Cumuluz Translate Implementation Guide
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Resource Profile: XibMedication - Detailed Descriptions

Draft as of 2026-07-11

Definitions for the xib-Medication resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Medication
Definitie

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

KortDefinition of a Medication
Control0..*
Is modifierfalse
Samenvattingfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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 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(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.implicitRules
Definitie

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

KortA set of rules under which this content was created
Opmerkingen

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is modifiertrue omdat This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Samenvattingtrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Medication.extension:productName
SlicenaamproductName
Definitie

Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

KortCurrent trade name (authorised name) of the medicinal product.
Control0..1
Dit element wordt geraakt door de volgende invariants: ele-1
TypeExtension(Medication - Product Name) (Extensie type: string)
Is modifierfalse
Samenvattingfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Medication.extension:classification
Slicenaamclassification
Definitie

Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

KortClassifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
Control0..*
Dit element wordt geraakt door de volgende invariants: ele-1
TypeExtension(Medication - Classification) (Extensie type: CodeableConcept)
Is modifierfalse
Samenvattingfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Medication.extension:sizeOfItem
SlicenaamsizeOfItem
Definitie

Size of a manufactured item or unit of presentation. For example, size of one vial in a package that may contain several vials.

KortSize of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)
Control0..1
Dit element wordt geraakt door de volgende invariants: ele-1
TypeExtension(Medication - Size of Item) (Extensie type: Quantity)
Is modifierfalse
Samenvattingfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Medication.extension:characteristic
Slicenaamcharacteristic
Definitie

Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

KortSpecifies other descriptive properties of the medication.
Control0..*
Dit element wordt geraakt door de volgende invariants: ele-1
TypeExtension(Medication - Characteristic) (Complexe extensie)
Is modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Medication.extension:unitOfPresentation
SlicenaamunitOfPresentation
Definitie

Unit of presentation, typically describing the smallest countable package item (e.g tablet, vial, ampoule, etc). Unit of presentation is also often used in describing pack size and the denominator of strength. If the size of presentation unit is relevant, it should be described in sizeOfItem extension.

KortUnit of presentation of the product (e.g. tablet, vial, ampoule, etc)
Control0..1
Dit element wordt geraakt door de volgende invariants: ele-1
TypeExtension(Medication - Unit of presentation) (Extensie type: CodeableConcept)
Is modifierfalse
Samenvattingfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Medication.extension:packageType
SlicenaampackageType
Definitie

This extension applies to Medication and expresses the type of the container for the product (e.g. bottle, unit-dose blister, pre-filled pen).

KortType of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe)
Control0..1
Dit element wordt geraakt door de volgende invariants: ele-1
TypeExtension(Medication: Package type) (Extensie type: CodeableConcept)
Is modifierfalse
Samenvattingfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Medication.extension:device
Slicenaamdevice
Definitie

Device, typically an administration device, included in the medicinal product.

KortDevice, typically an administration device, included in the product.
Control0..*
Dit element wordt geraakt door de volgende invariants: ele-1
TypeExtension(Medication - Device) (Complexe extensie)
Is modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Medication.extension:device.extension
Definitie

An Extension


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 manageable, 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.

KortExtensionAdditional content defined by implementations
Opmerkingen

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.

Control20..*
TypeExtension
Is modifierfalse
Samenvattingfalse
Alternatieve namenextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingDit element introduceert een set slices op Medication.extension.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
  • value @ url
  • 20. Medication.extension:device.extension:device
    Slicenaamdevice
    Definitie

    An Extension

    KortExtensionAdditional content defined by implementations
    Control10..1*
    TypeExtension
    Is modifierfalse
    Samenvattingfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Medication.extension:device.extension:device.extension
    Definitie

    An Extension


    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 manageable, 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.

    KortExtensionAdditional content defined by implementations
    Opmerkingen

    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.

    Control0..0*
    TypeExtension
    Is modifierfalse
    Samenvattingfalse
    Alternatieve namenextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingDit element introduceert een set slices op Medication.extension.extension.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
    • value @ url
    • 24. Medication.extension:device.extension:device.url
      Definitie

      Source of the definition for the extension code - a logical name or a URL.

