description: This profile contains Required and Must Support data elements for reporting medication information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® US Core Medication Profile v3.1.1](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-medication.html).
package_name: gov.cdc.nhsn.dqm
derivation: constraint
name: AcuteCareHospitalMonthlyReportingMedication
type: Medication
elements:
  id: {index: 0}
  meta:
    extensions:
      link-received-date-extension: {url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', min: 0, max: 1, type: Extension, index: 1}
    elements:
      extension:
        type: Extension
        url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        index: 1
        slicing:
          slices:
            link-received-date-extension:
              match: {}
              schema: {type: Extension, url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', index: 1}
              min: 0
              max: 1
  code:
    binding: {strength: extensible, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4'}
    index: 2
  status: {mustSupport: true, index: 3}
  form:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/medication-form-codes'}
    mustSupport: true
    index: 4
  amount: {mustSupport: true, index: 5}
  ingredient:
    mustSupport: true
    index: 6
    elements:
      item:
        choices: []
        index: 8
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            itemReference:
              match: {}
              schema:
                choices: [itemReference]
                index: 10
              min: 0
              max: 1
      itemReference:
        type: Reference
        choiceOf: item
        refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/Substance']
        index: 11
        slicing:
          slices:
            itemReference:
              match: {}
              schema:
                type: Reference
                choiceOf: item
                refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/Substance']
                index: 11
              min: 0
              max: 1
      item[x]:
        elements:
          reference: {mustSupport: true, index: 12}
        required: [reference]
package_version: 1.0.0
class: profile
kind: resource
url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medication
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication
version: 1.0.0
required: [id]