Release 4B Snapshot #1
Medication DefinitionThis page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B
| Biomedical Research and Regulation Work Group | Maturity Level: 1 | Trial Use | Security Category: Anonymous | Compartments: Not linked to any defined compartments |
The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product.
For an overview of this resource and others in the Medication Definition domain, also see the module page
ManufacturedItemDefinition is to be used when you need to describe an actual physical medication item such as a tablet or capsule. This is typically for regulatory or manufacturing use cases, rather than day to day prescribing or dispensing.
A defining aspect is that the item is in the state as it comes from being manufactured, and has had no other preparatory steps - such as crushing or mixing. It is in the state ready for packaging and distribution to consumers, and not necessarily in the state ready for administration (for which see AdministrableProductDefinition). This is the state where medication items are commonly encountered, within packaging, before actually being used. It is a medication item "as manufactured", recognizing that other non-medication items are also manufactured, and that even the administrable form of a drug, and the packaging that an item is placed into, have been manufactured at some stage.
The manufactured item describes the physical characteristics of the item, as opposed to its pharmaceutical aspects (which may only apply after mixing with other items - to become an AdministrableProductDefinition), or its packaging, or legal aspects (which apply only to the whole group of packing and manufactured items). There are typically multiple instances of the item in the packaging (a PackagedProductDefinition resource) and this is indicated by the quantity within the containing package (e.g. 12 tablets), referencing a single copy of the manufactured item.
This is the only resource that treats the "tablet" (or whatever it may be) as a physical object. It is still definitional however - it describes all instances of this tablet. The resource aims to capture the definition of a single medication item type, such as a tablet of aspirin with a certain form, shape, manufacturer. It is not intended to describe and be instantiated for each medication item, i.e. it is not an actual real instance of a tablet, but rather represents (e.g.) all tablets of the same medication item type, that are described by the ManufacturedItemDefinition.
To define several package variations, e.g. pack of 10 tablets and of 50 tablets, you would need only one ManufacturedItemDefinition, referenced from both (and associated with a numeric quantity of 10 or 50 in the respective PackagedProductDefintions). To prescribe or dispense 100 tablets, you would not generally need this resource at all, because usually the code of the medication product as a whole is sufficient, plus a quantity, e.g. 100 of "ABC123" (meaning e.g. aspirin 75 mg).
This resource excludes devices and other items found in medication packaging such as scissors, applicators and so on (which would use DeviceDefinition), and components of packaging that are not considered devices, such bottle stoppers (use PackagedProductDefintion.package.package).
This resource is referenced by AdministrableProductDefinition, Ingredient, PackagedProductDefinition and PlanDefinition.
This resource does not implement any patterns.
Structure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ManufacturedItemDefinition | TU | DomainResource | The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
  identifier | Σ | 0..* | Identifier | Unique identifier |
 status | ?!Σ | 1..1 | code | draft | active | retired | unknown PublicationStatus (Required) |
| manufacturedDoseForm | Σ | 1..1 | CodeableConcept | Dose form as manufactured and before any transformation into the pharmaceutical product |
| unitOfPresentation | Σ | 0..1 | CodeableConcept | The “real world” units in which the quantity of the manufactured item is described |
 manufacturer | Σ | 0..* | Reference(Organization) | Manufacturer of the item (Note that this should be named "manufacturer" but it currently causes technical issues) |
| ingredient | Σ | 0..* | CodeableConcept | The ingredients of this manufactured item. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource |
  property | Σ | 0..* | BackboneElement | General characteristics of this item |
 type | Σ | 1..1 | CodeableConcept | A code expressing the type of characteristic |
 value[x] | Σ | 0..1 | A value for the characteristic | |
| valueCodeableConcept | CodeableConcept | |||
| valueQuantity | Quantity | |||
| valueDate | date | |||
| valueBoolean | boolean | |||
 valueAttachment | Attachment | |||
| Documentation for this format | ||||
UML Diagram (Legend)
XML Template