      Kortidentifies the meaning of the extension
      Opmerkingen

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is modifierfalse
      Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
      Samenvattingfalse
      Vast waardedevice
      26. Medication.extension:device.extension:quantity
      Slicenaamquantity
      Definitie

      An Extension

      KortNumber of defined devices in te packageAdditional content defined by implementations
      Control10..1*
      TypeExtension
      Is modifierfalse
      Samenvattingfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      28. Medication.extension:device.extension:quantity.extension
      Definitie

      An Extension


      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 manageable, 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.

      KortExtensionAdditional content defined by implementations
      Opmerkingen

      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.

      Control0..0*
      TypeExtension
      Is modifierfalse
      Samenvattingfalse
      Alternatieve namenextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingDit element introduceert een set slices op Medication.extension.extension.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
      • value @ url
      • 30. Medication.extension:device.extension:quantity.url
        Definitie

        Source of the definition for the extension code - a logical name or a URL.

        Kortidentifies the meaning of the extension
        Opmerkingen

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is modifierfalse
        Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
        Samenvattingfalse
        Vast waardequantity
        32. Medication.extension:device.url
        Definitie

        Source of the definition for the extension code - a logical name or a URL.

        Kortidentifies the meaning of the extension
        Opmerkingen

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is modifierfalse
        Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
        Samenvattingfalse
        Vast waardehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
        34. Medication.extension:device.value[x]
        Definitie

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        KortValue of extension
        Control0..01
        TypeKeuze uit: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        Is modifierfalse
        Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
        Samenvattingfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. Medication.modifierExtension
        Definitie

        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to 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).

        KortExtensions that cannot be ignored
        Opmerkingen

        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.

        Control0..*
        TypeExtension
        Is modifiertrue omdat Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Samenvattingfalse
        Requirements

        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.

        Alternatieve namenextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        38. Medication.code
        Definitie

        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.

        KortA terminology-based code for the product (e.g. SNOMED CT code)Codes that identify this medication
        Opmerkingen

        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. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

        Control0..1
        BindingVoor voorbeeldcodes, zie SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1
        (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

        A coded concept that defines the type of a medication.

        TypeCodeableConcept
        Is modifierfalse
        Moet ondersteunentrue
        Samenvattingtrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. Medication.status
        Definitie

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

        Kortactive | inactive | entered-in-error
        Opmerkingen

        This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

        Control0..1
        BindingDe codes MOETEN komen uit Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
        (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

        A coded concept defining if the medication is in active use.

        Typecode
        Is modifiertrue omdat This element changes the interpretation of all descriptive attributes.
        Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
        Moet ondersteunentrue
        Samenvattingtrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        42. Medication.form
        Definitie

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

        Kortpowder | tablets | capsule +
        Opmerkingen

        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.

        Control0..1
        BindingVoor voorbeeldcodes, zie eHDSI Dose Form .http://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1
        (example to http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm)
        TypeCodeableConcept
        Is modifierfalse
        Moet ondersteunentrue
        Samenvattingfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. Medication.amount
        Definitie

        Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

        KortAmount of the medication (for example, in a package or a vial)Amount of drug in package
        Control0..1
        TypeRatio
        Is modifierfalse
        Moet ondersteunentrue
        Samenvattingtrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Medication.batch
        Definitie

        Information that only applies to packages (not products).

        KortDetails about packaged medications
        Control0..1
        TypeBackboneElement
        Is modifierfalse
        Samenvattingfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Medication.batch.modifierExtension
        Definitie

        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 manageable, 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).

        KortExtensions that cannot be ignored even if unrecognized
        Opmerkingen

        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.

        Control0..*
        TypeExtension
        Is modifiertrue omdat Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Samenvattingtrue
        Requirements

        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.

