R6 Ballot (2nd Draft)

Publish-box (todo)

Biomedical Research and Regulation icon Work GroupMaturity Level: 3 Trial UseSecurity Category: Anonymous Compartments: No defined compartments

Detailed Descriptions for the elements in the MedicinalProductDefinition resource.

MedicinalProductDefinition
Element Id MedicinalProductDefinition
Definition

A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs).

Short Display Detailed definition of a medicinal product
Cardinality 0..*
Type DomainResource
Summary false
MedicinalProductDefinition.identifier
Element Id MedicinalProductDefinition.identifier
Definition

Business identifier for this product. Could be an MPID. When in development or being regulated, products are typically referenced by official identifiers, assigned by a manufacturer or regulator, and unique to a product (which, when compared to a product instance being prescribed, is actually a product type). See also MedicinalProductDefinition.code.

Short Display Business identifier for this product. Could be an MPID
Note This is a business identifier, not a resource identifier (see discussion)
Cardinality 0..*
Type Identifier
Alternate Names MPID
Summary true
MedicinalProductDefinition.type
Element Id MedicinalProductDefinition.type
Definition

Regulatory type, e.g. Investigational or Authorized.

Short Display Regulatory type, e.g. Investigational or Authorized
Cardinality 0..1
Terminology Binding Medicinal Product Type (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.domain
Element Id MedicinalProductDefinition.domain
Definition

If this medicine applies to human or veterinary uses.

Short Display If this medicine applies to human or veterinary uses
Cardinality 0..1
Terminology Binding Medicinal Product Domain (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.version
Element Id MedicinalProductDefinition.version
Definition

A business identifier relating to a specific version of the product, this is commonly used to support revisions to an existing product.

Short Display A business identifier relating to a specific version of the product
Note This is a business versionId, not a resource version id (see discussion)
Cardinality 0..1
Type string
Summary true
MedicinalProductDefinition.status
Element Id MedicinalProductDefinition.status
Definition

The status within the lifecycle of this product record. A high-level status, this is not intended to duplicate details carried elsewhere such as legal status, or authorization status.

Short Display The status within the lifecycle of this product record
Cardinality 0..1
Terminology Binding PublicationStatus (Preferred)
Type CodeableConcept
Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid)
Summary true
MedicinalProductDefinition.statusDate
Element Id MedicinalProductDefinition.statusDate
Definition

The date at which the given status became applicable.

Short Display The date at which the given status became applicable
Cardinality 0..1
Type dateTime
Summary true
MedicinalProductDefinition.description
Element Id MedicinalProductDefinition.description
Definition

General description of this product.

Short Display General description of this product
Cardinality 0..1
Type markdown
Summary true
MedicinalProductDefinition.combinedPharmaceuticalDoseForm
Element Id MedicinalProductDefinition.combinedPharmaceuticalDoseForm
Definition

The dose form for a single part product, or combined form of a multiple part product. This is one concept that describes all the components. It does not represent the form with components physically mixed, if that might be necessary, for which see (AdministrableProductDefinition.administrableDoseForm).

Short Display The dose form for a single part product, or combined form of a multiple part product
Cardinality 0..1
Terminology Binding Combined Dose Form (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.route
Element Id MedicinalProductDefinition.route
Definition

The path by which the product is taken into or makes contact with the body. In some regions this is referred to as the licenced or approved route. See also AdministrableProductDefinition resource. MedicinalProductDefinition.route is the same concept as AdministrableProductDefinition.routeOfAdministration.code, and they cannot be used together.

Short Display The path by which the product is taken into or makes contact with the body
Cardinality 0..*
Terminology Binding SNOMED CT Route Codes (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.indication
Element Id MedicinalProductDefinition.indication
Definition

Description of indication(s) for this product, used when structured indications are not required. In cases where structured indications are required, they are captured using the ClinicalUseDefinition resource. An indication is a medical situation for which using the product is appropriate.

Short Display Description of indication(s) for this product, used when structured indications are not required
Cardinality 0..1
Type markdown
Summary true
MedicinalProductDefinition.legalStatusOfSupply
Element Id MedicinalProductDefinition.legalStatusOfSupply
Definition

The legal status of supply of the medicinal product as classified by the regulator.

