{
  "resourceType": "StructureDefinition",
  "url": "http://electronichealth.se/fhir/StructureDefinition/NLLMedication",
  "version": "1.1.3",
  "name": "NLLMedication",
  "status": "active",
  "date": "2025-04-01",
  "publisher": "Swedish eHealth Agency",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "EHM",
      "name": "E-hälsomyndigheten concept"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Medication",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Medication",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Medication",
        "path": "Medication",
        "short": "Medicinal products and medical consumables",
        "definition": "This resource is used to represent a medicinal product or a medical consumable. Medicinal products are identified by NPL-pack-id and medical consumables by item number (sv: varunummer)."
      },
      {
        "id": "Medication.id",
        "path": "Medication.id",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Artikel-id"
          }
        ]
      },
      {
        "id": "Medication.text",
        "path": "Medication.text",
        "mustSupport": true
      },
      {
        "id": "Medication.text.status",
        "path": "Medication.text.status",
        "fixedCode": "extensions",
        "mustSupport": true
      },
      {
        "id": "Medication.text.div",
        "path": "Medication.text.div",
        "definition": "Summary including a sub-set of information.\r\n- Medicinal products:  current product name, form, strength and in specific situations producer (manufacturer).\r\n- Medical consumables: current product name and a description of the  product.",
        "comment": "Maximum string length: 80",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Artikelbenämning"
          }
        ]
      },
      {
        "id": "Medication.extension:nllArticleInfo",
        "path": "Medication.extension",
        "sliceName": "nllArticleInfo",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://electronichealth.se/fhir/StructureDefinition/NLLArticleInfo"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:medicinalProduct",
        "path": "Medication.extension.extension",
        "sliceName": "medicinalProduct",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productType",
        "path": "Medication.extension.extension",
        "sliceName": "productType",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productType.value[x].coding",
        "path": "Medication.extension.extension.value[x].coding",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productType.value[x].coding.system",
        "path": "Medication.extension.extension.value[x].coding.system",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productType.value[x].coding.version",
        "path": "Medication.extension.extension.value[x].coding.version",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productType.value[x].coding.code",
        "path": "Medication.extension.extension.value[x].coding.code",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productType.value[x].text",
        "path": "Medication.extension.extension.value[x].text",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productName",
        "path": "Medication.extension.extension",
        "sliceName": "productName",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productName.extension:currentProductName",
        "path": "Medication.extension.extension.extension",
        "sliceName": "currentProductName",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productName.extension:history",
        "path": "Medication.extension.extension.extension",
        "sliceName": "history",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productName.extension:history.extension:productName",
        "path": "Medication.extension.extension.extension.extension",
        "sliceName": "productName",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:productName.extension:history.extension:periodOfUse",
        "path": "Medication.extension.extension.extension.extension",
        "sliceName": "periodOfUse",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:package",
        "path": "Medication.extension.extension",
        "sliceName": "package",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:package.extension:packageContainer",
        "path": "Medication.extension.extension.extension",
        "sliceName": "packageContainer",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:package.extension:packageDescription",
        "path": "Medication.extension.extension.extension",
        "sliceName": "packageDescription",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:strength",
        "path": "Medication.extension.extension",
        "sliceName": "strength",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:strength.extension:quantity",
        "path": "Medication.extension.extension.extension",
        "sliceName": "quantity",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:strength.extension:quantity.value[x].value",
        "path": "Medication.extension.extension.extension.value[x].value",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:strength.extension:quantity.value[x].unit",
        "path": "Medication.extension.extension.extension.value[x].unit",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleInfo.extension:strength.extension:text",
        "path": "Medication.extension.extension.extension",
        "sliceName": "text",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleAvailability",
        "path": "Medication.extension",
        "sliceName": "nllArticleAvailability",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://electronichealth.se/fhir/StructureDefinition/NLLArticleAvailability"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleAvailability.extension:onTheMarket",
        "path": "Medication.extension.extension",
        "sliceName": "onTheMarket",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleAvailability.extension:salesStopped",
        "path": "Medication.extension.extension",
        "sliceName": "salesStopped",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleAvailability.extension:withdrawalDate",
        "path": "Medication.extension.extension",
        "sliceName": "withdrawalDate",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations",
        "path": "Medication.extension",
        "sliceName": "nllArticleRegulations",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://electronichealth.se/fhir/StructureDefinition/NLLArticleRegulations"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:prescriptiveAuthorityCode",
        "path": "Medication.extension.extension",
        "sliceName": "prescriptiveAuthorityCode",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:repeatPrescription",
        "path": "Medication.extension.extension",
        "sliceName": "repeatPrescription",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:repeatPrescription.value[x].system",
