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
Pharmacy
Work
Group
|
Maturity
Level
:
|
Trial Use | Security Category : Business |
Compartments
:
|
Detailed Descriptions for the elements in the MedicationKnowledge resource.
| MedicationKnowledge | |
| Element Id | MedicationKnowledge |
| Definition |
Information about a medication that is used to support knowledge. |
| Short Display | Definition of Medication Knowledge |
| Cardinality | 0..* |
| Type |
|
| Summary | false |
| MedicationKnowledge.identifier | |
| Element Id | MedicationKnowledge.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 | This is a business identifier, not a resource identifier (see discussion). |
| MedicationKnowledge.code | |
| Element Id | MedicationKnowledge.code |
| Definition |
A code that specifies 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 | Code that identifies 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). |
| MedicationKnowledge.status | |
| Element Id | MedicationKnowledge.status |
| Definition |
A
code
to
indicate
if
the
medication
referred
to
by
this
MedicationKnowledge
is
in
active
|
| Short Display | active | entered-in-error | inactive |
| Cardinality | 0..1 |
| Terminology Binding |
|
| 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 |
Creator
or
owner
of
the
|
| Cardinality | 0..1 |
| Type | Reference ( Organization ) |
| Summary |
|
|
|
|
| Element Id |
|
| Definition |
|
|
|
|
| Cardinality |
|
| Type |
|
| Summary |
|
| Comments |
|
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | A name associated with the medication being described |
| Cardinality | 0..* |
| Type | string |
| Summary | true |
| MedicationKnowledge.relatedMedicationKnowledge | |
| Element Id | MedicationKnowledge.relatedMedicationKnowledge |
| Definition |
Associated
or
related
|
| Short Display | Associated or related medication information |
| Cardinality | 0..* |
| Summary | false |
| MedicationKnowledge.relatedMedicationKnowledge.type | |
| Element Id | MedicationKnowledge.relatedMedicationKnowledge.type |
| Definition |
The category of the associated medication knowledge reference. |
| Short Display | Category of medicationKnowledge |
| Cardinality | 1..1 |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.relatedMedicationKnowledge.reference | |
| Element Id | MedicationKnowledge.relatedMedicationKnowledge.reference |
| Definition |
Associated documentation about the associated medication knowledge. |
| Short Display | Associated documentation about the associated medication knowledge |
| Cardinality | 1..* |
| Type | Reference ( MedicationKnowledge ) |
| Summary | false |
| MedicationKnowledge.associatedMedication | |
| Element Id | MedicationKnowledge.associatedMedication |
| Definition |
|
| Short Display |
The
set
of
medication
|
| Cardinality | 0..* |
| Type | Reference ( Medication ) |
| Summary | false |
| MedicationKnowledge.productType | |
| Element Id | MedicationKnowledge.productType |
| Definition |
Category of the medication or product (e.g. branded product, therapeutic moeity, generic product, innovator product, etc.). |
| Short Display | Category of the medication or product |
| Cardinality | 0..* |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.monograph | |
| Element Id | MedicationKnowledge.monograph |
| Definition |
Associated documentation about the medication. |
| Short Display | Associated documentation about the medication |
| Cardinality | 0..* |
| Summary | false |
| MedicationKnowledge.monograph.type | |
| Element Id | MedicationKnowledge.monograph.type |
| Definition |
The category of documentation about the medication. (e.g. professional monograph, patient education monograph). |
| Short Display | The category of medication document |
| Cardinality | 0..1 |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.monograph.source | |
| Element Id | MedicationKnowledge.monograph.source |
| Definition |
Associated documentation about the medication. |
| Short Display | Associated documentation about the medication |
| Cardinality | 0..1 |
| Type |
Reference
(
DocumentReference
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | The instructions for preparing the medication |
| Cardinality |
|
| Type | markdown |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
The
|
|
|
|
|
|
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | The date range for which the cost is effective |
| Cardinality |
|
| Type |
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | The category of the cost information |
| Cardinality |
|
| Type |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
The
|
| Short Display | The source or owner for the price information |
| Cardinality | 0..1 |
| Type |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
The
|
| Short Display | The price or category of the cost of the medication |
| Cardinality |
|
| Terminology Binding |
|
| Type | Money | CodeableConcept |
|
|
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
The
|
| Short Display | Program under which a medication is reviewed |
| Cardinality |
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Type of program under which the medication is monitored |
| Cardinality | 0..1 |
| Type |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Name of the reviewing program |
| Cardinality |
|
| Type |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Guidelines or protocols for administration of the medication for an indication |
| Cardinality | 0..* |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Indication for use that applies to the specific administration guideline |
| Cardinality |
|
| Type |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Guidelines for dosage of the medication |
| Cardinality |
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Intention of the treatment |
| Cardinality |
|
