FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Pharmacy Work GroupMaturity Level: 3 Trial UseCompartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the Medication resource.

Medication
Definition

This resource is primarily used for the identification and definition of a medication. It covers the ingredients and the packaging for a medication.

Control1..1
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.

Control0..1
Terminology BindingSNOMED CT Medication Codes (Example)
TypeCodeableConcept
Summarytrue
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.

Medication.status
Definition

A code to indicate if the medication is in active use.

Control0..1
Terminology BindingMedicationStatus (Required)
Typecode
Summarytrue
Comments

This status is not intended to specify if a medication is part of a formulary.

Medication.isBrand
Definition

Set to true if the item is attributable to a specific manufacturer.

Control0..1
Typeboolean
Summarytrue
Medication.isOverTheCounter
Definition

Set to true if the medication can be obtained without an order from a prescriber.

Control0..1
Typeboolean
Summarytrue
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.

Control0..1
TypeReference(Organization)
Summarytrue
Medication.form
Definition

Describes the form of the item. Powder; tablets; capsule.

Control0..1
Terminology BindingSNOMED CT Form Codes (Example)
TypeCodeableConcept
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.ingredient
Definition

Identifies a particular constituent of interest in the product.

Control0..*
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]
Definition

The actual ingredient - either a substance (simple ingredient) or another medication.

Control1..1
TypeCodeableConcept|Reference(Substance | Medication)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Medication.ingredient.isActive
Definition

Indication of whether this ingredient affects the therapeutic action of the drug.

Control0..1
Typeboolean
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).

Medication.ingredient.amount
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.

Control0..1
TypeRatio
Medication.package
Definition

Information that only applies to packages (not products).

Control0..1
Medication.package.container
Definition

The kind of container that this package comes as.

Control0..1
Terminology BindingMedicationContainer (Example)
TypeCodeableConcept
Medication.package.content
Definition

A set of components that go to make up the described item.

Control0..*
Medication.package.content.item[x]
Definition

Identifies one of the items in the package.

Control1..1
TypeCodeableConcept|Reference(Medication)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Medication.package.content.amount
Definition

The amount of the product that is in the package.

Control0..1
TypeSimpleQuantity
Medication.package.batch
Definition

Information about a group of medication produced or packaged from one production run.

Control0..*
Medication.package.batch.lotNumber
Definition

The assigned lot number of a batch of the specified product.

Control0..1
Typestring
Medication.package.batch.expirationDate
Definition

When this specific batch of product will expire.

Control0..1
TypedateTime
Medication.image
Definition

Photo(s) or graphic representation(s) of the medication.

Control0..*
TypeAttachment
Requirements

Note that "image" is only applicable when the medication.code represents a physical item (e.g. Amoxil 250 mg capsule) and not an abstract item (e.g. amoxicillin 250 mg).