Generated Narrative: StructureDefinition ie-mpd-medication-eprescription

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication MedicationEuMpd(1.0.0)
... Slices for extension Content/Rules for all slices
.... extension:productName 0..1MedicationProductName(1.0.0-comment-2)Medication - Product Name
.... extension:classification S0..*MedicationClassification(1.0.0-comment-2)Medication - Classification
.... extension:characteristic 0..*MedicationCharacteristic(1.0.0-comment-2)Medication - Characteristic
.... extension:unitOfPresentation 0..1MedicationUnitOfPresentation(1.0.0-comment-2)Medication - Unit of presentation
.... extension:packageType 0..1MedicationPackageType(1.3.0)Medication: Package type
.... extension:device 0..*MedicationDevice(1.0.0-comment-2)Medication - Device
.... extension:interchangeable S0..1booleanIE MPD Medicinal Product Is Interchangeable
URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-interchangeable
.... extension:exemptMedicationItem S0..1booleanIE MPD Exempt Medication Item (Requires Clarification)
URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-exempt-medication-item
... code S1..1CodeableConceptA terminology-based code for the product (e.g. SNOMED CT code)
Binding: IEMpdMedicationCodes (0.1.0) (extensible)
... manufacturer 0..1Reference(Organization)Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
... form S0..1CodeableConceptpowder | tablets | capsule +
... amount S0..1RatioAmount of the medication (for example, in a package or a vial)
... ingredient S1..*BackboneElementIngredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
.... item[x] S1..1CodeableConcept, Reference(Substance | Medication)The actual ingredient or content
.... isActive S0..1booleanActive ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
.... strength S0..1RatioAmount of substance in product (presentation or concentration strength)
... batch S0..1BackboneElementDetails about packaged medications
.... lotNumber S0..1stringLot Number
.... expirationDate S0..1dateTimeExpiration Date

doco Documentation for this format
 <status value="draft"/> <date value="2026-09-28T14:06:45+00:00"/> <publisher value="Nithin Mohan (proof of concept)"/> <contact> <name value="Nithin Mohan (proof of concept)"/> <telecom> <system value="url"/> <value value="https://github.com/hl7-ie/medication-events"/> </telecom> </contact> <contact> <name value="Nithin Mohan"/> <telecom> <system value="url"/> <value value="https://github.com/hl7-ie/medication-events"/> </telecom> </contact> <description value="The medicinal product in an Irish ePrescription or eDispensation (HIQA EP Section 4), derived from the HL7 Europe MPD Medication. Many elements are expected to be auto-populated from the National Medicinal Product Catalogue (NMPC)."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="IE"/> <display value="Ireland"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <mapping> <identity value="script10.6"/> <uri value="http://ncpdp.org/SCRIPT10_6"/> <name value="Mapping to NCPDP SCRIPT 10.6"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Medication"/> <baseDefinition value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="1.0.0"/> </extension> <element id="Medication"> <path value="Medication"/> <short value="Definition of a Medication"/> <definition value="This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use."/> <min value="0"/> <max value="*"/> <base> <path value="Medication"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="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()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="script10.6"/> <map value="NewRx/MedicationPrescribed -or- RxFill/MedicationDispensed -or- RxHistoryResponse/MedicationDispensed -or- RxHistoryResponse/MedicationPrescribed"/> </mapping> <mapping> <identity value="rim"/> <map value="ManufacturedProduct[classCode=ADMM]"/> </mapping> </element> <element id="Medication.id"> <path value="Medication.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Medication.meta"> <path value="Medication.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Medication.implicitRules"> <path value="Medication.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="Medication.language"> <path value="Medication.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages|4.0.1"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/> </binding> </element> <element id="Medication.text"> <path value="Medication.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Medication.contained"> <path value="Medication.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.extension"> <path value="Medication.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:productName"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:able-to-populate"/> </extension> <extension url="actor"> <valueCanonical value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> </extension> </extension> <path value="Medication.extension"/> <sliceName value="productName"/> <short value="Medication - Product Name"/> <definition value="Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts."/> <comment value="HIQA EP 4.3 Medication product name (brand or trade name), when it differs from code.text."