This
page
is
part
of
the
FHIR
Specification
(v4.0.1:
R4
(v5.0.0:
R5
-
Mixed
Normative
and
STU
)
).
This
is
the
current
published
version
in
it's
permanent
home
(it
will
always
be
available
at
this
URL).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
Pharmacy
Work
Group
|
Maturity
Level
:
|
Trial Use | Security Category : Business |
Compartments
:
|
Detailed Descriptions for the elements in the Medication resource.
| Medication | |
| Element Id | Medication |
| Definition |
This
resource
is
primarily
used
for
the
identification
and
definition
of
a
|
| Short Display | Definition of a Medication |
| Cardinality | 0..* |
| Type | DomainResource |
| Summary | false |
| Medication.identifier | |
| Element Id | Medication.identifier |
| Definition |
Business identifier for this medication. |
| Short Display | Business identifier for this medication |
| Note | This is a business identifier, not a resource identifier (see discussion ) |
| Cardinality | 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. |
| Short Display | Codes that identify this medication |
| 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 coding may be marked as a "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. |
| Short Display | active | inactive | entered-in-error |
| Cardinality | 0..1 |
| Terminology Binding |
Medication
|
| Type | code |
| Is Modifier | true (Reason: This element changes the interpretation of all descriptive attributes.) |
| Summary | true |
| Comments |
This status is intended to identify if the medication 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 determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a 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. |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Organization that has authorization to market medication |
| Cardinality | 0..1 |
| Type | Reference ( Organization ) |
| Summary | true |
|
|
|
| Element Id |
|
| Definition |
Describes the form of the item. Powder; tablets; capsule. |
| Short Display | powder | tablets | capsule + |
| Cardinality | 0..1 |
| Terminology Binding | SNOMED CT Form Codes ( Example ) |
| Type | CodeableConcept |
| Summary | false |
| 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. |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | When the specified product code does not infer a package size, this is the specific amount of drug in the product |
| Cardinality | 0..1 |
| Type |
|
| Summary | true |
| Medication.ingredient | |
| Element Id | Medication.ingredient |
| Definition |
Identifies a particular constituent of interest in the product. |
| Short Display | Active or inactive ingredient |
| Cardinality | 0..* |
| Summary | false |
| 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. |
|
|
|
| Element Id |
|
| Definition |
The
|
| Short Display | The ingredient (substance or medication) that the ingredient.strength relates to |
| Cardinality | 1..1 |
|
|
|
|
|
|
| Requirements |
The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). |
| Summary | false |
| Medication.ingredient.isActive | |
| Element Id | Medication.ingredient.isActive |
| Definition |
Indication of whether this ingredient affects the therapeutic action of the drug. |
| Short Display | Active ingredient indicator |
| 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). |
| Summary | false |
|
|
|
| Element Id |
|
| 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 but can also be expressed a quantity when the denominator is assumed to be 1 tablet. |
| Short Display | Quantity of ingredient present |
| Cardinality | 0..1 |
| Terminology Binding | Medication Ingredient Strength Codes ( Preferred ) |
| Type | Ratio | CodeableConcept | Quantity |
| [x] Note | See Choice of Datatypes for further information about how to use [x] |
| Summary | false |
| Medication.batch | |
| Element Id | Medication.batch |
| Definition |
Information that only applies to packages (not products). |
| Short Display | Details about packaged medications |
| Cardinality | 0..1 |
| Summary | false |
| Medication.batch.lotNumber | |
| Element Id | Medication.batch.lotNumber |
| Definition |
The assigned lot number of a batch of the specified product. |
| Short Display | Identifier assigned to batch |
| Cardinality | 0..1 |
| Type | string |
| Summary | false |
| Medication.batch.expirationDate | |
| Element Id | Medication.batch.expirationDate |
| Definition |
When this specific batch of product will expire. |
| Short Display | When batch will expire |
| Cardinality | 0..1 |
| Type | dateTime |
| Summary | false |
| Medication.definition | |
| Element Id | Medication.definition |
| Definition | A reference to a knowledge resource that provides more information about this medication. |
| Short Display | Knowledge about this medication |
| Cardinality | 0..1 |
| Type | Reference ( MedicationKnowledge ) |
| Summary | false |