        Alternatieve namenextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        50. Medication.batch.lotNumber
        Definitie

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

        KortLot NumberIdentifier assigned to batch
        Control0..1
        Typestring
        Is modifierfalse
        Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
        Moet ondersteunentrue
        Samenvattingfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        Guidance on how to interpret the contents of this table can be foundhere

        0. Medication
        2. Medication.code
        Moet ondersteunentrue
        4. Medication.status
        Moet ondersteunentrue
        6. Medication.form
        Moet ondersteunentrue
        8. Medication.amount
        Moet ondersteunentrue
        10. Medication.batch
        12. Medication.batch.lotNumber
        Moet ondersteunentrue

        Guidance on how to interpret the contents of this table can be foundhere

        0. Medication
        Definitie

        This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

        KortDefinition of a Medication
        Control0..*
        Is modifierfalse
        Samenvattingfalse
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        dom-3: 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 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(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
        dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. Medication.id
        Definitie

        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

        KortLogical id of this artifact
        Opmerkingen

        The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

        Control0..1
        Typeid
        Is modifierfalse
        Samenvattingtrue
        4. Medication.meta
        Definitie

        The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

        KortMetadata about the resource
        Control0..1
        TypeMeta
        Is modifierfalse
        Samenvattingtrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. Medication.implicitRules
        Definitie

        A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

        KortA set of rules under which this content was created
        Opmerkingen

        Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

        Control0..1
        Typeuri
        Is modifiertrue omdat This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
        Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
        Samenvattingtrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        8. Medication.language
        Definitie

        The base language in which the resource is written.

        KortLanguage of the resource content
        Opmerkingen

        Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

        Control0..1
        BindingDe codes ZOUDEN MOETEN komen uit CommonLanguages
        (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

        A human language.

        Additionele bindingsDoel
        AllLanguagesMax binding
        Typecode
        Is modifierfalse
        Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
        Samenvattingfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        10. Medication.text
        Definitie

        A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

        KortText summary of the resource, for human interpretation
        Opmerkingen

        Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

        Control0..1
        TypeNarrative
        Is modifierfalse
        Samenvattingfalse
        Alternatieve namennarrative, html, xhtml, display
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Medication.contained
        Definitie

        These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

        KortContained, inline Resources
        Opmerkingen

        This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

        Control0..*
        TypeResource
        Is modifierfalse
        Samenvattingfalse
        Alternatieve nameninline resources, anonymous resources, contained resources
        14. Medication.extension
        Definitie

        An Extension

        KortExtension
        Control0..*
        TypeExtension
        Is modifierfalse
        Samenvattingfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingDit element introduceert een set slices op Medication.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
        • value @ url
        • 16. Medication.extension:productName
          SlicenaamproductName
          Definitie

          Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

          KortCurrent trade name (authorised name) of the medicinal product.
          Control0..1
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeExtension(Medication - Product Name) (Extensie type: string)
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. Medication.extension:classification
          Slicenaamclassification
          Definitie

          Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

          KortClassifications of the product, e.g ATC, narcotic/psychotropic, orphan drug, etc
          Control0..*
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeExtension(Medication - Classification) (Extensie type: CodeableConcept)
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          20. Medication.extension:sizeOfItem
          SlicenaamsizeOfItem
          Definitie

          Size of a manufactured item or unit of presentation. For example, size of one vial in a package that may contain several vials.

          KortSize of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial)
          Control0..1
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeExtension(Medication - Size of Item) (Extensie type: Quantity)
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          22. Medication.extension:characteristic
          Slicenaamcharacteristic
          Definitie

          Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

          KortSpecifies other descriptive properties of the medication.
          Control0..*
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeExtension(Medication - Characteristic) (Complexe extensie)
          Is modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          24. Medication.extension:unitOfPresentation
          SlicenaamunitOfPresentation
          Definitie

          Unit of presentation, typically describing the smallest countable package item (e.g tablet, vial, ampoule, etc). Unit of presentation is also often used in describing pack size and the denominator of strength. If the size of presentation unit is relevant, it should be described in sizeOfItem extension.