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname|1.0.0-comment-2"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:classification"> <path value="Medication.extension"/> <sliceName value="classification"/> <short value="Medication - Classification"/> <definition value="Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc.."/> <comment value="HIQA EP 4.2 Classification (Required 0..*): ATC (4.2.1), supply legal status (4.2.2, IEMpdSupplyLegalStatus placeholder), MDA schedule (4.2.3, IEMpdMDASchedule placeholder), other classification group (4.2.4)."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification|1.0.0-comment-2"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:sizeOfItem"> <path value="Medication.extension"/> <sliceName value="sizeOfItem"/> <short value="Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)"/> <definition value="Size of a manufactured item or unit of presentation. For example, size of one vial in a package that may contain several vials."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem|1.0.0-comment-2"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:characteristic"> <path value="Medication.extension"/> <sliceName value="characteristic"/> <short value="Medication - Characteristic"/> <definition value="Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)"/> <comment value="HIQA EP 4.9 Characteristics (Optional, dispensation)."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic|1.0.0-comment-2"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:unitOfPresentation"> <path value="Medication.extension"/> <sliceName value="unitOfPresentation"/> <short value="Medication - Unit of presentation"/> <definition value="Unit of presentation, typically describing the smallest countable package item (e.g tablet, vial, ampoule, etc). Unit of presentation is also often used in describing pack size and the denominator of strength. If the size of presentation unit is relevant, it should be described in sizeOfItem extension."/> <comment value="HIQA EP 4.7.3 Unit of presentation (Optional, dispensation)."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation|1.0.0-comment-2"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:packageType"> <path value="Medication.extension"/> <sliceName value="packageType"/> <short value="Medication: Package type"/> <definition value="This extension applies to Medication and expresses the type of the container for the product (e.g. bottle, unit-dose blister, pre-filled pen)."/> <comment value="HIQA EP 4.7.6 Package type (Optional, dispensation); EDQM package terms."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.eu/fhir/StructureDefinition/medication-package-type|1.3.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:device"> <path value="Medication.extension"/> <sliceName value="device"/> <short value="Medication - Device"/> <definition value="Device, typically an administration device, included in the medicinal product."/> <comment value="HIQA EP 4.8 Device (Optional, dispensation): 4.8.1 device type and 4.8.2 quantity."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device|1.0.0-comment-2"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:device.id"> <path value="Medication.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.extension:device.extension"> <path value="Medication.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="2"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:device.extension:device"> <path value="Medication.extension.extension"/> <sliceName value="device"/> <short value="Extension"/> <definition value="An Extension"/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:device.extension:device.id"> <path value="Medication.extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.extension:device.extension:device.extension"> <path value="Medication.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:device.extension:device.url"> <path value="Medication.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="device"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.extension:device.extension:device.value[x]"> <path value="Medication.extension.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="example"/> <valueSet value="http://terminology.ehdsi.eu/ValueSet/eHDSIPackage"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.extension:device.extension:quantity"> <path value="Medication.extension.extension"/> <sliceName value="quantity"/> <short value="Number of defined devices in te package"/> <definition value="An Extension"/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:device.extension:quantity.id"> <path value="Medication.extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.extension:device.extension:quantity.extension"> <path value="Medication.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:device.extension:quantity.url"> <path value="Medication.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="quantity"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.extension:device.extension:quantity.value[x]"> <path value="Medication.extension.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.extension:device.url"> <path value="Medication.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.extension:device.value[x]"> <path value="Medication.