description: This profile introduces essential constraints and extensions for the Medication resource that apply across multiple use cases.
package_name: hl7.fhir.eu.base-r5
derivation: constraint
name: MedicationEuCore
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: Current trade name (authorised name) of the medicinal product., 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
        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: 4}
          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: 5}
          min: 0
          max: 1
        packageType:
          match: {url: null}
          schema: {type: Extension, short: Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe), url: 'http://hl7.eu/fhir/StructureDefinition/medication-package-type', index: 6}
          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: 7
            extensions:
              device:
                url: null
                index: 8
                elements:
                  value:
                    choices: []
                    index: 10
            elements:
              extension:
                index: 8
                slicing:
                  slices:
                    device:
                      match: {}
                      schema:
                        index: 8
                        elements:
                          value:
                            choices: []
                            index: 10
  identifier: {short: 'Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)', index: 11}
  code: {short: A terminology-based code for the product (e.g. SNOMED CT code), index: 12}
  marketingAuthorizationHolder: {short: 'Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.', index: 13}
  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.
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/medication-form-codes'}
    index: 14
  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.', index: 15}
  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
    index: 16
    elements:
      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'}
        index: 17
      isActive: {short: 'Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.', index: 18}
      strength:
        short: Amount of substance in product (presentation or concentration strength)
        choices: []
        index: 20
      strength[x]:
        extensions:
          basisOfStrengthSubstance: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance', min: 0, max: 1, type: Extension, short: Basis of strength substance - substance for which the strength is provided (this could be different from the precise active ingredient)., index: 21}
        elements:
          extension:
            type: Extension
            short: Basis of strength substance - 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: 21
            slicing:
              slices:
                basisOfStrengthSubstance:
                  match: {}
                  schema: {type: Extension, short: Basis of strength substance - 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: 21}
                  min: 0
                  max: 1
  batch:
    elements:
      lotNumber: {short: Lot Number, index: 22}
      expirationDate: {short: Expiration Date, index: 23}
package_version: 2.0.0
extensions:
  productName: {url: 'https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname', min: 0, max: 1, type: Extension, short: Current trade name (authorised name) of the medicinal product., 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}
  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: 4}
  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: 5}
  packageType: {url: 'http://hl7.eu/fhir/StructureDefinition/medication-package-type', min: 0, max: 1, type: Extension, short: Type of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe), index: 6}
  device:
    url: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
    type: Extension
    short: Device, typically an administration device, included in the product.
    index: 7
    extensions:
      device:
        url: null
        index: 8
        elements:
          value:
            choices: []
            index: 10
    elements:
      extension:
        index: 8
        slicing:
          slices:
            device:
              match: {}
              schema:
                index: 8
                elements:
                  value:
                    choices: []
                    index: 10
class: profile
kind: resource
url: http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core
base: http://hl7.org/fhir/StructureDefinition/Medication
version: 2.0.0