Name	Flags	Card.	Type	Description & Constraints
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
ingredient
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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.form	preferred	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	CH Core Medication dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: EDQM - Pharmaceutical Dose Form (preferred) ele-1: All FHIR elements must have a @value or children
amount	C	0..1	CHCoreRatioWithEmedUnits	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	preferred	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If 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-4	error	Medication	If 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-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount	Numerator 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())

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	preferred	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If 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-4	error	Medication	If 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-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator 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())

Summary

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

Structures

This structure refers to these other structures:

• CH EMED Ratio with EMED Units (http://fhir.ch/ig/ch-core/StructureDefinition/ch-emed-ratio-with-emed-units)
• CH Core Medication (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication)

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
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
ingredient
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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.form	preferred	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	CH Core Medication dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: EDQM - Pharmaceutical Dose Form (preferred) ele-1: All FHIR elements must have a @value or children
amount	C	0..1	CHCoreRatioWithEmedUnits	A ratio of two Quantity values - a numerator and a denominator ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	preferred	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If 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-4	error	Medication	If 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-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount	Numerator 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())

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	preferred	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If 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-4	error	Medication	If 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-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator 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())

Summary

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

Structures

This structure refers to these other structures:

• CH EMED Ratio with EMED Units (http://fhir.ch/ig/ch-core/StructureDefinition/ch-emed-ratio-with-emed-units)
• CH Core Medication (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication)

Slices

This structure defines the following Slices:

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