CH Core (R4)
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH Core (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core Medication

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication Version: 5.0.0-ballot
Active as of 2024-05-16 Computable Name: CHCoreMedication

Copyright/Legal: CC0-1.0

Base definition of the Medication resource for use in Swiss specific use cases.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication CH Core Medication
... code
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN 0..* Coding GTIN for Swiss products
...... system 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... code 1..1 code Symbol in syntax defined by the system
..... coding:ATC 0..* Coding ATC for foreign products
...... system 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... code 1..1 code Symbol in syntax defined by the system
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
.... item[x] 1..1 The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | CH Core Medication)
.... strength 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication CH Core Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... amount C 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.amountNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication CH Core Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code Σ 0..1 CodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ 0..* Coding GTIN for Swiss products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ATC Σ 0..* Coding ATC for foreign products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount C 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... ingredient 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item[x] 1..1 The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | CH Core Medication)
.... isActive 0..1 boolean Active ingredient indicator
.... strength C 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.amount, Medication.ingredient.strengthNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from Medication

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.code.coding

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication CH Core Medication
... code
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN 0..* Coding GTIN for Swiss products
...... system 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... code 1..1 code Symbol in syntax defined by the system
..... coding:ATC 0..* Coding ATC for foreign products
...... system 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... code 1..1 code Symbol in syntax defined by the system
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
.... item[x] 1..1 The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | CH Core Medication)
.... strength 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication CH Core Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... amount C 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.amountNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication CH Core Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code Σ 0..1 CodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ 0..* Coding GTIN for Swiss products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ATC Σ 0..* Coding ATC for foreign products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount C 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... ingredient 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item[x] 1..1 The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | CH Core Medication)
.... isActive 0..1 boolean Active ingredient indicator
.... strength C 0..1 CHCoreRatioWithEmedUnits A ratio of two Quantity values - a numerator and a denominator
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.codeexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formpreferredPharmaceuticalDoseFormEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]preferredActivePharmaceuticalIngredient
http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
rat-1errorMedication.amount, Medication.ingredient.strengthNumerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
: (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from Medication

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Medication.code.coding

 

Other representations of profile: CSV, Excel, Schematron