the medication.code represents a physical item (e.g. Amoxil 250 mg capsule) and not an abstract item (e.g. amoxicillin 250 mg)." />
<min value="0" />
<max value="1" />
<path value="Medication.image" />
<min value="0" />
<max value="*" />
</base>
<code value="Attachment" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() | (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
</constraint>
<key value="att-1" />
<severity value="error" />
<human value="It the Attachment has data, it SHALL have a contentType" />
<expression value="data.empty() or contentType.exists()" />
<xpath value="not(exists(f:data)) or exists(f:contentType)" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="ED/RP" />
</mapping>
<identity value="rim" />
<map value="ED" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=SUBJ].role[classCode=MANU],source[classCode=OBS,moodCode=EVN,code="type of image"].value(ED.image)" />
</mapping>
</element>
</snapshot>
<element id="Medication.ingredient.item[x]:itemReference">
<path value="Medication.ingredient.itemReference" />
<sliceName value="itemReference" />
<code value="Reference" />
<targetProfile value="http://roche.com/fhir/rdc/StructureDefinition/substance" />
</type>
</element>
<element id="Medication.image">
<path value="Medication.image" />
<max value="1" />
</element>
</differential>
</StructureDefinition>

JSON

{
"resourceType": "StructureDefinition",
"id": "015f9757-f6c5-4c67-94bd-751560691a75",
"url": "http://roche.com/fhir/rdc/StructureDefinition/medication",
"version": "1.0",
"name": "medication",
"status": "active",
"description": "This resource is used to capture information about a medication",
"fhirVersion": "3.0.2",
"kind": "resource",
"abstract": false,
"type": "Medication",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication",
"derivation": "constraint",
"element": [
{
"id": "Medication",
"path": "Medication",
"short": "Definition of a Medication",
"definition": "This resource is primarily used for the identification and definition of a medication. It covers the ingredients and the packaging for a medication.",
"min": 0,
"max": "*",
"base": {
"path": "Resource",
"min": 0,
"max": "*"
},
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)"
},
{
"key": "dom-1",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression": "contained.text.empty()",
"xpath": "not(parent::f:contained and f:text)"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"
},
{
"key": "dom-3",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"
}
],
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "script10.6",
"map": "NewRx/MedicationPrescribed\n-or-\nRxFill/MedicationDispensed\n-or-\nRxHistoryResponse/MedicationDispensed\n-or-\nRxHistoryResponse/MedicationPrescribed"
},
{
"identity": "rim",
"map": "ManufacturedProduct[classCode=ADMM]"
},
{
"identity": "w5",
"map": "clinical.medication"
}
]
},
{
"id": "Medication.id",
"path": "Medication.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.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Medication.meta",
"path": "Medication.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 may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.implicitRules",
"path": "Medication.implicitRules",
"short": "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.",
"comment": "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Medication.language",
"path": "Medication.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "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).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"binding": {
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "extensible",
"description": "A human language.",
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Medication.text",
"path": "Medication.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may 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.",
"comment": "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 in formation is added later.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"ele-1",
"dom-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
},
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "Medication.contained",
"path": "Medication.contained",
"short": "Contained, inline 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.",
"comment": "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.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.extension",
"path": "Medication.extension",
"slicing": {
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.modifierExtension",
"path": "Medication.modifierExtension",
"slicing": {
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Extensions that cannot be ignored",
"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. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.code",
"path": "Medication.code",
"short": "Codes that identify this medication",
"definition": "A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.",
"comment": "Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"isSummary": true,
"binding": {
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MedicationFormalRepresentation"
}
],
"strength": "example",
"description": "A coded concept that defines the type of a medication",
"reference": "http://hl7.org/fhir/ValueSet/medication-codes"
}
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "script10.6",
"map": "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\n\ncoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\n\ncoding.display = //element(*,MedicationType)/DrugDescription"
},
{
"identity": "v2",
"map": "RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "w5",
"map": "class"
}
]
},
{
"id": "Medication.status",
"path": "Medication.status",
"short": "active | inactive | entered-in-error",
"definition": "A code to indicate if the medication is in active use.",
"comment": "This status is not intended to specify if a medication is part of a formulary.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"isSummary": true,
"binding": {
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MedicationStatus"
}
],
"strength": "required",
"description": "A coded concept defining if the medication is in active use",
"reference": "http://hl7.org/fhir/ValueSet/medication-status"
}
