Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/4.0/StructureDefinition/profile-MedicinalProductIndication | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: Profile_R4_MedicinalProductIndication_R4B | ||
This cross-version profile allows R4 MedicinalProductIndication content to be represented via FHIR R4B Basic resources.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.code | Base | example | Basic Resource Types | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Basic.implicitRules, Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension, Basic.code | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Basic
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  Basic |
0..* | Basic(4.3.0) | Resource for non-supported content | |||||
  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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
   extension:diseaseSymptomProcedure |
0..1 | CodeableConcept | R4: The disease, symptom or procedure that is the indication for treatment (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.diseaseSymptomProcedure Constraints: ext-1 | |||||
| extension:diseaseStatus |
0..1 | CodeableConcept | R4: The status of the disease or symptom for which the indication applies (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.diseaseStatus Constraints: ext-1 | |||||
| extension:comorbidity |
0..* | CodeableConcept | R4: Comorbidity (concurrent condition) or co-infection as part of the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.comorbidity Constraints: ext-1 | |||||
| extension:intendedEffect |
0..1 | CodeableConcept | R4: The intended effect, aim or strategy to be achieved by the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.intendedEffect Constraints: ext-1 | |||||
| extension:duration |
0..1 | Quantity | R4: Timing or duration information as part of the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.duration Constraints: ext-1 | |||||
| extension:otherTherapy |
0..* | (Complex) | R4: Information about the use of the medicinal product in relation to other therapies described as part of the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.otherTherapy Constraints: ext-1 | |||||
| extension:undesirableEffect |
0..* | Reference(Cross-version Profile for R4.MedicinalProductUndesirableEffect for use in FHIR R4B(0.1.0) | Basic) | R4: Describe the undesirable effects of the medicinal product (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.undesirableEffect Constraints: ext-1 | |||||
 extension:population |
0..* | (Complex) | R4: The population group to which this applies (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.population Constraints: ext-1 | |||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier | ||||
| code |
?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): HL7-maintained set of codes for "Basic" resources | ||||
 subject |
Σ | 0..1 | Reference(Resource) | Identifies the focus of this resource | ||||
| created |
Σ | 0..1 | date | When created | ||||
 author |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Who created | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| Basic.code | Base | example | Basic Resource Types | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | A resource should have narrative for robust management |
text.`div`.exists()
|
| dom-r4b | warning | Basic.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | Basic.meta, Basic.implicitRules, Basic.language, Basic.text, Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension, Basic.identifier, Basic.code, Basic.subject, Basic.created, Basic.author | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Basic
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.code | Base | example | Basic Resource Types | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Basic.implicitRules, Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension, Basic.code | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Basic
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Basic |
0..* | Basic(4.3.0) | Resource for non-supported content | |||||
| 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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:diseaseSymptomProcedure |
0..1 | CodeableConcept | R4: The disease, symptom or procedure that is the indication for treatment (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.diseaseSymptomProcedure Constraints: ext-1 | |||||
| extension:diseaseStatus |
0..1 | CodeableConcept | R4: The status of the disease or symptom for which the indication applies (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.diseaseStatus Constraints: ext-1 | |||||
| extension:comorbidity |
0..* | CodeableConcept | R4: Comorbidity (concurrent condition) or co-infection as part of the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.comorbidity Constraints: ext-1 | |||||
| extension:intendedEffect |
0..1 | CodeableConcept | R4: The intended effect, aim or strategy to be achieved by the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.intendedEffect Constraints: ext-1 | |||||
| extension:duration |
0..1 | Quantity | R4: Timing or duration information as part of the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.duration Constraints: ext-1 | |||||
| extension:otherTherapy |
0..* | (Complex) | R4: Information about the use of the medicinal product in relation to other therapies described as part of the indication (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.otherTherapy Constraints: ext-1 | |||||
| extension:undesirableEffect |
0..* | Reference(Cross-version Profile for R4.MedicinalProductUndesirableEffect for use in FHIR R4B(0.1.0) | Basic) | R4: Describe the undesirable effects of the medicinal product (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.undesirableEffect Constraints: ext-1 | |||||
| extension:population |
0..* | (Complex) | R4: The population group to which this applies (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductIndication.population Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier | ||||
| code |
?!Σ | 1..1 | CodeableConcept | Kind of Resource Binding: BasicResourceTypes (example): HL7-maintained set of codes for "Basic" resources | ||||
| subject |
Σ | 0..1 | Reference(Resource) | Identifies the focus of this resource | ||||
| created |
Σ | 0..1 | date | When created | ||||
| author |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Who created | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| Basic.code | Base | example | Basic Resource Types | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | A resource should have narrative for robust management |
text.`div`.exists()
|
| dom-r4b | warning | Basic.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | Basic.meta, Basic.implicitRules, Basic.language, Basic.text, Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension, Basic.identifier, Basic.code, Basic.subject, Basic.created, Basic.author | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Basic.extension, Basic.extension:diseaseSymptomProcedure, Basic.extension:diseaseStatus, Basic.extension:comorbidity, Basic.extension:intendedEffect, Basic.extension:duration, Basic.extension:otherTherapy, Basic.extension:undesirableEffect, Basic.extension:population, Basic.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Basic
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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