Short Display The legal status of supply of the medicinal product as classified by the regulator
Cardinality 0..1
Terminology Binding Legal Status Of Supply (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.additionalMonitoringIndicator
Element Id MedicinalProductDefinition.additionalMonitoringIndicator
Definition

Whether the Medicinal Product is subject to additional monitoring for regulatory reasons, such as heightened reporting requirements.

Short Display Whether the Medicinal Product is subject to additional monitoring for regulatory reasons
Cardinality 0..1
Terminology Binding Additional Monitoring (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.specialMeasures
Element Id MedicinalProductDefinition.specialMeasures
Definition

Whether the Medicinal Product is subject to special measures for regulatory reasons, such as a requirement to conduct post-authorization studies.

Short Display Whether the Medicinal Product is subject to special measures for regulatory reasons
Cardinality 0..*
Terminology Binding Special Measures (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.pediatricUseIndicator
Element Id MedicinalProductDefinition.pediatricUseIndicator
Definition

If authorised for use in children, or infants, neonates etc.

Short Display If authorised for use in children
Cardinality 0..1
Terminology Binding Pediatric Use (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.classification
Element Id MedicinalProductDefinition.classification
Definition

Allows the product to be classified by various systems, commonly WHO ATC.

Short Display Allows the product to be classified by various systems
Cardinality 0..*
Terminology Binding Product Classification (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.marketingStatus
Element Id MedicinalProductDefinition.marketingStatus
Definition

Marketing status of the medicinal product, in contrast to marketing authorization. This refers to the product being actually 'on the market' as opposed to being allowed to be on the market (which is an authorization).

Short Display Marketing status of the medicinal product, in contrast to marketing authorization
Cardinality 0..*
Type MarketingStatus
Summary true
MedicinalProductDefinition.packagedMedicinalProduct
Element Id MedicinalProductDefinition.packagedMedicinalProduct
Definition

Package type for the product. See also the PackagedProductDefinition resource.

Short Display Package type for the product
Cardinality 0..*
Terminology Binding Medicinal Product Package Type (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.comprisedOf
Element Id MedicinalProductDefinition.comprisedOf
Definition

Types of medicinal manufactured items and/or devices that this product consists of, such as tablets, capsule, or syringes. Used as a direct link when the item's packaging is not being recorded (see also PackagedProductDefinition.package.containedItem.item).

Short Display Types of medicinal manufactured items and/or devices that this product consists of, such as tablets, capsule, or syringes
Cardinality 0..*
Type Reference(ManufacturedItemDefinition | DeviceDefinition)
Summary true
MedicinalProductDefinition.ingredient
Element Id MedicinalProductDefinition.ingredient
Definition

The ingredients of this medicinal product - when not detailed in other resources. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource, or indirectly via incoming AdministrableProductDefinition, PackagedProductDefinition or ManufacturedItemDefinition references. In cases where those levels of detail are not used, the ingredients may be specified directly here as codes.

Short Display The ingredients of this medicinal product - when not detailed in other resources
Cardinality 0..*
Terminology Binding SNOMED CT Substance Codes (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.impurity
Element Id MedicinalProductDefinition.impurity
Definition

Any component of the drug product which is not the chemical entity defined as the drug substance, or an excipient in the drug product. This includes process-related impurities and contaminants, product-related impurities including degradation products.

Short Display Any component of the drug product which is not the chemical entity defined as the drug substance, or an excipient in the drug product
Cardinality 0..*
Terminology Binding SNOMED CT Substance Codes (Example)
Type CodeableReference(SubstanceDefinition)
Summary true
MedicinalProductDefinition.attachedDocument
Element Id MedicinalProductDefinition.attachedDocument
Definition

Additional information or supporting documentation about the medicinal product.

Short Display Additional documentation about the medicinal product
Cardinality 0..*
Type Reference(DocumentReference)
Summary true
MedicinalProductDefinition.masterFile
Element Id MedicinalProductDefinition.masterFile
Definition

A master file for the medicinal product (e.g. Pharmacovigilance System Master File). Drug master files (DMFs) are documents submitted to regulatory agencies to provide confidential detailed information about facilities, processes or articles used in the manufacturing, processing, packaging and storing of drug products.

