SMART Product Catalog, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-pcmt/tree/main and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
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• TTL

Resource Profile: Medication Catalog Item

This profile represents a catalog item that is a medication

Usage:

• Refer to this Resource Profile: ProductID

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge 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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/pcmt/StructureDefinition/ProductID ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc.
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: MedicationKnowledge 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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()
has-a-product-id-code	error	MedicationKnowledge.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

This structure is derived from MedicationKnowledge

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/pcmt/StructureDefinition/ProductID has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc.
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
has-a-product-id-code	error	MedicationKnowledge.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/pcmt/StructureDefinition/ProductID has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	0..1	CodeableConcept	Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount	Σ	0..1	SimpleQuantity	Amount of drug in package
synonym	Σ	0..*	string	Additional names for a medication
relatedMedicationKnowledge		0..*	BackboneElement	Associated or related medication information
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
type		1..1	CodeableConcept	Category of medicationKnowledge
reference		1..*	Reference(MedicationKnowledge)	Associated documentation about the associated medication knowledge
associatedMedication		0..*	Reference(Medication)	A medication resource that is associated with this medication
productType		0..*	CodeableConcept	Category of the medication or product
monograph		0..*	BackboneElement	Associated documentation about the medication
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
type		0..1	CodeableConcept	The category of medication document
source		0..1	Reference(DocumentReference | Media)	Associated documentation about the medication
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		Medication(s) or substance(s) contained in the medication
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity of ingredient present
preparationInstruction		0..1	markdown	The instructions for preparing the medication
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept defining the intended route of administration.
cost		0..*	BackboneElement	The pricing of the medication
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
type		1..1	CodeableConcept	The category of the cost information
source		0..1	string	The source or owner for the price information
cost		1..1	Money	The price of the medication
monitoringProgram		0..*	BackboneElement	Program under which a medication is reviewed
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
type		0..1	CodeableConcept	Type of program under which the medication is monitored
name		0..1	string	Name of the reviewing program
administrationGuidelines		0..*	BackboneElement	Guidelines for administration of the medication
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
dosage		0..*	BackboneElement	Dosage for the medication for the specific guidelines
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
type		1..1	CodeableConcept	Type of dosage
dosage		1..*	Dosage	Dosage for the medication for the specific guidelines
indication[x]		0..1		Indication for use that apply to the specific administration guidelines
indicationCodeableConcept			CodeableConcept
indicationReference			Reference(ObservationDefinition)
patientCharacteristics		0..*	BackboneElement	Characteristics of the patient that are relevant to the administration guidelines
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
characteristic[x]		1..1		Specific characteristic that is relevant to the administration guideline
characteristicCodeableConcept			CodeableConcept
characteristicQuantity			Quantity(SimpleQuantity)
value		0..*	string	The specific characteristic
medicineClassification		0..*	BackboneElement	Categorization of the medication within a formulary or classification system
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
type		1..1	CodeableConcept	The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)
classification		0..*	CodeableConcept	Specific category assigned to the medication
packaging		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
type		0..1	CodeableConcept	A code that defines the specific type of packaging that the medication can be found in Binding: medicationKnowledge Package Type Codes (example): A coded concept defining the type of packaging of a medication.
quantity		0..1	SimpleQuantity	The number of product units the package would contain if fully loaded
drugCharacteristic		0..*	BackboneElement	Specifies descriptive properties of the medicine
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
type		0..1	CodeableConcept	Code specifying the type of characteristic of medication Binding: medicationKnowledge Characteristic Codes (example): A coded concept defining the characteristic types of a medication.
value[x]		0..1		Description of the characteristic
valueCodeableConcept			CodeableConcept
valueString			string
valueQuantity			Quantity(SimpleQuantity)
valueBase64Binary			base64Binary
contraindication		0..*	Reference(DetectedIssue)	Potential clinical issue with or between medication(s)
regulatory		0..*	BackboneElement	Regulatory information about a medication
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
regulatoryAuthority		1..1	Reference(Organization)	Specifies the authority of the regulation
substitution		0..*	BackboneElement	Specifies if changes are allowed when dispensing a medication from a regulatory perspective
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
type		1..1	CodeableConcept	Specifies the type of substitution allowed
allowed		1..1	boolean	Specifies if regulation allows for changes in the medication when dispensing
schedule		0..*	BackboneElement	Specifies the schedule of a medication in jurisdiction
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
schedule		1..1	CodeableConcept	Specifies the specific drug schedule
maxDispense		0..1	BackboneElement	The maximum number of units of the medication that can be dispensed in a period
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
quantity		1..1	SimpleQuantity	The maximum number of units of the medication that can be dispensed
period		0..1	Duration	The period that applies to the maximum number of units
kinetics		0..*	BackboneElement	The time course of drug absorption, distribution, metabolism and excretion of a medication from the body
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
areaUnderCurve		0..*	SimpleQuantity	The drug concentration measured at certain discrete points in time
lethalDose50		0..*	SimpleQuantity	The median lethal dose of a drug
halfLifePeriod		0..1	Duration	Time required for concentration in the body to decrease by half
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationKnowledge.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard
MedicationKnowledge.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard
MedicationKnowledge.intendedRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationKnowledge.packaging.type	example	medicationKnowledge Package Type Codes http://hl7.org/fhir/ValueSet/medicationknowledge-package-type from the FHIR Standard
MedicationKnowledge.drugCharacteristic.type	example	medicationKnowledge Characteristic Codes http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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()
has-a-product-id-code	error	MedicationKnowledge.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