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <type> <code value="boolean"/> </type> <type> <code value="canonical"/> </type> <type> <code value="code"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="decimal"/> </type> <type> <code value="id"/> </type> <type> <code value="instant"/> </type> <type> <code value="integer"/> </type> <type> <code value="markdown"/> </type> <type> <code value="oid"/> </type> <type> <code value="positiveInt"/> </type> <type> <code value="string"/> </type> <type> <code value="time"/> </type> <type> <code value="unsignedInt"/> </type> <type> <code value="uri"/> </type> <type> <code value="url"/> </type> <type> <code value="uuid"/> </type> <type> <code value="Address"/> </type> <type> <code value="Age"/> </type> <type> <code value="Annotation"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="Coding"/> </type> <type> <code value="ContactPoint"/> </type> <type> <code value="Count"/> </type> <type> <code value="Distance"/> </type> <type> <code value="Duration"/> </type> <type> <code value="HumanName"/> </type> <type> <code value="Identifier"/> </type> <type> <code value="Money"/> </type> <type> <code value="Period"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Reference"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="Signature"/> </type> <type> <code value="Timing"/> </type> <type> <code value="ContactDetail"/> </type> <type> <code value="Contributor"/> </type> <type> <code value="DataRequirement"/> </type> <type> <code value="Expression"/> </type> <type> <code value="ParameterDefinition"/> </type> <type> <code value="RelatedArtifact"/> </type> <type> <code value="TriggerDefinition"/> </type> <type> <code value="UsageContext"/> </type> <type> <code value="Dosage"/> </type> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.extension:interchangeable"> <path value="Medication.extension"/> <sliceName value="interchangeable"/> <short value="IE MPD Medicinal Product Is Interchangeable"/> <definition value="HIQA EP 3.5.10.1 (Required 0..1, expected auto-populated from the NMPC): whether the medicinal product is on the HPRA List of Interchangeable Medicines. If true, substitution is allowed by default unless the prescriber invokes 'Do Not Substitute' (MedicationRequest.substitution.allowedBoolean = false)."/> <comment value="HIQA EP 3.5.10.1 Medicinal product is interchangeable (Required; HPRA List of Interchangeable Medicines)."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-interchangeable|0.1.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.extension:exemptMedicationItem"> <path value="Medication.extension"/> <sliceName value="exemptMedicationItem"/> <short value="IE MPD Exempt Medication Item (Requires Clarification)"/> <definition value="HIQA EP 4.11 Exempt medication item (Required 0..1, Boolean, expected auto-populated). REQUIRES CLARIFICATION: the draft does not say what the item is exempt from (e.g. an exempt medicinal product without a marketing authorisation). Modelled as a boolean flag so that the dataset element can be carried; see the open issues."/> <comment value="HIQA EP 4.11 Exempt medication item (Required). Meaning Requires Clarification."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-exempt-medication-item|0.1.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.modifierExtension"> <path value="Medication.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.identifier"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:able-to-populate"/> </extension> <extension url="actor"> <valueCanonical value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> </extension> </extension> <path value="Medication.identifier"/> <short value="Identifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)"/> <definition value="Business identifier for this medication."/> <comment value="The serial number could be included as an identifier."/> <min value="0"/> <max value="*"/> <base> <path value="Medication.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Medication.code"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:able-to-populate"/> </extension> <extension url="actor"> <valueCanonical value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> </extension> </extension> <path value="Medication.code"/> <short value="A terminology-based code for the product (e.g. SNOMED CT code)"/> <definition value="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."/> <comment value="HIQA EP 4.1 Medication item identifier (Required 0..*) and 4.3 Medication product name (4.3.1 coded, 4.3.2 free text in code.text). NMPC (SNOMED CT Irish Extension) where available; see Terminology Services."/> <min value="1"/> <max value="1"/> <base> <path value="Medication.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="extensible"/> <valueSet value="https://hl7-ie.github.io/medication-events/fhir/ValueSet/ie-mpd-medication-codes|0.1.0"/> </binding> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Medication.status"> <path value="Medication.status"/> <short value="active | inactive | entered-in-error"/> <definition value="A code to indicate if the medication is in active use."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.status"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element changes the interpretation of all descriptive attributes."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationStatus"/> </extension> <strength value="required"/> <description value="A coded concept defining if the medication is in active use."