This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) 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

• Content
• Detailed Descriptions
• Mappings
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Resource Profile: CH EMED EPR Medication (DIS)

Definition of the medication for the medication dispense

Usage:

• Refer to this Resource Profile: PML MedicationDispense and DIS MedicationDispense

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHEMEDMedicationMedicationDispense

Name	Flags	Card.	Type	Description & Constraints
Medication			CHEMEDMedicationMedicationDispense
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
code		1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
coding:GTIN		0..1	Coding	Use GTIN for Swiss products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
coding:ATC		0..1	Coding	Use ATC for foreign products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
status		0..1	code	active | inactive | entered-in-error Required Pattern: active
manufacturer		0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
batch
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense)
extension		0..*	Extension	✕ This element is not supported
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..1	Coding	Use GTIN for Swiss products
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
userSelected	Σ	0..1	boolean	✕ This element is not supported
coding:ATC	Σ	0..1	Coding	Use ATC for foreign products
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
userSelected	Σ	0..1	boolean	✕ This element is not supported
text	SΣ	1..1	string	Medication name
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. Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
userSelected	Σ	0..1	boolean	✕ This element is not supported
text	Σ	1..1	string	Plain text representation of the concept
amount	C	1..1	CHEMEDRatioWithEmedUnits	Package size
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
text	SΣ	1..1	string	Ingredient name
strength	SC	0..1	CHEMEDRatioWithEmedUnits	Dose per unit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-emed/ValueSet/edqm-pharmaceuticaldoseform

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
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())

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	✕ This element is not supported
lastUpdated	Σ	0..1	instant	✕ This element is not supported
source	Σ	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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	✕ This element is not supported
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..1	Coding	Use GTIN for Swiss products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
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	✕ This element is not supported
coding:ATC	Σ	0..1	Coding	Use ATC for foreign products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
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	✕ This element is not supported
text	SΣ	1..1	string	Medication name
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. Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	✕ This element is not supported
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	✕ This element is not supported
text	Σ	1..1	string	Plain text representation of the concept
amount	C	1..1	CHEMEDRatioWithEmedUnits	Package size
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	CHEMEDRatioWithEmedUnits	Dose per unit
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported
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 / Code	URI
Medication.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-emed/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-emed/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
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())

This structure is derived from CHEMEDMedicationMedicationDispense

Summary

Mandatory: 1 element (1 nested mandatory element)
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)

Differential View

This structure is derived from CHEMEDMedicationMedicationDispense

Name	Flags	Card.	Type	Description & Constraints
Medication			CHEMEDMedicationMedicationDispense
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
code		1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
coding:GTIN		0..1	Coding	Use GTIN for Swiss products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
coding:ATC		0..1	Coding	Use ATC for foreign products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
status		0..1	code	active | inactive | entered-in-error Required Pattern: active
manufacturer		0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
batch
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense)
extension		0..*	Extension	✕ This element is not supported
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..1	Coding	Use GTIN for Swiss products
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
userSelected	Σ	0..1	boolean	✕ This element is not supported
coding:ATC	Σ	0..1	Coding	Use ATC for foreign products
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
userSelected	Σ	0..1	boolean	✕ This element is not supported
text	SΣ	1..1	string	Medication name
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. Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
userSelected	Σ	0..1	boolean	✕ This element is not supported
text	Σ	1..1	string	Plain text representation of the concept
amount	C	1..1	CHEMEDRatioWithEmedUnits	Package size
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
text	SΣ	1..1	string	Ingredient name
strength	SC	0..1	CHEMEDRatioWithEmedUnits	Dose per unit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-emed/ValueSet/edqm-pharmaceuticaldoseform

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
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())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	✕ This element is not supported
lastUpdated	Σ	0..1	instant	✕ This element is not supported
source	Σ	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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	✕ This element is not supported
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..1	Coding	Use GTIN for Swiss products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
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	✕ This element is not supported
coding:ATC	Σ	0..1	Coding	Use ATC for foreign products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported
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	✕ This element is not supported
text	SΣ	1..1	string	Medication name
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. Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	✕ This element is not supported
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	✕ This element is not supported
text	Σ	1..1	string	Plain text representation of the concept
amount	C	1..1	CHEMEDRatioWithEmedUnits	Package size
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	CHEMEDRatioWithEmedUnits	Dose per unit
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported
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 / Code	URI
Medication.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-emed/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-emed/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
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())

This structure is derived from CHEMEDMedicationMedicationDispense

Summary

Mandatory: 1 element (1 nested mandatory element)
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)

Other representations of profile: CSV, Excel, Schematron