        "path": "Medication.extension.extension.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:repeatPrescription.value[x].code",
        "path": "Medication.extension.extension.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:substitutionDetails",
        "path": "Medication.extension.extension",
        "sliceName": "substitutionDetails",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:substitutionDetails.extension:interchangeable",
        "path": "Medication.extension.extension.extension",
        "sliceName": "interchangeable",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:substitutionDetails.extension:interchangeSubstanceGroup",
        "path": "Medication.extension.extension.extension",
        "sliceName": "interchangeSubstanceGroup",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:dispensingRestriction",
        "path": "Medication.extension.extension",
        "sliceName": "dispensingRestriction",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:dispensingRestriction.value[x].coding",
        "path": "Medication.extension.extension.value[x].coding",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:dispensingRestriction.value[x].coding.system",
        "path": "Medication.extension.extension.value[x].coding.system",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:dispensingRestriction.value[x].coding.version",
        "path": "Medication.extension.extension.value[x].coding.version",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:dispensingRestriction.value[x].coding.code",
        "path": "Medication.extension.extension.value[x].coding.code",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:dispensingRestriction.value[x].text",
        "path": "Medication.extension.extension.value[x].text",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:controlledMedicinalProduct",
        "path": "Medication.extension.extension",
        "sliceName": "controlledMedicinalProduct",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:narcoticClassification",
        "path": "Medication.extension.extension",
        "sliceName": "narcoticClassification",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:narcoticClassification.value[x].coding",
        "path": "Medication.extension.extension.value[x].coding",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:narcoticClassification.value[x].coding.system",
        "path": "Medication.extension.extension.value[x].coding.system",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:narcoticClassification.value[x].coding.version",
        "path": "Medication.extension.extension.value[x].coding.version",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:narcoticClassification.value[x].coding.code",
        "path": "Medication.extension.extension.value[x].coding.code",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllArticleRegulations.extension:narcoticClassification.value[x].text",
        "path": "Medication.extension.extension.value[x].text",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllReimbursement",
        "path": "Medication.extension",
        "sliceName": "nllReimbursement",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://electronichealth.se/fhir/StructureDefinition/NLLReimbursement"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllReimbursement.extension:eligibleForReimbursement",
        "path": "Medication.extension.extension",
        "sliceName": "eligibleForReimbursement",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllReimbursement.extension:restrictedReimbursement",
        "path": "Medication.extension.extension",
        "sliceName": "restrictedReimbursement",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllReimbursement.extension:productOfThePeriod",
        "path": "Medication.extension.extension",
        "sliceName": "productOfThePeriod",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllReimbursement.extension:productOfThePeriod.extension:currentPeriod",
        "path": "Medication.extension.extension.extension",
        "sliceName": "currentPeriod",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllReimbursement.extension:productOfThePeriod.extension:unavailable",
        "path": "Medication.extension.extension.extension",
        "sliceName": "unavailable",
        "mustSupport": true
      },
      {
        "id": "Medication.extension:nllReimbursement.extension:productOfThePeriod.extension:previousPeriod",
        "path": "Medication.extension.extension.extension",
        "sliceName": "previousPeriod",
        "mustSupport": true
      },
      {
        "id": "Medication.identifier",
        "path": "Medication.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "comment": "Medicinal products is identified by an NPL-package ID and other products by a Varunr",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Medication.identifier:nplpackid",
        "path": "Medication.identifier",
        "sliceName": "nplpackid",
        "short": "Medicinal product package ID",
        "definition": "Unique identifier for a packaged medicinal product (sv: läkemedelsartikel) according to NPL (Nationellt produktregister för läkemedel). A medicinal product can come in more than one package type/size. Each package type/size will have an unique NPL-pack-id but share the same NPL-id.",
        "comment": "NPL is administered by the Swedish Medical Products Agency (Läkemedelsverket)\r\nThe similar concepts named SB-pack-id and SB-id are modeled as NPL-pack-id and NPL-id in this resource.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Medication.identifier:nplpackid.use",
        "path": "Medication.identifier.use",
        "mustSupport": true
      },
      {
        "id": "Medication.identifier:nplpackid.system",
        "path": "Medication.identifier.system",
        "min": 1,
        "fixedUri": "http://electronichealth.se/fhir/NamingSystem/nplpackid",
        "mustSupport": true
      },
      {
        "id": "Medication.identifier:nplpackid.value",
        "path": "Medication.identifier.value",
        "comment": "Maximum string length: 14",
        "min": 1,
        "maxLength": 14,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "NPL pack-id"
          }
        ]
      },
      {
        "id": "Medication.identifier:varunr",
        "path": "Medication.identifier",
        "sliceName": "varunr",
        "short": "Medical consumables Id",
        "definition": "Unique identifier for medical consumables (sv: handelsvaror).",
        "comment": "For packaged medicinal products (sv: läkemedelsartiklar) item number is not always unique and can change over time.",
        "mustSupport": true
      },
      {
        "id": "Medication.identifier:varunr.use",
        "path": "Medication.identifier.use",
        "short": "official | old",
        "definition": "Defines if the value (varunr) is the current one or an old one.",
        "mustSupport": true
      },
      {
