FHIR Release 3 (STU) 4

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Pharmacy Work Group Maturity Level : 3   Trial Use Security Category : Business Compartments : Not linked to any defined compartments

Detailed Descriptions for the elements in the Medication resource.

Control Medication.isOverTheCounter Control 0..1 Type SimpleQuantity Medication.image Definition Photo(s) or graphic representation(s) of the medication. Control 0..* Type Attachment Requirements Note that "image" is only applicable when the medication.code represents a physical item (e.g. Amoxil 250 mg capsule) and not an abstract item (e.g. amoxicillin 250 mg).
Medication
Element Id Medication
Definition

This resource is primarily used for the identification and definition of a medication. It covers medication for the ingredients purposes of prescribing, dispensing, and the packaging for administering a medication as well as for making statements about medication use.

Cardinality 0..*
Type DomainResource
Medication.identifier
Element Id Medication.identifier
Definition

Business identifier for this medication.

Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 1..1 0..*
Type Identifier
Summary true
Comments

The serial number could be included as an identifier.

Medication.code
Element Id Medication.code
Definition

A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

Control Cardinality 0..1
Terminology Binding SNOMED CT Medication Codes ( Example )
Type CodeableConcept
Summary true
Comments

Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A "A coding may be marked as a "userSelected" "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

Medication.status
Element Id Medication.status
Definition

A code to indicate if the medication is in active use.

Control Cardinality 0..1
Terminology Binding MedicationStatus Medication status codes ( Required )
Type code
Summary Is Modifier true Comments (Reason: This status is not intended to specify if a medication is part of a formulary. Medication.isBrand Definition Set to true if element changes the item is attributable to a specific manufacturer. Control 0..1 Type boolean interpretation of all descriptive attributes.)
Summary true
Definition Comments

Set This status is intended to true identify if the medication can in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be obtained without determined that the drug record was created with an order from error and the status is changed to "entered in error". This status is not intended to specify if a prescriber. medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

Type boolean Medication.manufacturer
Summary Element Id true Medication.manufacturer
Definition

Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

Control Cardinality 0..1
Type Reference ( Organization )
Summary true
Medication.form
Element Id Medication.form
Definition

Describes the form of the item. Powder; tablets; capsule.

Control Cardinality 0..1
Terminology Binding SNOMED CT Form Codes ( Example )
Type CodeableConcept
Comments

When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

Medication.amount
Element Id Medication.amount
Definition

Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

Cardinality 0..1
Type Ratio
Summary true
Medication.ingredient
Element Id Medication.ingredient
Definition

Identifies a particular constituent of interest in the product.

Control Cardinality 0..*
Comments

The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

Medication.ingredient.item[x]
Element Id Medication.ingredient.item[x]
Definition

The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

Control Cardinality 1..1
Type CodeableConcept | Reference ( Substance | Medication )
[x] Note See Choice of Data Types for further information about how to use [x]
Requirements

The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

Medication.ingredient.isActive
Element Id Medication.ingredient.isActive
Definition

Indication of whether this ingredient affects the this ingredient affects the therapeutic action of the drug.

Control Cardinality 0..1
Type boolean
Requirements

True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

Medication.ingredient.amount Medication.ingredient.strength
Element Id Medication.ingredient.strength
Definition

Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

Control Cardinality 0..1
Type Ratio
Medication.package Definition Information that only applies to packages (not products). Control 0..1 Medication.package.container Medication.batch
Definition The kind of container that this package comes as. Control 0..1 Terminology Binding MedicationContainer ( Example ) Type Element Id CodeableConcept Medication.package.content Medication.batch
Definition

A set of components Information that go to make up the described item. Control 0..* Medication.package.content.item[x] Definition Identifies one of the items in the package. Control 1..1 Type CodeableConcept | Reference ( Medication ) [x] Note See Choice of Data Types for further information about how only applies to use [x] Medication.package.content.amount Definition The amount of the product that is in the package. packages (not products).

Control Cardinality 0..1
Medication.package.batch Medication.batch.lotNumber
Definition Information about a group of medication produced or packaged from one production run. Control Element Id 0..* Medication.package.batch.lotNumber Medication.batch.lotNumber
Definition

The assigned lot number of a batch of the specified product.

Control Cardinality 0..1
Type string
Medication.package.batch.expirationDate Medication.batch.expirationDate
Element Id Medication.batch.expirationDate
Definition

When this specific batch of product will expire.

Control Cardinality 0..1
Type dateTime