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-status|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".statusCode"/> </mapping> </element> <element id="Medication.manufacturer"> <path value="Medication.manufacturer"/> <short value="Marketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation."/> <definition value="Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product."/> <comment value="HIQA EP 4.4 Manufacturer / marketing authorisation holder (Optional, dispensation)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.manufacturer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="v2"/> <map value="RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"/> </mapping> <mapping> <identity value="rim"/> <map value=".player.scopingRole[typeCode=MANU].scoper"/> </mapping> </element> <element id="Medication.form"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:able-to-populate"/> </extension> <extension url="actor"> <valueCanonical value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> </extension> </extension> <path value="Medication.form"/> <short value="powder | tablets | capsule +"/> <definition value="Describes the form of the item. Powder; tablets; capsule."/> <comment value="HIQA EP 4.5 Dose form (Required, dispensation) and 4.7.1 Medication item dose form (Required). EDQM Standard Terms. For a controlled-drug preparation, the dose form is a legal requirement."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.form"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="example"/> <valueSet value="http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm"/> </binding> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,DrugCodedType)/FormCode coding.system = //element(*,DrugCodedType)/FormSourceCode"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"/> </mapping> <mapping> <identity value="rim"/> <map value=".formCode"/> </mapping> </element> <element id="Medication.amount"> <path value="Medication.amount"/> <short value="Amount of the medication (for example, in a package or a vial)"/> <definition value="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.)."/> <comment value="HIQA EP 4.7.5 Pack size or amount (Optional)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.amount"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".quantity"/> </mapping> </element> <element id="Medication.ingredient"> <path value="Medication.ingredient"/> <short value="Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength"/> <definition value="Identifies a particular constituent of interest in the product."/> <comment value="HIQA EP 4.7.2 Ingredient in medication item (Mandatory 1..*)."/> <min value="1"/> <max value="*"/> <base> <path value="Medication.ingredient"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".scopesRole[typeCode=INGR]"/> </mapping> </element> <element id="Medication.ingredient.id"> <path value="Medication.ingredient.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.extension"> <path value="Medication.ingredient.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.modifierExtension"> <path value="Medication.ingredient.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.ingredient.item[x]"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:able-to-populate"/> </extension> <extension url="actor"> <valueCanonical value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> </extension> </extension> <path value="Medication.ingredient.item[x]"/> <slicing> <discriminator> <type value="type"/> <path value="$this"/> </discriminator> <ordered value="false"/> <rules value="closed"/> </slicing> <short value="The actual ingredient or content"/> <definition value="The actual ingredient - either a substance (simple ingredient) or another medication of a medication."/> <comment value="HIQA EP 4.7.2.2 Active ingredient/substance (Mandatory 1..1); SNOMED CT substance."/> <requirements value="The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)."/> <min value="1"/> <max value="1"/> <base> <path value="Medication.ingredient.item[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription"/> </mapping> <mapping> <identity value="v2"/> <map value="RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemCodeableConcept"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:able-to-populate"/> </extension> <extension url="actor"> <valueCanonical value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> </extension> </extension> <path value="Medication.ingredient.item[x]"/> <sliceName value="itemCodeableConcept"/> <short value="The actual ingredient or content"/> <definition value="The actual ingredient - either a substance (simple ingredient) or another medication of a medication."/> <requirements value="The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.ingredient.item[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="preferred"/> </extension> <extension url="valueSet"> <valueCanonical value="http://terminology.ehdsi.eu/ValueSet/eHDSISubstance"/> </extension> <extension url="documentation"> <valueMarkdown value="MyHealth@EU crossborder value set for substances. Based on EMA SPOR SMS."