Short Display A master file for the medicinal product (e.g. Pharmacovigilance System Master File)
Cardinality 0..*
Type Reference(DocumentReference)
Summary true
MedicinalProductDefinition.contact
Element Id MedicinalProductDefinition.contact
Definition

A product specific contact, person (in a role), or an organization.

Short Display A product specific contact, person (in a role), or an organization
Cardinality 0..*
Summary true
MedicinalProductDefinition.contact.type
Element Id MedicinalProductDefinition.contact.type
Definition

Allows the contact to be classified, for example QPPV, Pharmacovigilance Enquiry Information.

Short Display Allows the contact to be classified, for example QPPV, Pharmacovigilance Enquiry Information
Cardinality 0..1
Terminology Binding Product Contact Type (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.contact.contact
Element Id MedicinalProductDefinition.contact.contact
Definition

A product specific contact, person (in a role), or an organization.

Short Display A product specific contact, person (in a role), or an organization
Cardinality 1..1
Type Reference(Organization | PractitionerRole)
Summary true
MedicinalProductDefinition.clinicalTrial
Element Id MedicinalProductDefinition.clinicalTrial
Definition

Clinical trials or studies that this product is involved in.

Short Display Clinical trials or studies that this product is involved in
Cardinality 0..*
Type Reference(ResearchStudy)
Summary true
MedicinalProductDefinition.code
Element Id MedicinalProductDefinition.code
Definition

A code that this product is known by, usually within some formal terminology, perhaps assigned by a third party (i.e. not the manufacturer or regulator). Products (types of medications) tend to be known by identifiers during development and within regulatory process. However when they are prescribed they tend to be identified by codes. The same product may be have multiple codes, applied to it by multiple organizations.

Short Display A code that this product is known by, within some formal terminology
Cardinality 0..*
Terminology Binding SNOMED CT Medication Codes (Example)
Type Coding
Summary true
MedicinalProductDefinition.name
Element Id MedicinalProductDefinition.name
Definition

The product's name, including full name and possibly coded parts.

Short Display The product's name, including full name and possibly coded parts
Cardinality 1..*
Summary true
MedicinalProductDefinition.name.productName
Element Id MedicinalProductDefinition.name.productName
Definition

The full product name.

Short Display The full product name
Cardinality 1..1
Type string
Summary true
MedicinalProductDefinition.name.type
Element Id MedicinalProductDefinition.name.type
Definition

Type of product name, such as rINN, BAN, Proprietary, Non-Proprietary.

Short Display Type of product name, such as rINN, BAN, Proprietary, Non-Proprietary
Cardinality 0..1
Terminology Binding Product Name Type (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.name.part
Element Id MedicinalProductDefinition.name.part
Definition

Coding words or phrases of the name.

Short Display Coding words or phrases of the name
Cardinality 0..*
Summary true
MedicinalProductDefinition.name.part.part
Element Id MedicinalProductDefinition.name.part.part
Definition

A fragment of a product name.

Short Display A fragment of a product name
Cardinality 1..1
Type string
Summary true
MedicinalProductDefinition.name.part.type
Element Id MedicinalProductDefinition.name.part.type
Definition

Identifying type for this part of the name (e.g. strength part).

Short Display Identifying type for this part of the name (e.g. strength part)
Cardinality 1..1
Terminology Binding Product Name Part Type (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.name.usage
Element Id MedicinalProductDefinition.name.usage
Definition

Country and jurisdiction where the name applies, and associated language.

Short Display Country and jurisdiction where the name applies
Cardinality 0..*
Summary true
MedicinalProductDefinition.name.usage.country
Element Id MedicinalProductDefinition.name.usage.country
Definition

Country code for where this name applies.

Short Display Country code for where this name applies
Cardinality 1..1
Terminology Binding Country ValueSet (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.name.usage.jurisdiction
Element Id MedicinalProductDefinition.name.usage.jurisdiction
Definition

Jurisdiction code for where this name applies. A jurisdiction may be a sub- or supra-national entity (e.g. a state or a geographic region).