        "id": "Medication.identifier:varunr.system",
        "path": "Medication.identifier.system",
        "min": 1,
        "fixedUri": "http://electronichealth.se/fhir/NamingSystem/varunr",
        "mustSupport": true
      },
      {
        "id": "Medication.identifier:varunr.value",
        "path": "Medication.identifier.value",
        "short": "Medical consumables Id",
        "definition": "The use element defines if this is the current medical consumables Id (sv. varunummer) or an old Id.",
        "comment": "Maximum string length: 8",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Varunummer"
          },
          {
            "identity": "EHM",
            "map": "Historiskt varunummer"
          }
        ]
      },
      {
        "id": "Medication.code",
        "path": "Medication.code",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding",
        "path": "Medication.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Medication.code.coding:atc",
        "path": "Medication.code.coding",
        "sliceName": "atc",
        "short": "ATC",
        "definition": "Classification of medicinal products according to the Anatomical Therapeutic Chemical (ATC) classification system.",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "The Anatomical Therapeutic Chemical (ATC) classification system",
          "valueSet": "http://www.whocc.no/atc"
        }
      },
      {
        "id": "Medication.code.coding:atc.system",
        "path": "Medication.code.coding.system",
        "fixedUri": "http://www.whocc.no/atc",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding:atc.version",
        "path": "Medication.code.coding.version",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding:atc.code",
        "path": "Medication.code.coding.code",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "ATC-kod"
          }
        ]
      },
      {
        "id": "Medication.code.coding:nplId",
        "path": "Medication.code.coding",
        "sliceName": "nplId",
        "short": "Medcinal product Id",
        "definition": "Unique identifier for a medicinal product (sv: läkemedelsprodukt) according to NPL (Nationellt produktregister för läkemedel). A medicinal product can come in more than one package type/size. Each package type/size will have an unique NPL package Id but share the same NPL Id.",
        "comment": "NPL is administered by the Swedish Medical Products Agency (Läkemedelsverket)\r\nThe similar concepts named SB-pack-id and SB-id are modeled as NPL-pack-id and NPL-id in this resource.",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "NPL Id",
          "valueSet": "http://electronichealth.se/fhir/NamingSystem/nplid"
        }
      },
      {
        "id": "Medication.code.coding:nplId.system",
        "path": "Medication.code.coding.system",
        "fixedUri": "http://electronichealth.se/fhir/NamingSystem/nplid",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding:nplId.version",
        "path": "Medication.code.coding.version",
        "mustSupport": true
      },
      {
        "id": "Medication.code.coding:nplId.code",
        "path": "Medication.code.coding.code",
        "comment": "Maximum string length: 14",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "NPL-id"
          }
        ]
      },
      {
        "id": "Medication.code.text",
        "path": "Medication.code.text",
        "definition": "Plain text representation of the concept as in the textual representation of the ATC code.",
        "comment": "Maximum string length: 240",
        "maxLength": 240,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "ATC-klartext"
          }
        ]
      },
      {
        "id": "Medication.status",
        "path": "Medication.status",
        "short": "active | inactive",
        "definition": "Status defines whether the article is available for dispense or not.",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "status"
          }
        ]
      },
      {
        "id": "Medication.manufacturer",
        "path": "Medication.manufacturer",
        "mustSupport": true
      },
      {
        "id": "Medication.manufacturer.display",
        "path": "Medication.manufacturer.display",
        "short": "Responsible organisation",
        "definition": "Name of the organisation responsible for the article",
        "comment": "Maximum string length: 160",
        "maxLength": 160,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Intressentnamn"
          }
        ]
      },
      {
        "id": "Medication.form",
        "path": "Medication.form",
        "short": "Dose form of the medicinal product",
        "definition": "The authorised pharmaceutical dose form in which the medicinal product is marketed, i.e. tablet, capsule.",
        "mustSupport": true
      },
      {
        "id": "Medication.form.text",
        "path": "Medication.form.text",
        "short": "Dose form of the medicinal product",
        "definition": "The authorised pharmaceutical dose form in which the medicinal product is marketed, i.e. tablet, capsule.",
        "comment": "Maximum string length: 160",
        "maxLength": 160,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Läkemedelsform"
          }
        ]
      },
      {
        "id": "Medication.amount",
        "path": "Medication.amount",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Förpackningsmängd och enhet"
          }
        ]
      },
      {
        "id": "Medication.amount.extension:nllDescription",
        "path": "Medication.amount.extension",
        "sliceName": "nllDescription",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://electronichealth.se/fhir/StructureDefinition/NLLAmountDescription"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Medication.amount.numerator",
        "path": "Medication.amount.numerator",
        "definition": "Amount per package",
        "mustSupport": true
      },
      {
        "id": "Medication.amount.numerator.value",
        "path": "Medication.amount.numerator.value",
        "short": "Amount per package",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Förpackningsmängd"
          }
        ]
      },
      {
        "id": "Medication.amount.numerator.unit",
        "path": "Medication.amount.numerator.unit",
        "comment": "Maximum string length: 80",
        "maxLength": 80,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "EHM",
            "map": "Förpackningsenhet"
          }
        ]
      },
      {
        "id": "Medication.amount.denominator",
        "path": "Medication.amount.denominator",
        "definition": "The denominator is set to 1 to follow the requirements for a Ratio. It can be interpreted as amount per one package.",
        "fixedQuantity": {
          "value": 1
        },
        "mustSupport": true
      },
      {
        "id": "Medication.amount.denominator.value",
        "path": "Medication.amount.denominator.value",
        "mustSupport": true
      }
    ]
  }
}