          KortUnit of presentation of the product (e.g. tablet, vial, ampoule, etc)
          Control0..1
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeExtension(Medication - Unit of presentation) (Extensie type: CodeableConcept)
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          26. Medication.extension:packageType
          SlicenaampackageType
          Definitie

          This extension applies to Medication and expresses the type of the container for the product (e.g. bottle, unit-dose blister, pre-filled pen).

          KortType of container. This information is more relevant in cases when the packaging has an impact on administration of the product (e.g. pre-filled syringe)
          Control0..1
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeExtension(Medication: Package type) (Extensie type: CodeableConcept)
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          28. Medication.extension:device
          Slicenaamdevice
          Definitie

          Device, typically an administration device, included in the medicinal product.

          KortDevice, typically an administration device, included in the product.
          Control0..*
          Dit element wordt geraakt door de volgende invariants: ele-1
          TypeExtension(Medication - Device) (Complexe extensie)
          Is modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          30. Medication.extension:device.id
          Definitie

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          KortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is modifierfalse
          Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
          Samenvattingfalse
          32. Medication.extension:device.extension
          Definitie

          An Extension

          KortExtension
          Control2..*
          TypeExtension
          Is modifierfalse
          Samenvattingfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingDit element introduceert een set slices op Medication.extension.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
          • value @ url
          • 34. Medication.extension:device.extension:device
            Slicenaamdevice
            Definitie

            An Extension

            KortExtension
            Control1..1
            TypeExtension
            Is modifierfalse
            Samenvattingfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            36. Medication.extension:device.extension:device.id
            Definitie

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            KortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is modifierfalse
            Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
            Samenvattingfalse
            38. Medication.extension:device.extension:device.extension
            Definitie

            An Extension

            KortExtension
            Control0..0
            TypeExtension
            Is modifierfalse
            Samenvattingfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingDit element introduceert een set slices op Medication.extension.extension.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
            • value @ url
            • 40. Medication.extension:device.extension:device.url
              Definitie

              Source of the definition for the extension code - a logical name or a URL.

              Kortidentifies the meaning of the extension
              Opmerkingen

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is modifierfalse
              Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
              Samenvattingfalse
              Vast waardedevice
              42. Medication.extension:device.extension:device.value[x]
              Definitie

              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

              KortValue of extension
              Control0..1
              BindingVoor voorbeeldcodes, zie eHDSI Package .
              (example to http://terminology.ehdsi.eu/ValueSet/eHDSIPackage)
              TypeCodeableConcept
              [x] NoteZieKeuze uit datatypenvoor verdere informatie over hoe [x] te gebruiken
              Is modifierfalse
              Samenvattingfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Medication.extension:device.extension:quantity
              Slicenaamquantity
              Definitie

              An Extension

              KortNumber of defined devices in te package
              Control1..1
              TypeExtension
              Is modifierfalse
              Samenvattingfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              46. Medication.extension:device.extension:quantity.id
              Definitie

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              KortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is modifierfalse
              Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
              Samenvattingfalse
              48. Medication.extension:device.extension:quantity.extension
              Definitie

              An Extension

              KortExtension
              Control0..0
              TypeExtension
              Is modifierfalse
              Samenvattingfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingDit element introduceert een set slices op Medication.extension.extension.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
              • value @ url
              • 50. Medication.extension:device.extension:quantity.url
                Definitie

                Source of the definition for the extension code - a logical name or a URL.

                Kortidentifies the meaning of the extension
                Opmerkingen

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is modifierfalse
                Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
                Samenvattingfalse
                Vast waardequantity
                52. Medication.extension:device.extension:quantity.value[x]
                Definitie

                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                KortValue of extension
                Control0..1
                TypeQuantity
                [x] NoteZieKeuze uit datatypenvoor verdere informatie over hoe [x] te gebruiken
                Is modifierfalse
                Samenvattingfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                54. Medication.extension:device.url
                Definitie

                Source of the definition for the extension code - a logical name or a URL.

