description: Medication for clinical use cases. This could be a branded product or a generic concept, also allowing describing pack size and components of complex products.
package_name: rs/ihe.pharm.mpd
derivation: constraint
name: IHEMedication
type: Medication
elements:
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        productName:
          match: {url: null}
          schema: {type: Extension, short: 'Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.', url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname', index: 1}
          min: 0
          max: 1
        classification:
          match: {url: null}
          schema: {type: Extension, short: 'Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc', url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification', index: 2}
          min: 0
        sizeOfItem:
          match: {url: null}
          schema: {type: Extension, short: 'Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)', url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem', index: 3}
          min: 0
          max: 1
        device:
          match: {url: null}
          schema: {type: Extension, short: 'Device, typically an administration device, included in the product.', url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device', index: 4}
          min: 0
        characteristic:
          match: {url: null}
          schema: {type: Extension, short: Specifies other descriptive properties of the medication., url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic', index: 5}
          min: 0
        unitOfPresentation:
          match: {url: null}
          schema: {type: Extension, short: 'Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)', url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation', index: 6}
          min: 0
          max: 1
  identifier: {short: 'Identifier for the medicinal product, its generic representation, or packaged product.', mustSupport: true, index: 7}
  code: {short: A terminology-based code for the product, mustSupport: true, index: 8}
  marketingAuthorizationHolder: {mustSupport: true, index: 9}
  doseForm: {short: 'Dose form. For a branded product, this would most likely be authorised dose form, but it could also be administrable dose form. For package items, it could be item''s individual dose form.', mustSupport: true, index: 10}
  totalVolume: {short: 'Total volume or number of package items inside a package. This element should not contain overall prescribed amount, but describe the product itself. In case of complex packages, this element could be left empty, and number of different items could be indicated in the nested Medications.', mustSupport: true, index: 11}
  ingredient:
    short: Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
    mustSupport: true
    index: 12
    extensions:
      ingredientRole: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-ingredient-role', min: 0, max: 1, type: Extension, short: Role of the ingredient in the medication, index: 14}
    elements:
      extension:
        index: 13
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            ingredientRole:
              match: {url: null}
              schema: {type: Extension, short: Role of the ingredient in the medication, url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-ingredient-role', index: 14}
              min: 0
              max: 1
      item:
        type: CodeableReference
        short: Substance (Substance resource or concept from terminology) or a medicinal product (Medication resource or concept from terminology). Medicinal product can be an ingredient in case of extemporal medications or combination packs (e.g Creme + 6 tablets)
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/substance-codes'}
        mustSupport: true
        index: 15
      isActive: {mustSupport: true, index: 16}
      strength:
        mustSupport: true
        choices: []
        index: 18
      strength[x]:
        extensions:
          basisOfStrengthSubstance: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance', min: 0, max: 1, type: Extension, short: Substance for which the strength is provided (this could be different from the precise active ingredient)., index: 19}
          strengthType: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthtype', min: 0, max: 1, type: Extension, short: 'Type of the given strength (concentration strength, presentation strength, or other)', index: 20}
        elements:
          extension:
            type: Extension
            short: Substance for which the strength is provided (this could be different from the precise active ingredient).
            url: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance
            index: 19
            slicing:
              slices:
                basisOfStrengthSubstance:
                  match: {}
                  schema: {type: Extension, short: Substance for which the strength is provided (this could be different from the precise active ingredient)., url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance', index: 19}
                  min: 0
                  max: 1
                strengthType:
                  match: {}
                  schema: {type: Extension, short: 'Type of the given strength (concentration strength, presentation strength, or other)', url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthtype', index: 20}
                  min: 0
                  max: 1
package_version: 1.0.0-comment-2
extensions:
  productName: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname', min: 0, max: 1, type: Extension, short: 'Name of the medicinal product. Names of different types (full name, short name, etc) and in different languages can be provided if relevant.', index: 1}
  classification: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification', min: 0, type: Extension, short: 'Classifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc', index: 2}
  sizeOfItem: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem', min: 0, max: 1, type: Extension, short: 'Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)', index: 3}
  device: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device', min: 0, type: Extension, short: 'Device, typically an administration device, included in the product.', index: 4}
  characteristic: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic', min: 0, type: Extension, short: Specifies other descriptive properties of the medication., index: 5}
  unitOfPresentation: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation', min: 0, max: 1, type: Extension, short: 'Unit of presentation of the product (e.g. tablet, vial, ampoule, etc)', index: 6}
class: profile
kind: resource
url: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/IHEMedication
base: http://hl7.org/fhir/StructureDefinition/Medication
version: 1.0.0-comment-2