Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Logical Model: Medication Information

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/MedicationInformation Version: 3.0.0-ballot
Draft as of 2023-12-21 Computable Name: MedicationInformation
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.23:2014-06-09

A medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).

The dose (doseQuantity) represents how many of the consumables are to be administered at each administration event. As a result, the dose is always relative to the consumable. Thus, a patient consuming a single “metoprolol 25mg tablet” per administration will have a doseQuantity of “1”, whereas a patient consuming “metoprolol” will have a dose of “25 mg”.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ManufacturedProduct

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct ManufacturedProductXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:med-information 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.23
..... @extension 1..1stRequired Pattern: 2014-06-09
... @classCode 1..1cs
... id 0..*II
.... code 1..1CEBinding: Medication Clinical Drug (required)
..... translation 0..*CDTranslations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69).
Binding: Clinical Substance (preferred)
... manufacturerOrganization 0..1Organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ManufacturedProduct.manufacturedMaterial.coderequiredMedicationClinicalDrug
ManufacturedProduct.manufacturedMaterial.code.translationpreferredClinicalSubstance
NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C1..1ManufacturedProductXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:med-information 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.23
..... @extension 1..1stRequired Pattern: 2014-06-09
... @classCode 1..1csBinding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..*II
.... code 1..1CEBinding: Medication Clinical Drug (required)
..... translation 0..*CDTranslations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69).
Binding: Clinical Substance (preferred)
... manufacturerOrganization 0..1Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ManufacturedProduct.classCoderequiredFixed Value: MANU
ManufacturedProduct.manufacturedMaterial.coderequiredMedicationClinicalDrug
ManufacturedProduct.manufacturedMaterial.code.translationpreferredClinicalSubstance

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C1..1ManufacturedProductXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
.... templateId:med-information 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.23
..... @extension 1..1stRequired Pattern: 2014-06-09
... @classCode 1..1csBinding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..*II
... sdtcIdentifiedBy 0..*IdentifiedByXML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... (Choice of one) 1..1
.... manufacturedLabeledDrug 0..1LabeledDrug
.... manufacturedMaterial 1..1MaterialA medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @classCode 0..1csBinding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
..... @determinerCode 0..1csBinding: EntityDeterminerDetermined (required)
Fixed Value: KIND
..... code 1..1CEBinding: Medication Clinical Drug (required)
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @code 0..1cs
...... @codeSystem 0..1oid, uuid, ruid
...... @codeSystemName 0..1st
...... @codeSystemVersion 0..1st
...... @displayName 0..1st
...... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
...... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... translation 0..*CDTranslations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69).
Binding: Clinical Substance (preferred)
..... name 0..1EN
..... lotNumberText 0..1ST
... manufacturerOrganization 0..1Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ManufacturedProduct.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.typeId.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.templateId:med-information.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.classCoderequiredFixed Value: MANU
ManufacturedProduct.manufacturedMaterial.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.manufacturedMaterial.typeId.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.manufacturedMaterial.classCoderequiredFixed Value: MMAT
ManufacturedProduct.manufacturedMaterial.determinerCoderequiredFixed Value: KIND
ManufacturedProduct.manufacturedMaterial.coderequiredMedicationClinicalDrug
ManufacturedProduct.manufacturedMaterial.code.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.manufacturedMaterial.code.translationpreferredClinicalSubstance

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1

This structure is derived from ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

  • The element ManufacturedProduct.templateId is sliced based on the values of value:root, value:extension

Differential View

This structure is derived from ManufacturedProduct

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct ManufacturedProductXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:med-information 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.23
..... @extension 1..1stRequired Pattern: 2014-06-09
... @classCode 1..1cs
... id 0..*II
.... code 1..1CEBinding: Medication Clinical Drug (required)
..... translation 0..*CDTranslations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69).
Binding: Clinical Substance (preferred)
... manufacturerOrganization 0..1Organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ManufacturedProduct.manufacturedMaterial.coderequiredMedicationClinicalDrug
ManufacturedProduct.manufacturedMaterial.code.translationpreferredClinicalSubstance

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C1..1ManufacturedProductXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:med-information 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.23
..... @extension 1..1stRequired Pattern: 2014-06-09
... @classCode 1..1csBinding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..*II
.... code 1..1CEBinding: Medication Clinical Drug (required)
..... translation 0..*CDTranslations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69).
Binding: Clinical Substance (preferred)
... manufacturerOrganization 0..1Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ManufacturedProduct.classCoderequiredFixed Value: MANU
ManufacturedProduct.manufacturedMaterial.coderequiredMedicationClinicalDrug
ManufacturedProduct.manufacturedMaterial.code.translationpreferredClinicalSubstance

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ManufacturedProduct C1..1ManufacturedProductXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, id, sdtcIdentifiedBy, manufacturedLabeledDrug, manufacturedMaterial, manufacturerOrganization
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
.... templateId:med-information 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.23
..... @extension 1..1stRequired Pattern: 2014-06-09
... @classCode 1..1csBinding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
... id 0..*II
... sdtcIdentifiedBy 0..*IdentifiedByXML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... (Choice of one) 1..1
.... manufacturedLabeledDrug 0..1LabeledDrug
.... manufacturedMaterial 1..1MaterialA medication should be recorded as a pre-coordinated ingredient + strength + dose form (e.g., “metoprolol 25mg tablet”, “amoxicillin 400mg/5mL suspension”) where possible. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack).
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @classCode 0..1csBinding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
..... @determinerCode 0..1csBinding: EntityDeterminerDetermined (required)
Fixed Value: KIND
..... code 1..1CEBinding: Medication Clinical Drug (required)
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @code 0..1cs
...... @codeSystem 0..1oid, uuid, ruid
...... @codeSystemName 0..1st
...... @codeSystemVersion 0..1st
...... @displayName 0..1st
...... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
...... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... translation 0..*CDTranslations may also be sent with NDC codes (Codesystem urn:oid:2.16.840.1.113883.6.69).
Binding: Clinical Substance (preferred)
..... name 0..1EN
..... lotNumberText 0..1ST
... manufacturerOrganization 0..1Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ManufacturedProduct.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.typeId.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.templateId:med-information.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.classCoderequiredFixed Value: MANU
ManufacturedProduct.manufacturedMaterial.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.manufacturedMaterial.typeId.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.manufacturedMaterial.classCoderequiredFixed Value: MMAT
ManufacturedProduct.manufacturedMaterial.determinerCoderequiredFixed Value: KIND
ManufacturedProduct.manufacturedMaterial.coderequiredMedicationClinicalDrug
ManufacturedProduct.manufacturedMaterial.code.nullFlavorrequiredCDANullFlavor
ManufacturedProduct.manufacturedMaterial.code.translationpreferredClinicalSubstance

Constraints

IdGradePath(s)DetailsRequirements
product-choiceerrorManufacturedProductmanufacturedLabeledDrug and manufacturedMaterial are mutually exclusive (one must be present)
: (manufacturedLabeledDrug | manufacturedMaterial).count() = 1

This structure is derived from ManufacturedProduct

Summary

Mandatory: 7 elements

Slices

This structure defines the following Slices:

  • The element ManufacturedProduct.templateId is sliced based on the values of value:root, value:extension

 

Other representations of profile: CSV, Excel