# US Core Medication Profile - US Core Implementation Guide v9.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Core Medication Profile**

## Resource Profile: US Core Medication Profile 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication | *Version*:9.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](changes-between-versions.md#us-core-maturity-levels): 5 | *Computable Name*:USCoreMedicationProfile |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.2.42.38 | | |

 
The US Core Medication Profile inherits from the FHIR [Medication](https://hl7.org/fhir/R4/medication.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Medication resource to record, search, and fetch medications associated with a patient. When referencing a medication, the MedicationRequest resource can use a code or refer to this profile. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. 

**Example Usage Scenarios:**

Queries on Medication resources are expected to be within the context of a MedicationRequest resource query. The following are example usage scenarios for the US Core Medication profile:

* Read Medication resources referenced in MedicationRequest resources.

### Mandatory and Must Support Data Elements

The following data elements must always be present ([Mandatory](must-support.md) definition) or must be supported if the data is present in the sending system ([Must Support](must-support.md) definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The [Formal Views](#profile) below provides the formal summary, definitions, and terminology requirements.

**Each Medication Must Have:**

1. A medication code

### Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

* RXNorm concepts are defined as an [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) binding. USCDI recommends the [National Drug Codes (NDC)](https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory) as an **optional** terminology. They **MAY** be supplied as an additional coding element.[§](requirements.md#CONF-0248)
* Since the binding is [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) when a code is unavailable, servers **MAY** use text.[§](requirements.md#CONF-0523)
* When the medication is compounded and is a list of ingredients, the code is still present and may contain only the text.

**Usages:**

* Refer to this Profile: [US Core MedicationDispense Profile](StructureDefinition-us-core-medicationdispense.md) and [US Core MedicationRequest Profile](StructureDefinition-us-core-medicationrequest.md)
* Examples for this Profile: [Medication/uscore-med1](Medication-uscore-med1.md) and [Medication/uscore-med2](Medication-uscore-med2.md)
* CapabilityStatements using this Profile: [US Core Client CapabilityStatement](CapabilityStatement-us-core-client.md) and [US Core Server CapabilityStatement](CapabilityStatement-us-core-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.us.core|current/StructureDefinition/StructureDefinition-us-core-medication.json)

**Changes since version 8.0.1:**

* The resource metadata has changed (copyright)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-core-medication.csv), [Excel](StructureDefinition-us-core-medication.xlsx), [Schematron](StructureDefinition-us-core-medication.sch) 

### Notes:

-------

**Quick Start**  

-------

Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the [US Core Server CapabilityStatement](CapabilityStatement-us-core-server.md) for a complete list of supported RESTful interactions for this IG.

* See the [Scopes Format](scopes.md#scopes-format) section for a description of the SMART scopes syntax.
* See the [Search Syntax](general-guidance.md#search-syntax) section for a description of the US Core search syntax.
* See the [General Requirements](general-requirements.md) section for additional rules and expectations when a Server requires status parameters.
* See the [General Guidance](general-guidance.md) section for additional guidance on searching for multiple patients.

#### US Core Scopes

Servers providing access to data **MAY** support these [US Core SMART Scopes](scopes.md#smart-scopes):

* [resource level scopes](http://hl7.org/fhir/smart-app-launch/STU2.2/scopes-and-launch-context.html#scopes-for-requesting-clinical-data): `<patient|user|system>/Medication.rs` [§](requirements.md#CONF-0157)

**No required search criteria for us-core-medication profile.**



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-medication",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 5
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.42.38"
  }],
  "version" : "9.0.0",
  "name" : "USCoreMedicationProfile",
  "title" : "US Core Medication Profile",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-10-17",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [{
    "name" : "HL7 International / Cross-Group Projects",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    },
    {
      "system" : "email",
      "value" : "cgp@lists.HL7.org"
    }]
  }],
  "description" : "The US Core Medication Profile inherits from the FHIR [Medication](https://hl7.org/fhir/R4/medication.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Medication resource to record, search, and fetch medications associated with a patient. When referencing a medication, the MedicationRequest resource can use a code or refer to this profile. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "script10.6",
    "uri" : "http://ncpdp.org/SCRIPT10_6",
    "name" : "Mapping to NCPDP SCRIPT 10.6"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Medication",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Medication",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Medication",
      "path" : "Medication",
      "mustSupport" : false
    },
    {
      "id" : "Medication.code",
      "path" : "Medication.code",
      "min" : 1,
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4"
      }
    }]
  }
}

```