| Type | CodeableConcept |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
Dosage for the medication for the specific guidelines. |
| Short Display | Dosage for the medication for the specific guidelines |
| Cardinality | 0..* |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
The type or category of dosage for a given medication (for example, prophylaxis, maintenance, therapeutic, etc.). |
| Short Display | Category of dosage for a medication |
| Cardinality | 1..1 |
| Type | CodeableConcept |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
Dosage for the medication for the specific guidelines. |
| Short Display | Dosage for the medication for the specific guidelines |
| Cardinality | 1..* |
| Type | Dosage |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Type of treatment the guideline applies to |
| Cardinality | 0..1 |
| Type |
CodeableConcept
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.). |
| Short Display | Characteristics of the patient that are relevant to the administration guidelines |
| Cardinality | 0..* |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Categorization of specific characteristic that is relevant to the administration guideline |
| Cardinality | 1..1 |
| Type |
CodeableConcept
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
The specific characteristic (e.g. height, weight, gender, etc.). |
| Short Display | The specific characteristic |
| Cardinality |
|
| Type |
|
| [x] Note | See Choice of Datatypes for further information about how to use [x] |
| Summary | false |
| MedicationKnowledge.medicineClassification | |
| Element Id | MedicationKnowledge.medicineClassification |
| Definition |
Categorization of the medication within a formulary or classification system. |
| Short Display | Categorization of the medication within a formulary or classification system |
| Cardinality | 0..* |
| Summary | false |
| MedicationKnowledge.medicineClassification.type | |
| Element Id | MedicationKnowledge.medicineClassification.type |
| Definition |
The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification). |
| Short Display | The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification) |
| Cardinality | 1..1 |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.medicineClassification.source[x] | |
| Element Id | MedicationKnowledge.medicineClassification.source[x] |
| Definition | Either a textual source of the classification or a reference to an online source. |
| Short Display | The source of the classification |
| Cardinality | 0..1 |
| Type | string | uri |
| [x] Note | See Choice of Datatypes for further information about how to use [x] |
| Summary | false |
| MedicationKnowledge.medicineClassification.classification | |
| Element Id | MedicationKnowledge.medicineClassification.classification |
| Definition |
Specific category assigned to the medication (e.g. anti-infective, anti-hypertensive, antibiotic, etc.). |
| Short Display | Specific category assigned to the medication |
| Cardinality | 0..* |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.packaging | |
| Element Id | MedicationKnowledge.packaging |
| Definition |
Information that only applies to packages (not products). |
| Short Display | Details about packaged medications |
| Cardinality |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition | The cost of the packaged medication. |
| Short Display | Cost of the packaged medication |
| Cardinality | 0..* |
| Type | See MedicationKnowledge.cost |
| Summary | false |
| MedicationKnowledge.packaging.packagedProduct | |
| Element Id | MedicationKnowledge.packaging.packagedProduct |
| Definition |
A
|
| Short Display | The packaged medication that is being priced |
| Cardinality | 0..1 |
|
|
|
|
|
|
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Potential clinical issue with or between medication(s) |
| Cardinality |
|
| Type |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | How the medication should be stored |
| Cardinality | 0..* |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Reference to additional information |
| Cardinality | 0..1 |
|
|
|
|
Summary
|
false |
| MedicationKnowledge.storageGuideline.note | |
| Element Id | MedicationKnowledge.storageGuideline.note |
| Definition | Additional notes about the storage. |
| Short Display | Additional storage notes |
| Cardinality | 0..* |
| Type |
|
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Duration remains stable |
| Cardinality | 0..1 |
| Type |
|
|
Summary
|
false |
| MedicationKnowledge.storageGuideline.environmentalSetting | |
|
|
|
|
|
|
| Short Display | Setting or value of environment for adequate storage |
| Cardinality | 0..* |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Categorization of the setting |
| Cardinality |
|
| Type |
|
|
Summary
|
false |
| MedicationKnowledge.storageGuideline.environmentalSetting.value[x] | |
| Element Id | MedicationKnowledge.storageGuideline.environmentalSetting.value[x] |
| Definition | Value associated to the setting. E.g., 40° – 50°F for temperature. |
| Short Display | Value of the setting |
| Cardinality | 1..1 |
| Type | Quantity | Range | CodeableConcept |
| [x] Note | See Choice of Datatypes for further information about how to use [x] |
| Summary | false |
| MedicationKnowledge.regulatory | |
| Element Id | MedicationKnowledge.regulatory |
| Definition |
Regulatory information about a medication. |
| Short Display | Regulatory information about a medication |
| Cardinality | 0..* |
| Summary | false |
| MedicationKnowledge.regulatory.regulatoryAuthority | |
| Element Id | MedicationKnowledge.regulatory.regulatoryAuthority |
| Definition |
The authority that is specifying the regulations. |
| Short Display | Specifies the authority of the regulation |
| Cardinality | 1..1 |
| Type | Reference ( Organization ) |
| Summary | false |
| MedicationKnowledge.regulatory.substitution | |
