This 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 R4 R3 R2
Pharmacy Work Group | Maturity Level: 3 | Trial Use | Security Category: Business | Compartments: Not linked to any defined compartments |
Detailed Descriptions for the elements in the Medication resource.
Medication | |
Element Id | Medication |
Definition | 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. |
Cardinality | 0..* |
Type | DomainResource |
Summary | false |
Medication.identifier | |
Element Id | Medication.identifier |
Definition | Business identifier for this medication. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Cardinality | 0..* |
Type | Identifier |
Summary | true |
Comments | The serial number could be included as an identifier. |
Medication.code | |
Element Id | Medication.code |
Definition | 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. |
Cardinality | 0..1 |
Terminology Binding | SNOMED CT Medication Codes (Example) |
Type | CodeableConcept |
Summary | true |
Comments | Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one). |
Medication.status | |
Element Id | Medication.status |
Definition | A code to indicate if the medication is in active use. |
Cardinality | 0..1 |
Terminology Binding | Medication Status Codes (Required) |
Type | code |
Is Modifier | true (Reason: This element changes the interpretation of all descriptive attributes.) |
Summary | true |
Comments | This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status. |
Medication.manufacturer | |
Element Id | Medication.manufacturer |
Definition | Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product. |
Cardinality | 0..1 |
Type | Reference(Organization) |
Summary | true |
Medication.form | |
Element Id | Medication.form |
Definition | Describes the form of the item. Powder; tablets; capsule. |
Cardinality | 0..1 |
Terminology Binding | SNOMED CT Form Codes (Example) |
Type | CodeableConcept |
Summary | false |
Comments | When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form. |
Medication.amount | |
Element Id | Medication.amount |
Definition | 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.). |
Cardinality | 0..1 |
Type | Ratio |
Summary | true |
Medication.ingredient | |
Element Id | Medication.ingredient |
Definition | Identifies a particular constituent of interest in the product. |
Cardinality | 0..* |
Summary | false |
Comments | The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients. |
Medication.ingredient.item[x] | |
Element Id | Medication.ingredient.item[x] |
Definition | The actual ingredient - either a substance (simple ingredient) or another medication of a medication. |
Cardinality | 1..1 |
Type | CodeableConcept|Reference(Substance | Medication) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Requirements | The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). |
Summary | false |
Medication.ingredient.isActive | |
Element Id | Medication.ingredient.isActive |
Definition | Indication of whether this ingredient affects the therapeutic action of the drug. |
Cardinality | 0..1 |
Type | boolean |
Requirements | 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). |
Summary | false |
Medication.ingredient.strength | |
Element Id | Medication.ingredient.strength |
Definition | Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet. |
Cardinality | 0..1 |
Type | Ratio |
Summary | false |
Medication.batch | |
Element Id | Medication.batch |
Definition | Information that only applies to packages (not products). |
Cardinality | 0..1 |
Summary | false |
Medication.batch.lotNumber | |
Element Id | Medication.batch.lotNumber |
Definition | The assigned lot number of a batch of the specified product. |
Cardinality | 0..1 |
Type | string |
Summary | false |
Medication.batch.expirationDate | |
Element Id | Medication.batch.expirationDate |
Definition | When this specific batch of product will expire. |
Cardinality | 0..1 |
Type | dateTime |
Summary | false |