Short Display Jurisdiction code for where this name applies
Cardinality 0..1
Terminology Binding Jurisdiction ValueSet (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.name.usage.language
Element Id MedicinalProductDefinition.name.usage.language
Definition

Language code for this name.

Short Display Language code for this name
Cardinality 1..1
Terminology Binding All Languages (Required)
Additional BindingsPurpose
Common Languages Starter Set
Type CodeableConcept
Summary true
MedicinalProductDefinition.crossReference
Element Id MedicinalProductDefinition.crossReference
Definition

Reference to another product, e.g. for linking authorised to investigational product, or a virtual product.

Short Display Reference to another product, e.g. for linking authorised to investigational product
Cardinality 0..*
Summary true
MedicinalProductDefinition.crossReference.product
Element Id MedicinalProductDefinition.crossReference.product
Definition

Reference to another product, e.g. for linking authorised to investigational product.

Short Display Reference to another product, e.g. for linking authorised to investigational product
Cardinality 1..1
Type CodeableReference(MedicinalProductDefinition)
Summary true
MedicinalProductDefinition.crossReference.type
Element Id MedicinalProductDefinition.crossReference.type
Definition

The type of relationship, for instance branded to generic, virtual to actual product, product to development product (investigational), parallel import version.

Short Display The type of relationship, for instance branded to generic or virtual to actual product
Cardinality 0..1
Terminology Binding Product Cross Reference Type (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.operation
Element Id MedicinalProductDefinition.operation
Definition

A manufacturing or administrative process or step associated with (or performed on) the medicinal product.

Short Display A manufacturing or administrative process for the medicinal product
Cardinality 0..*
Summary true
MedicinalProductDefinition.operation.type
Element Id MedicinalProductDefinition.operation.type
Definition

The type of manufacturing operation e.g. manufacturing itself, re-packaging. For the authorization of this, a RegulatedAuthorization would point to the same plan or activity referenced here.

Short Display The type of manufacturing operation e.g. manufacturing itself, re-packaging
Cardinality 0..1
Type CodeableReference(ActivityDefinition | PlanDefinition)
Summary true
MedicinalProductDefinition.operation.effectiveDate
Element Id MedicinalProductDefinition.operation.effectiveDate
Definition

Date range of applicability.

Short Display Date range of applicability
Cardinality 0..1
Type Period
Summary true
MedicinalProductDefinition.operation.organization
Element Id MedicinalProductDefinition.operation.organization
Definition

The organization or establishment responsible for (or associated with) the particular process or step, examples include the manufacturer, importer, agent.

Short Display The organization responsible for the particular process, e.g. the manufacturer or importer
Cardinality 0..*
Type Reference(Organization)
Summary true
MedicinalProductDefinition.operation.confidentialityIndicator
Element Id MedicinalProductDefinition.operation.confidentialityIndicator
Definition

Specifies whether this particular business or manufacturing process is considered proprietary or confidential.

Short Display Specifies whether this process is considered proprietary or confidential
Cardinality 0..1
Terminology Binding Product Confidentiality (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.characteristic
Element Id MedicinalProductDefinition.characteristic
Definition

Allows the key product features to be recorded, such as "sugar free", "modified release", "parallel import".

Short Display Key product features such as "sugar free", "modified release"
Cardinality 0..*
Summary true
MedicinalProductDefinition.characteristic.type
Element Id MedicinalProductDefinition.characteristic.type
Definition

A code expressing the type of characteristic.

Short Display A code expressing the type of characteristic
Cardinality 1..1
Terminology Binding Product Characteristic (Example)
Type CodeableConcept
Summary true
MedicinalProductDefinition.characteristic.value[x]
Element Id MedicinalProductDefinition.characteristic.value[x]
Definition

A value for the characteristic.text.

Short Display A value for the characteristic
Cardinality 0..1
Type CodeableConcept|markdown|Quantity|integer|date|boolean|Attachment
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary true
Comments

Text, as markdown, is intended to be used only when the item cannot ever reasonably be coded. Otherwise, for cases where a code is not available, but is feasible, use CodeableConcept.text.