| Element Id | MedicationKnowledge.regulatory.substitution |
| Definition |
Specifies if changes are allowed when dispensing a medication from a regulatory perspective. |
| Short Display | Specifies if changes are allowed when dispensing a medication from a regulatory perspective |
| Cardinality | 0..* |
| Summary | false |
| MedicationKnowledge.regulatory.substitution.type | |
| Element Id | MedicationKnowledge.regulatory.substitution.type |
| Definition |
Specifies the type of substitution allowed. |
| Short Display | Specifies the type of substitution allowed |
| Cardinality | 1..1 |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.regulatory.substitution.allowed | |
| Element Id | MedicationKnowledge.regulatory.substitution.allowed |
| Definition |
Specifies if regulation allows for changes in the medication when dispensing. |
| Short Display | Specifies if regulation allows for changes in the medication when dispensing |
| Cardinality | 1..1 |
| Type | boolean |
| Summary | false |
| MedicationKnowledge.regulatory.schedule | |
| Element Id | MedicationKnowledge.regulatory.schedule |
| Definition |
Specifies the schedule of a medication in jurisdiction. |
|
|
|
|
Cardinality
|
|
|
|
|
|
|
|
| MedicationKnowledge.regulatory.maxDispense | |
| Element Id | MedicationKnowledge.regulatory.maxDispense |
| Definition |
The maximum number of units of the medication that can be dispensed in a period. |
| Short Display | The maximum number of units of the medication that can be dispensed in a period |
| Cardinality | 0..1 |
| Summary | false |
| MedicationKnowledge.regulatory.maxDispense.quantity | |
| Element Id | MedicationKnowledge.regulatory.maxDispense.quantity |
| Definition |
The maximum number of units of the medication that can be dispensed. |
| Short Display | The maximum number of units of the medication that can be dispensed |
| Cardinality | 1..1 |
| Type | SimpleQuantity |
| Summary | false |
| MedicationKnowledge.regulatory.maxDispense.period | |
| Element Id | MedicationKnowledge.regulatory.maxDispense.period |
| Definition |
The period that applies to the maximum number of units. |
| Short Display | The period that applies to the maximum number of units |
| Cardinality | 0..1 |
| Type | Duration |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display |
Minimal
definition
information
about
the
|
| Cardinality | 0..1 |
| Summary | false |
| MedicationKnowledge.definitional.definition | |
| Element Id | MedicationKnowledge.definitional.definition |
| Definition | Associated definitions for this medication. |
| Short Display | Definitional resources that provide more information about this medication |
| Cardinality | 0..* |
| Type | Reference ( MedicinalProductDefinition ) |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | powder | tablets | capsule + |
| Cardinality |
|
| Terminology Binding | SNOMED CT Form Codes ( Example ) |
| Type |
|
| 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 |
The
|
| Short Display | The intended or approved route of administration |
| Cardinality | 0..* |
| Terminology Binding | SNOMED CT Route Codes ( Example ) |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.definitional.ingredient | |
| Element Id | MedicationKnowledge.definitional.ingredient |
| Definition |
Identifies
a
|
| Short Display | Active or inactive ingredient |
| Cardinality | 0..* |
| Summary | true |
| MedicationKnowledge.definitional.ingredient.item | |
| Element Id | MedicationKnowledge.definitional.ingredient.item |
| Definition | A reference to the resource that provides information about the ingredient. |
| Short Display | Substances contained in the medication |
| Cardinality | 1..1 |
| Type |
|
| Summary | true |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | A code that defines the type of ingredient, active, base, etc |
| Cardinality | 0..1 |
| Terminology Binding |
RoleClassIngredientEntity
(
Example
)
|
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.definitional.ingredient.strength[x] | |
| Element Id | MedicationKnowledge.definitional.ingredient.strength[x] |
| 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
|
| Short Display | Quantity of ingredient present |
| Cardinality | 0..1 |
| Terminology Binding | Medication Ingredient Strength Codes ( Example ) |
| Type |
|
| [x] Note | See Choice of Datatypes for further information about how to use [x] |
| Summary | false |
| MedicationKnowledge.definitional.drugCharacteristic | |
| Element Id | MedicationKnowledge.definitional.drugCharacteristic |
| Definition | Specifies descriptive properties of the medicine, such as color, shape, imprints, etc. |
| Short Display | Specifies descriptive properties of the medicine |
| Cardinality | 0..* |
| Summary | false |
| MedicationKnowledge.definitional.drugCharacteristic.type | |
| Element Id | MedicationKnowledge.definitional.drugCharacteristic.type |
| Definition | A code specifying which characteristic of the medicine is being described (for example, colour, shape, imprint). |
| Short Display | Code specifying the type of characteristic of medication |
| Cardinality | 0..1 |
| Terminology Binding | medicationKnowledge Characteristic Codes ( Example ) |
| Type | CodeableConcept |
| Summary | false |
| MedicationKnowledge.definitional.drugCharacteristic.value[x] | |
| Element Id | MedicationKnowledge.definitional.drugCharacteristic.value[x] |
| Definition | Description of the characteristic. |
| Short Display | Description of the characteristic |
| Cardinality | 0..1 |
| Type | CodeableConcept | string | SimpleQuantity | base64Binary | Attachment |
| [x] Note | See Choice of Datatypes for further information about how to use [x] |
| Summary | false |
| Comments | The description should be provided as a CodeableConcept, SimpleQuantity or an image. The description can be a string only when these others are not available. |