This structure is derived from MedicationKnowledge

Summary

Mandatory: 2 elements
Must-Support: 1 element

Extensions

This structure refers to these extensions:

• http://smart.who.int/pcmt/StructureDefinition/ProductID

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge 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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/pcmt/StructureDefinition/ProductID ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc.
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: MedicationKnowledge 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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()
has-a-product-id-code	error	MedicationKnowledge.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

Differential View

This structure is derived from MedicationKnowledge

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/pcmt/StructureDefinition/ProductID has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc.
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
has-a-product-id-code	error	MedicationKnowledge.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productID	SC	1..1	Coding, Reference(Medication Catalog Item)	Extension URL: http://smart.who.int/pcmt/StructureDefinition/ProductID has-a-product-id-code: Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	0..1	CodeableConcept	Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount	Σ	0..1	SimpleQuantity	Amount of drug in package
synonym	Σ	0..*	string	Additional names for a medication
relatedMedicationKnowledge		0..*	BackboneElement	Associated or related medication information
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
type		1..1	CodeableConcept	Category of medicationKnowledge
reference		1..*	Reference(MedicationKnowledge)	Associated documentation about the associated medication knowledge
associatedMedication		0..*	Reference(Medication)	A medication resource that is associated with this medication
productType		0..*	CodeableConcept	Category of the medication or product
monograph		0..*	BackboneElement	Associated documentation about the medication
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
type		0..1	CodeableConcept	The category of medication document
source		0..1	Reference(DocumentReference | Media)	Associated documentation about the medication
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		Medication(s) or substance(s) contained in the medication
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity of ingredient present
preparationInstruction		0..1	markdown	The instructions for preparing the medication
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept defining the intended route of administration.
cost		0..*	BackboneElement	The pricing of the medication
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
type		1..1	CodeableConcept	The category of the cost information
source		0..1	string	The source or owner for the price information
cost		1..1	Money	The price of the medication
monitoringProgram		0..*	BackboneElement	Program under which a medication is reviewed
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
type		0..1	CodeableConcept	Type of program under which the medication is monitored
name		0..1	string	Name of the reviewing program
administrationGuidelines		0..*	BackboneElement	Guidelines for administration of the medication
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
dosage		0..*	BackboneElement	Dosage for the medication for the specific guidelines
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
type		1..1	CodeableConcept	Type of dosage
dosage		1..*	Dosage	Dosage for the medication for the specific guidelines
indication[x]		0..1		Indication for use that apply to the specific administration guidelines
indicationCodeableConcept			CodeableConcept
indicationReference			Reference(ObservationDefinition)
patientCharacteristics		0..*	BackboneElement	Characteristics of the patient that are relevant to the administration guidelines
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
characteristic[x]		1..1		Specific characteristic that is relevant to the administration guideline
characteristicCodeableConcept			CodeableConcept
characteristicQuantity			Quantity(SimpleQuantity)
value		0..*	string	The specific characteristic