<ManufacturedItemDefinition xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier Unique identifier --></identifier> <status value="[code]"/><!-- 1..1 draft | active | retired | unknown --> <manufacturedDoseForm><!-- 1..1 CodeableConcept Dose form as manufactured and before any transformation into the pharmaceutical product --></manufacturedDoseForm> <unitOfPresentation><!-- 0..1 CodeableConcept The “real world” units in which the quantity of the manufactured item is described --></unitOfPresentation> <manufacturer><!-- 0..* Reference(Organization) Manufacturer of the item (Note that this should be named "manufacturer" but it currently causes technical issues) --></manufacturer> <ingredient><!-- 0..* CodeableConcept The ingredients of this manufactured item. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource --></ingredient> <property> <!-- 0..* General characteristics of this item --> <type><!-- 1..1 CodeableConcept A code expressing the type of characteristic --></type> <value[x]><!-- 0..1 CodeableConcept|Quantity|date|boolean|Attachment A value for the characteristic --></value[x]> </property> </ManufacturedItemDefinition>
JSON Template
{
"resourceType" : "ManufacturedItemDefinition",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"identifier" : [{ Identifier }], // Unique identifier
"status" : "<code>", // R! draft | active | retired | unknown
"manufacturedDoseForm" : { CodeableConcept }, // R! Dose form as manufactured and before any transformation into the pharmaceutical product
"unitOfPresentation" : { CodeableConcept }, // The “real world” units in which the quantity of the manufactured item is described
"manufacturer" : [{ Reference(Organization) }], // Manufacturer of the item (Note that this should be named "manufacturer" but it currently causes technical issues)
"ingredient" : [{ CodeableConcept }], // The ingredients of this manufactured item. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource
"property" : [{ // General characteristics of this item
"type" : { CodeableConcept }, // R! A code expressing the type of characteristic
// value[x]: A value for the characteristic. One of these 5:
"valueCodeableConcept" : { CodeableConcept }
"valueQuantity" : { Quantity }
"valueDate" : "<date>"
"valueBoolean" : <boolean>
"valueAttachment" : { Attachment }
}]
}
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .
Structure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ManufacturedItemDefinition | TU | DomainResource | The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
| identifier | Σ | 0..* | Identifier | Unique identifier |
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown PublicationStatus (Required) |
| manufacturedDoseForm | Σ | 1..1 | CodeableConcept | Dose form as manufactured and before any transformation into the pharmaceutical product |
| unitOfPresentation | Σ | 0..1 | CodeableConcept | The “real world” units in which the quantity of the manufactured item is described |
| manufacturer | Σ | 0..* | Reference(Organization) | Manufacturer of the item (Note that this should be named "manufacturer" but it currently causes technical issues) |
| ingredient | Σ | 0..* | CodeableConcept | The ingredients of this manufactured item. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource |
| property | Σ | 0..* | BackboneElement | General characteristics of this item |
| type | Σ | 1..1 | CodeableConcept | A code expressing the type of characteristic |
| value[x] | Σ | 0..1 | A value for the characteristic | |
| valueCodeableConcept | CodeableConcept | |||
| valueQuantity | Quantity | |||
| valueDate | date | |||
| valueBoolean | boolean | |||
| valueAttachment | Attachment | |||
| Documentation for this format | ||||
XML Template
<ManufacturedItemDefinition xmlns="http://hl7.org/fhir">
JSON Template
{
"resourceType" : "ManufacturedItemDefinition",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"identifier" : [{ Identifier }], // Unique identifier
"status" : "<code>", // R! draft | active | retired | unknown
"manufacturedDoseForm" : { CodeableConcept }, // R! Dose form as manufactured and before any transformation into the pharmaceutical product
"unitOfPresentation" : { CodeableConcept }, // The “real world” units in which the quantity of the manufactured item is described
"manufacturer" : [{ Reference(Organization) }], // Manufacturer of the item (Note that this should be named "manufacturer" but it currently causes technical issues)
"ingredient" : [{ CodeableConcept }], // The ingredients of this manufactured item. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource
"property" : [{ // General characteristics of this item
"type" : { CodeableConcept }, // R! A code expressing the type of characteristic
// value[x]: A value for the characteristic. One of these 5:
"valueCodeableConcept" : { CodeableConcept }
"valueQuantity" : { Quantity }
"valueDate" : "<date>"
"valueBoolean" : <boolean>
"valueAttachment" : { Attachment }
}]
}
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .
See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis
| Path | Definition | Type | Reference |
|---|---|---|---|
| ManufacturedItemDefinition.status | Required | PublicationStatus |
Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
| Name | Type | Description | Expression | In Common |
| dose-form | token | Dose form as manufactured and before any transformation into the pharmaceutical product | ManufacturedItemDefinition.manufacturedDoseForm | |
| identifier | token | Unique identifier | ManufacturedItemDefinition.identifier | |
| ingredient D | token | An ingredient of this item | ManufacturedItemDefinition.ingredient |
FHIR ®© HL7.org 2011+. FHIR R4B Ballot #1 hl7.fhir.core#4.3.0-snapshot1 generated on Mon, Dec 20, 2021 14:14+1100.
Links: Search |
Version History |
Table of Contents |
QA Page |
Compare to R4 |
|
Propose a change