description: 'The prescribed substance is usually medication. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Food and blood products do not strictly belong in the medication category, but can be prescribed and supplied by a pharmacy as well.\r\n\r\nA type of medication can be indicated with **a single code**. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary.\r\n\r\nIn addition to a primary code, **alternative codes** from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example).\r\n\r\nEntering multiple ingredients will enable you to display a compound product. If one of the composite parts is liquid, the dosage will be given in milliliters; otherwise it will be given in ‘units’.\r\n\r\nIn that case, the **composition of the medication** can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) ingredient(s) of the medication.\r\n\r\n**Magistral prescriptions** can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text.\r\nThis is a partial information model.'
package_name: rs/nictiz.fhir.nl.r4.medicationprocess9
derivation: constraint
name: MpPharmaceuticalProduct
type: Medication
elements:
  extension:
    type: Extension
    constraint:
      ext-1: {human: 'Must have either extensions or value[x], not both', source: 'http://hl7.org/fhir/StructureDefinition/DomainResource', severity: error}
    url: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalProduct.Description
    index: 0
    slicing:
      slices:
        description:
          match: {}
          schema:
            type: Extension
            constraint:
              ext-1: {human: 'Must have either extensions or value[x], not both', source: 'http://hl7.org/fhir/StructureDefinition/DomainResource', severity: error}
            url: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalProduct.Description
            index: 0
  code:
    short: MedicationCode
    binding: {strength: extensible, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.56--20230213120250'}
    index: 1
    elements:
      text: {short: Medication, index: 2}
  manufacturer:
    constraint:
      ref-1: {human: SHALL have a contained resource if a local reference is provided, source: 'http://hl7.org/fhir/StructureDefinition/Medication', severity: error}
    index: 3
  form:
    short: PharmaceuticalForm
    binding: {strength: required, valueSet: 'http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.8--20200901000000'}
    index: 4
  amount:
    constraint:
      rat-1: {human: 'Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present', source: 'http://hl7.org/fhir/StructureDefinition/Medication', severity: error}
    index: 5
  ingredient:
    short: Ingredient
    index: 6
    elements:
      item:
        choices: []
        index: 8
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            itemCodeableConcept:
              match: {}
              schema:
                short: SubstanceCode
                choices: [itemCodeableConcept]
                index: 10
      itemCodeableConcept:
        short: SubstanceCode
        type: CodeableConcept
        choiceOf: item
        index: 11
        slicing:
          slices:
            itemCodeableConcept:
              match: {}
              schema: {short: SubstanceCode, type: CodeableConcept, choiceOf: item, index: 11}
      strength:
        short: Concentration
        constraint:
          rat-1: {human: 'Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present', source: 'http://hl7.org/fhir/StructureDefinition/Medication', severity: error}
        index: 12
        elements:
          numerator:
            type: Quantity
            short: IngredientAmount
            constraint:
              qty-3: {human: 'If a code for the unit is present, the system SHALL also be present', source: 'http://hl7.org/fhir/StructureDefinition/Ratio', severity: error}
            index: 13
          denominator:
            type: Quantity
            short: ProductAmount
            constraint:
              qty-3: {human: 'If a code for the unit is present, the system SHALL also be present', source: 'http://hl7.org/fhir/StructureDefinition/Ratio', severity: error}
            index: 14
package_version: 2.0.0-beta.4
extensions:
  description:
    url: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalProduct.Description
    type: Extension
    constraint:
      ext-1: {human: 'Must have either extensions or value[x], not both', source: 'http://hl7.org/fhir/StructureDefinition/DomainResource', severity: error}
    index: 0
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/mp-PharmaceuticalProduct
base: http://hl7.org/fhir/StructureDefinition/Medication
version: 2.0.0-beta.3