Canonical Resource Management Infrastructure Implementation Guide
1.0.0 - STU1

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## Resource Profile: CRMI MedicationDefinition

Official URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-medicationdefinition | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: CRMIMedicationDefinition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.38.42.8

Represents the definition of a medication, suitable for use in various contexts

Usage:

- Examples for this Resource Profile: Medication/definition-example

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Medication

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
artifactUrl | S | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
artifactVersion | S | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
identifier | S | 0..* | Identifier | Business identifier for this medication
code | S | 0..1 | CodeableConcept | Codes that identify this medication
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
Slices for item[x] | S | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemReference |  | 0..1 | Reference(Substance | Medication) | The actual ingredient or content
Slices for extension |  |  |  | Content/Rules for all slices
artifactReference | S | 0..1 | uri | The artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-uriReference
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
artifactUrl | S | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
artifactVersion | S | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for this medication
code | S Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | S | 1..1 |  | The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Substance | Medication) | The actual ingredient or content
Slices for extension |  |  |  | Content/Rules for all slices
artifactReference | S | 0..1 | uri | The artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-uriReference
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 : 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() |
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
artifactUrl | S | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
artifactVersion | S | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for this medication
code | S Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | S | 1..1 |  | The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Substance | Medication) | The actual ingredient or content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
artifactReference | S | 0..1 | uri | The artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-uriReference
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | example | SNOMEDCTFormCodes `http://hl7.org/fhir/ValueSet/medication-form-codes` from the FHIR Standard
Medication.ingredient.item[x]:itemReference.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 : 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() |
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Medication

Summary

Must-Support: 7 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/artifact-url
- http://hl7.org/fhir/StructureDefinition/artifact-version
- http://hl7.org/fhir/StructureDefinition/artifact-uriReference

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Medication.ingredient.item[x]

Maturity: 1

Differential View

This structure is derived from Medication

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
artifactUrl | S | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
artifactVersion | S | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
identifier | S | 0..* | Identifier | Business identifier for this medication
code | S | 0..1 | CodeableConcept | Codes that identify this medication
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
Slices for item[x] | S | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemReference |  | 0..1 | Reference(Substance | Medication) | The actual ingredient or content
Slices for extension |  |  |  | Content/Rules for all slices
artifactReference | S | 0..1 | uri | The artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-uriReference
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
artifactUrl | S | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
artifactVersion | S | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for this medication
code | S Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | S | 1..1 |  | The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Substance | Medication) | The actual ingredient or content
Slices for extension |  |  |  | Content/Rules for all slices
artifactReference | S | 0..1 | uri | The artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-uriReference
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 : 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() |
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
artifactUrl | S | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
artifactVersion | S | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for this medication
code | S Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | S | 1..1 |  | The actual ingredient or content Slice: Unordered, Open by type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Substance | Medication) | The actual ingredient or content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
artifactReference | S | 0..1 | uri | The artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-uriReference
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Medication.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Medication.code | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
Medication.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` from the FHIR Standard
Medication.form | example | SNOMEDCTFormCodes `http://hl7.org/fhir/ValueSet/medication-form-codes` from the FHIR Standard
Medication.ingredient.item[x]:itemReference.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Medication | 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 : 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() |
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Medication | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Medication

Summary

Must-Support: 7 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/artifact-url
- http://hl7.org/fhir/StructureDefinition/artifact-version
- http://hl7.org/fhir/StructureDefinition/artifact-uriReference

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Medication.ingredient.item[x]

Maturity: 1

Other representations of profile: CSV, Excel, Schematron