/> </extension> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips"/> </binding> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription"/> </mapping> <mapping> <identity value="v2"/> <map value="RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Medication.ingredient.item[x]:itemReference"> <path value="Medication.ingredient.item[x]"/> <sliceName value="itemReference"/> <short value="The actual ingredient or content"/> <definition value="The actual ingredient - either a substance (simple ingredient) or another medication of a medication."/> <requirements value="The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.ingredient.item[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core|2.0.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="script10.6"/> <map value="coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription"/> </mapping> <mapping> <identity value="v2"/> <map value="RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Medication.ingredient.isActive"> <path value="Medication.ingredient.isActive"/> <short value="Active ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true."/> <definition value="Indication of whether this ingredient affects the therapeutic action of the drug."/> <comment value="HIQA EP 4.7.2.1 Ingredient is active (Required)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.ingredient.isActive"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="NA"/> </mapping> </element> <element id="Medication.ingredient.strength"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:able-to-populate"/> </extension> <extension url="actor"> <valueCanonical value="https://www.xt-ehr.eu/specifications/fhir/actor-producer|1.0.0"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/mpd/StructureDefinition/Medication-eu-mpd|1.0.0"/> </extension> </extension> <path value="Medication.ingredient.strength"/> <short value="Amount of substance in product (presentation or concentration strength)"/> <definition value="Definitional resources should be used for specifying the different types of strengths: presentation; concentration."/> <comment value="HIQA EP 4.7.2.3 Strength (Required; 4.7.2.3.1 Ratio Mandatory within the cluster), UCUM units. A legal requirement on a dispensation record, and on a controlled-drug prescription for a preparation. Basis of strength substance (4.7.2.3.2) via the IHE strengthsubstance extension."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.ingredient.strength"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="script10.6"/> <map value="//element(*,DrugCodedType)/Strength"/> </mapping> <mapping> <identity value="v2"/> <map value="RXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"/> </mapping> <mapping> <identity value="rim"/> <map value=".quantity"/> </mapping> </element> <element id="Medication.ingredient.strength.id"> <path value="Medication.ingredient.strength.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.strength.extension"> <path value="Medication.ingredient.strength.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.ingredient.strength.extension:basisOfStrengthSubstance"> <path value="Medication.ingredient.strength.extension"/> <sliceName value="basisOfStrengthSubstance"/> <short value="Substance for which the strength is provided (this could be different from the precise active ingredient)."/> <definition value="Substance for marking the basis of strength. When the precise active ingredient is a salt, the strength is often provided for the active moiety (basis of strength)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance|1.0.0-comment-2"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Medication.ingredient.strength.numerator"> <path value="Medication.ingredient.strength.numerator"/> <short value="Numerator value"/> <definition value="The value of the numerator."/> <min value="0"/> <max value="1"/> <base> <path value="Ratio.numerator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".numerator"/> </mapping> </element> <element id="Medication.ingredient.strength.denominator"> <path value="Medication.ingredient.strength.denominator"/> <short value="Denominator value"/> <definition value="The value of the denominator."/> <min value="0"/> <max value="1"/> <base> <path value="Ratio.denominator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".denominator"/> </mapping> </element> <element id="Medication.batch"> <path value="Medication.batch"/> <short value="Details about packaged medications"/> <definition value="Information that only applies to packages (not products)."/> <comment value="HIQA EP 4.10 Batch (Required, dispensation)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.batch"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="rim"/> <map value=".player[classCode=CONT]"/> </mapping> </element> <element id="Medication.batch.id"> <path value="Medication.batch.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.batch.extension"> <path value="Medication.batch.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Medication.batch.modifierExtension"> <path value="Medication.batch.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Medication.batch.lotNumber"> <path value="Medication.batch.lotNumber"/> <short value="Lot Number"/> <definition value="The assigned lot number of a batch of the specified product."/> <comment value="HIQA EP 4.10.1 Batch lot number (Required)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.batch.lotNumber"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Medication.batch.expirationDate"> <path value="Medication.batch.expirationDate"/> <short value="Expiration Date"/> <definition value="When this specific batch of product will expire."