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": ".statusCode"
}
]
},
{
"id": "Medication.isBrand",
"path": "Medication.isBrand",
"short": "True if a brand",
"definition": "Set to true if the item is attributable to a specific manufacturer.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.isBrand",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "rim",
"map": "true if .player.scopingRole[typeCode=MANU] exists"
},
{
"identity": "w5",
"map": "class"
}
]
},
{
"id": "Medication.isOverTheCounter",
"path": "Medication.isOverTheCounter",
"short": "True if medication does not require a prescription",
"definition": "Set to true if the medication can be obtained without an order from a prescriber.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.isOverTheCounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "NA"
},
{
"identity": "w5",
"map": "class"
}
]
},
{
"id": "Medication.manufacturer",
"path": "Medication.manufacturer",
"short": "Manufacturer of the item",
"definition": "Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.manufacturer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "v2",
"map": "RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"
},
{
"identity": "rim",
"map": ".player.scopingRole[typeCode=MANU].scoper"
},
{
"identity": "w5",
"map": "who.actor"
}
]
},
{
"id": "Medication.form",
"path": "Medication.form",
"short": "powder | tablets | capsule +",
"definition": "Describes the form of the item. Powder; tablets; capsule.",
"comment": "When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.form",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"binding": {
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MedicationForm"
}
],
"strength": "example",
"description": "A coded concept defining the form of a medication",
"reference": "http://hl7.org/fhir/ValueSet/medication-form-codes"
}
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "script10.6",
"map": "coding.code = //element(*,DrugCodedType)/FormCode\n\ncoding.system = //element(*,DrugCodedType)/FormSourceCode"
},
{
"identity": "v2",
"map": "RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"
},
{
"identity": "rim",
"map": ".formCode"
}
]
},
{
"id": "Medication.ingredient",
"path": "Medication.ingredient",
"short": "Active or inactive ingredient",
"definition": "Identifies a particular constituent of interest in the product.",
"comment": "The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.",
"min": 0,
"max": "*",
"base": {
"path": "Medication.ingredient",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": ".scopesRole[typeCode=INGR]"
}
]
},
{
"id": "Medication.ingredient.id",
"path": "Medication.ingredient.id",
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"comment": "Note that FHIR strings may not exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Medication.ingredient.extension",
"path": "Medication.ingredient.extension",
"slicing": {
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.ingredient.modifierExtension",
"path": "Medication.ingredient.modifierExtension",
"short": "Extensions that cannot be ignored",
"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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.ingredient.item[x]:itemReference",
"path": "Medication.ingredient.itemReference",
"sliceName": "itemReference",
"short": "The product contained",
"definition": "The actual ingredient - either a substance (simple ingredient) or another medication.",
"comment": "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.",
"min": 1,
"max": "1",
"base": {
"path": "Medication.ingredient.item[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://roche.com/fhir/rdc/StructureDefinition/substance"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "script10.6",
"map": "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\n\ncoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\n\ncoding.display = //element(*,MedicationType)/DrugDescription"
},
{
"identity": "v2",
"map": "RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"
},
{
"identity": "rim",
"map": ".player"
}
]
},
{
"id": "Medication.ingredient.isActive",
"path": "Medication.ingredient.isActive",
"short": "Active ingredient indicator",
"definition": "Indication of whether this ingredient affects the therapeutic action of the drug.",
"requirements": "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \nFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).",
"min": 0,
"max": "1",
"base": {
"path": "Medication.ingredient.isActive",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "NA"
}
]
},
{
"id": "Medication.ingredient.amount",
"path": "Medication.ingredient.amount",
"short": "Quantity of ingredient present",
"definition": "Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.ingredient.amount",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Ratio"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "rat-1",
"severity": "error",
"human": "Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present",
"expression": "(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())",
"xpath": "(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "RTO"
},
{
"identity": "script10.6",
"map": "//element(*,DrugCodedType)/Strength"
},
{
"identity": "v2",
"map": "RXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"
},
{
"identity": "rim",
"map": ".quantity"
}
]
},
{
"id": "Medication.package",
"path": "Medication.package",
"short": "Details about packaged medications",
"definition": "Information that only applies to packages (not products).",
"min": 0,
"max": "1",
"base": {
"path": "Medication.package",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "rim",
"map": ".player[classCode=CONT]"
}
]
},
{
"id": "Medication.package.id",
"path": "Medication.package.id",
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"comment": "Note that FHIR strings may not exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Medication.package.extension",
"path": "Medication.package.extension",
"slicing": {
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.package.modifierExtension",
"path": "Medication.package.modifierExtension",
"short": "Extensions that cannot be ignored",
"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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.package.container",