medicineClassification		0..*	BackboneElement	Categorization of the medication within a formulary or classification system
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
type		1..1	CodeableConcept	The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)
classification		0..*	CodeableConcept	Specific category assigned to the medication
packaging		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
type		0..1	CodeableConcept	A code that defines the specific type of packaging that the medication can be found in Binding: medicationKnowledge Package Type Codes (example): A coded concept defining the type of packaging of a medication.
quantity		0..1	SimpleQuantity	The number of product units the package would contain if fully loaded
drugCharacteristic		0..*	BackboneElement	Specifies descriptive properties of the medicine
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
type		0..1	CodeableConcept	Code specifying the type of characteristic of medication Binding: medicationKnowledge Characteristic Codes (example): A coded concept defining the characteristic types of a medication.
value[x]		0..1		Description of the characteristic
valueCodeableConcept			CodeableConcept
valueString			string
valueQuantity			Quantity(SimpleQuantity)
valueBase64Binary			base64Binary
contraindication		0..*	Reference(DetectedIssue)	Potential clinical issue with or between medication(s)
regulatory		0..*	BackboneElement	Regulatory information about a medication
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
regulatoryAuthority		1..1	Reference(Organization)	Specifies the authority of the regulation
substitution		0..*	BackboneElement	Specifies if changes are allowed when dispensing a medication from a regulatory perspective
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
type		1..1	CodeableConcept	Specifies the type of substitution allowed
allowed		1..1	boolean	Specifies if regulation allows for changes in the medication when dispensing
schedule		0..*	BackboneElement	Specifies the schedule of a medication in jurisdiction
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
schedule		1..1	CodeableConcept	Specifies the specific drug schedule
maxDispense		0..1	BackboneElement	The maximum number of units of the medication that can be dispensed in a period
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
quantity		1..1	SimpleQuantity	The maximum number of units of the medication that can be dispensed
period		0..1	Duration	The period that applies to the maximum number of units
kinetics		0..*	BackboneElement	The time course of drug absorption, distribution, metabolism and excretion of a medication from the body
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
areaUnderCurve		0..*	SimpleQuantity	The drug concentration measured at certain discrete points in time
lethalDose50		0..*	SimpleQuantity	The median lethal dose of a drug
halfLifePeriod		0..1	Duration	Time required for concentration in the body to decrease by half
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationKnowledge.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard
MedicationKnowledge.doseForm	example	SNOMEDCTFormCodes http://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard
MedicationKnowledge.intendedRoute	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationKnowledge.packaging.type	example	medicationKnowledge Package Type Codes http://hl7.org/fhir/ValueSet/medicationknowledge-package-type from the FHIR Standard
MedicationKnowledge.drugCharacteristic.type	example	medicationKnowledge Characteristic Codes http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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()
has-a-product-id-code	error	MedicationKnowledge.extension:productID	Ensure there is a product id code. A more robust expression is needed here. Intended to be called on (a collection) of ProductId extensions. //to do: better expresssion: valueCoding or valueReference exists and meets the requisite profiles, etc. : exists()

This structure is derived from MedicationKnowledge

Summary

Mandatory: 2 elements
Must-Support: 1 element

Extensions

This structure refers to these extensions:

• http://smart.who.int/pcmt/StructureDefinition/ProductID

Other representations of profile: CSV, Excel, Schematron