/> <comment value="HIQA EP 4.10.2 Batch expiration date (Required)."/> <min value="0"/> <max value="1"/> <base> <path value="Medication.batch.expirationDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"/> </mapping> </element> </snapshot> <differential> <element id="Medication.extension:productName"> <path value="Medication.extension"/> <sliceName value="productName"/> <comment value="HIQA EP 4.3 Medication product name (brand or trade name), when it differs from code.text."/> </element> <element id="Medication.extension:classification"> <path value="Medication.extension"/> <sliceName value="classification"/> <comment value="HIQA EP 4.2 Classification (Required 0..*): ATC (4.2.1), supply legal status (4.2.2, IEMpdSupplyLegalStatus placeholder), MDA schedule (4.2.3, IEMpdMDASchedule placeholder), other classification group (4.2.4)."/> <mustSupport value="true"/> </element> <element id="Medication.extension:characteristic"> <path value="Medication.extension"/> <sliceName value="characteristic"/> <comment value="HIQA EP 4.9 Characteristics (Optional, dispensation)."/> </element> <element id="Medication.extension:unitOfPresentation"> <path value="Medication.extension"/> <sliceName value="unitOfPresentation"/> <comment value="HIQA EP 4.7.3 Unit of presentation (Optional, dispensation)."/> </element> <element id="Medication.extension:packageType"> <path value="Medication.extension"/> <sliceName value="packageType"/> <comment value="HIQA EP 4.7.6 Package type (Optional, dispensation); EDQM package terms."/> </element> <element id="Medication.extension:device"> <path value="Medication.extension"/> <sliceName value="device"/> <comment value="HIQA EP 4.8 Device (Optional, dispensation): 4.8.1 device type and 4.8.2 quantity."/> </element> <element id="Medication.extension:interchangeable"> <path value="Medication.extension"/> <sliceName value="interchangeable"/> <comment value="HIQA EP 3.5.10.1 Medicinal product is interchangeable (Required; HPRA List of Interchangeable Medicines)."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-interchangeable|0.1.0"/> </type> <mustSupport value="true"/> </element> <element id="Medication.extension:exemptMedicationItem"> <path value="Medication.extension"/> <sliceName value="exemptMedicationItem"/> <comment value="HIQA EP 4.11 Exempt medication item (Required). Meaning Requires Clarification."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-exempt-medication-item|0.1.0"/> </type> <mustSupport value="true"/> </element> <element id="Medication.code"> <path value="Medication.code"/> <comment value="HIQA EP 4.1 Medication item identifier (Required 0..*) and 4.3 Medication product name (4.3.1 coded, 4.3.2 free text in code.text). NMPC (SNOMED CT Irish Extension) where available; see Terminology Services."/> <min value="1"/> <mustSupport value="true"/> <binding> <strength value="extensible"/> <valueSet value="https://hl7-ie.github.io/medication-events/fhir/ValueSet/ie-mpd-medication-codes|0.1.0"/> </binding> </element> <element id="Medication.manufacturer"> <path value="Medication.manufacturer"/> <comment value="HIQA EP 4.4 Manufacturer / marketing authorisation holder (Optional, dispensation)."/> </element> <element id="Medication.form"> <path value="Medication.form"/> <comment value="HIQA EP 4.5 Dose form (Required, dispensation) and 4.7.1 Medication item dose form (Required). EDQM Standard Terms. For a controlled-drug preparation, the dose form is a legal requirement."/> <mustSupport value="true"/> </element> <element id="Medication.amount"> <path value="Medication.amount"/> <comment value="HIQA EP 4.7.5 Pack size or amount (Optional)."/> <mustSupport value="true"/> </element> <element id="Medication.ingredient"> <path value="Medication.ingredient"/> <comment value="HIQA EP 4.7.2 Ingredient in medication item (Mandatory 1..*)."/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Medication.ingredient.item[x]"> <path value="Medication.ingredient.item[x]"/> <comment value="HIQA EP 4.7.2.2 Active ingredient/substance (Mandatory 1..1); SNOMED CT substance."/> <mustSupport value="true"/> </element> <element id="Medication.ingredient.isActive"> <path value="Medication.ingredient.isActive"/> <comment value="HIQA EP 4.7.2.1 Ingredient is active (Required)."/> <mustSupport value="true"/> </element> <element id="Medication.ingredient.strength"> <path value="Medication.ingredient.strength"/> <comment value="HIQA EP 4.7.2.3 Strength (Required; 4.7.2.3.1 Ratio Mandatory within the cluster), UCUM units. A legal requirement on a dispensation record, and on a controlled-drug prescription for a preparation. Basis of strength substance (4.7.2.3.2) via the IHE strengthsubstance extension."/> <mustSupport value="true"/> </element> <element id="Medication.batch"> <path value="Medication.batch"/> <comment value="HIQA EP 4.10 Batch (Required, dispensation)."/> <mustSupport value="true"/> </element> <element id="Medication.batch.lotNumber"> <path value="Medication.batch.lotNumber"/> <comment value="HIQA EP 4.10.1 Batch lot number (Required)."/> <mustSupport value="true"/> </element> <element id="Medication.batch.expirationDate"> <path value="Medication.batch.expirationDate"/> <comment value="HIQA EP 4.10.2 Batch expiration date (Required)."/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>