"path": "Medication.package.container",
"short": "E.g. box, vial, blister-pack",
"definition": "The kind of container that this package comes as.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.package.container",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"binding": {
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MedicationContainer"
}
],
"strength": "example",
"description": "A coded concept defining the kind of container a medication package is packaged in",
"reference": "http://hl7.org/fhir/ValueSet/medication-package-form"
}
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "rim",
"map": ".code"
}
]
},
{
"id": "Medication.package.content",
"path": "Medication.package.content",
"short": "What is in the package",
"definition": "A set of components that go to make up the described item.",
"min": 0,
"max": "*",
"base": {
"path": "Medication.package.content",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "rim",
"map": ".scopesRole[typeCode=CONT]"
}
]
},
{
"id": "Medication.package.content.id",
"path": "Medication.package.content.id",
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"comment": "Note that FHIR strings may not exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Medication.package.content.extension",
"path": "Medication.package.content.extension",
"slicing": {
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.package.content.modifierExtension",
"path": "Medication.package.content.modifierExtension",
"short": "Extensions that cannot be ignored",
"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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.package.content.item[x]",
"path": "Medication.package.content.item[x]",
"short": "The item in the package",
"definition": "Identifies one of the items in the package.",
"comment": "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.",
"min": 1,
"max": "1",
"base": {
"path": "Medication.package.content.item[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Medication"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "rim",
"map": ".player"
}
]
},
{
"id": "Medication.package.content.amount",
"path": "Medication.package.content.amount",
"short": "Quantity present in the package",
"definition": "The amount of the product that is in the package.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.package.content.amount",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)"
},
{
"key": "sqty-1",
"severity": "error",
"human": "The comparator is not used on a SimpleQuantity",
"expression": "comparator.empty()",
"xpath": "not(exists(f:comparator))"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "rim",
"map": ".quantity"
}
]
},
{
"id": "Medication.package.batch",
"path": "Medication.package.batch",
"short": "Identifies a single production run",
"definition": "Information about a group of medication produced or packaged from one production run.",
"min": 0,
"max": "*",
"base": {
"path": "Medication.package.batch",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "rim",
"map": "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
}
]
},
{
"id": "Medication.package.batch.id",
"path": "Medication.package.batch.id",
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"comment": "Note that FHIR strings may not exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Medication.package.batch.extension",
"path": "Medication.package.batch.extension",
"slicing": {
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.package.batch.modifierExtension",
"path": "Medication.package.batch.modifierExtension",
"short": "Extensions that cannot be ignored",
"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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Medication.package.batch.lotNumber",
"path": "Medication.package.batch.lotNumber",
"short": "Identifier assigned to batch",
"definition": "The assigned lot number of a batch of the specified product.",
"comment": "Note that FHIR strings may not exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Medication.package.batch.lotNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "v2",
"map": "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"
},
{
"identity": "rim",
"map": ".id"
}
]
},
{
"id": "Medication.package.batch.expirationDate",
"path": "Medication.package.batch.expirationDate",
"short": "When batch will expire",
"definition": "When this specific batch of product will expire.",
"min": 0,
"max": "1",
"base": {
"path": "Medication.package.batch.expirationDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "script10.6",
"map": "no mapping"
},
{
"identity": "v2",
"map": "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"
},
{
"identity": "rim",
"map": "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
}
]
},
{
"id": "Medication.image",
"path": "Medication.image",
"short": "Picture of the medication",
"definition": "Photo(s) or graphic representation(s) of the medication.",
"comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Attachment\".",
"requirements": "Note that \"image\" is only applicable when the medication.code represents a physical item (e.g. Amoxil 250 mg capsule) and not an abstract item (e.g. amoxicillin 250 mg).",
"min": 0,
"max": "1",
"base": {
"path": "Medication.image",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Attachment"
}
],
"ele-1"
],
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div"
},
{
"key": "att-1",
"severity": "error",
"human": "It the Attachment has data, it SHALL have a contentType",
"expression": "data.empty() or contentType.exists()",
"xpath": "not(exists(f:data)) or exists(f:contentType)"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "ED/RP"
},
{
"identity": "rim",
"map": "ED"
},
{
"identity": "rim",
"map": ".participation[typeCode=SUBJ].role[classCode=MANU],source[classCode=OBS,moodCode=EVN,code=\"type of image\"].value(ED.image)"
}
]
}
]
},
"element": [
{
"id": "Medication.ingredient.item[x]:itemReference",
"path": "Medication.ingredient.itemReference",
"sliceName": "itemReference",
"type": [
{
"code": "Reference",
"targetProfile": "http://roche.com/fhir/rdc/StructureDefinition/substance"
}
]
},
{
"id": "Medication.image",
"path": "Medication.image",
"max": "1"
}
]
}
}

Example

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