Name Flags Card. Type Description & Constraints MedicinalProductLM 0..* Base Medicinal product Instances of this logical model can be the target of a Reference identifier 0..* Class The identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings. medicinalProductIdentifier 0..* II Identifier at the product level - can be MPID or national identifier packagedProductIdentifier 0..* II Identifier at the package level - can be PCID or national pharmaceuticalProductIdentifier 0..* II Identifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code productCode 0..1 CD Code for the product that is actually being specified, in established terminologies classification 0..* CD Classification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.) packSize 0..* PQ Overall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries) productName 0..* Class Name of the product (full name, invented name, other) name 1..1 ST Name of type and language that is relevant for the users language 0..1 CD Language of the name type 0..1 CD Type of the name (full name, common name, etc) doseForm 0..1 CD Dose form(s) on a product level. Dose form for a single package item is defined below. item 0..* Class A medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined doseForm 0..1 CD Dose form ingredient 1..* Class Ingredients role 0..1 CD Role (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected. substance 1..1 CD Substance strengthInfo 0..* Class Concentration or presentation strength strength 1..1 RTO Concentration or presentation strength of the precise active ingredient strengthType 0..1 CD Type of strength that is expressed strengthSubstance 0..1 CD Substance that the strength refers to, if different from the main substance unitOfPresentation 0..1 CD Unit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package. containedQuantity 0..1 PQ Manufactured item quantity for liquids (3ml/vial) amount 0..1 PQ Number of such manufactured items in this product (5 vials) device 0..* Class Administration device included in the product deviceQuantity 1..1 PQ Number of such devices device 1..1 CD Device coded Documentation for this format
Integrating the Healthcare Enterprise (IHE)
Medication information. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile.
IHE http://www.ihe.net/Governance/#Intellectual_Property
The identifier(s) of the product, independently of the level of product. If several identifiers are specified, they shall not have conflicting meanings.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Must have either extensions or value[x], not both
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Identifier at the product level - can be MPID or national identifier
Identifier at the package level - can be PCID or national
Identifier at the virtual or administrable product level - can be PhPID or national virtual/administrable product code
Code for the product that is actually being specified, in established terminologies
Classification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.)
Overall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries)
Name of the product (full name, invented name, other)
Name of type and language that is relevant for the users
Type of the name (full name, common name, etc)
Dose form(s) on a product level. Dose form for a single package item is defined below.
A medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined
Role (active ingredient, excipient). Typically excipients are not needed, so by default active ingredients are expected.
Concentration or presentation strength of the precise active ingredient
Substance that the strength refers to, if different from the main substance
Unit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package.
Manufactured item quantity for liquids (3ml/vial)
Number of such manufactured items in this product (5 vials)
Administration device included in the product