                Kortidentifies the meaning of the extension
                Opmerkingen

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is modifierfalse
                Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
                Samenvattingfalse
                Vast waardehttps://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
                56. Medication.extension:device.value[x]
                Definitie

                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                KortValue of extension
                Control0..0
                TypeKeuze uit: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                Is modifierfalse
                Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
                Samenvattingfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. Medication.modifierExtension
                Definitie

                May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to 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).

                KortExtensions that cannot be ignored
                Opmerkingen

                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.

                Control0..*
                TypeExtension
                Is modifiertrue omdat Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                Samenvattingfalse
                Requirements

                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.

                Alternatieve namenextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                60. Medication.identifier
                Definitie

                Business identifier for this medication.

                KortIdentifier for the medicinal product, its generic representation, or packaged product (e.g. EMA PMS ID on product or package level)
                Opmerkingen

                The serial number could be included as an identifier.

                NotitieDit is een business-identifier, geen resource-identifier (zie discussie)
                Control0..*
                TypeIdentifier
                Is modifierfalse
                Samenvattingtrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                62. Medication.code
                Definitie

                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.

                KortA terminology-based code for the product (e.g. SNOMED CT code)
                Opmerkingen

                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. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

                Control0..1
                BindingVoor voorbeeldcodes, zie SNOMEDCTMedicationCodes
                (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

                A coded concept that defines the type of a medication.

                TypeCodeableConcept
                Is modifierfalse
                Moet ondersteunentrue
                Samenvattingtrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. Medication.status
                Definitie

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

                Kortactive | inactive | entered-in-error
                Opmerkingen

                This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

                Control0..1
                BindingDe codes MOETEN komen uit Medication Status Codes
                (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

                A coded concept defining if the medication is in active use.

                Typecode
                Is modifiertrue omdat This element changes the interpretation of all descriptive attributes.
                Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
                Moet ondersteunentrue
                Samenvattingtrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. Medication.manufacturer
                Definitie

                Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

                KortMarketing authorisation holder of the medicinal product. If the product does not have a marketing authorisation, the manufactured information may be used. It is sufficient to populate only name and optionally an identifier of the organisation.
                Control0..1
                TypeReference(Organization)
                Is modifierfalse
                Samenvattingtrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. Medication.form
                Definitie

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

                Kortpowder | tablets | capsule +
                Opmerkingen

                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.

                Control0..1
                BindingVoor voorbeeldcodes, zie eHDSI Dose Form .
                (example to http://terminology.ehdsi.eu/ValueSet/eHDSIDoseForm)
                TypeCodeableConcept
                Is modifierfalse
                Moet ondersteunentrue
                Samenvattingfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. Medication.amount
                Definitie

                Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

                KortAmount of the medication (for example, in a package or a vial)
                Control0..1
                TypeRatio
                Is modifierfalse
                Moet ondersteunentrue
                Samenvattingtrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. Medication.ingredient
                Definitie

                Identifies a particular constituent of interest in the product.

                KortIngredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
                Opmerkingen

                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.

                Control0..*
                TypeBackboneElement
                Is modifierfalse
                Samenvattingfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. Medication.ingredient.id
                Definitie

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                KortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is modifierfalse
                Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
                Samenvattingfalse
                76. Medication.ingredient.extension
                Definitie

                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 manageable, 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.

                KortAdditional content defined by implementations
                Opmerkingen

                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.

                Control0..*
                TypeExtension
                Is modifierfalse
                Samenvattingfalse
                Alternatieve namenextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                78. Medication.ingredient.modifierExtension
                Definitie

                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 manageable, 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).

                KortExtensions that cannot be ignored even if unrecognized
                Opmerkingen

                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.

                Control0..*
                TypeExtension
                Is modifiertrue omdat Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Samenvattingtrue
                Requirements

                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.

                Alternatieve namenextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                80. Medication.ingredient.item[x]
                Definitie

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

                KortThe actual ingredient or content
                Control1..1
                TypeKeuze uit: CodeableConcept, Reference(Substance, Medication)
                [x] NoteZieKeuze uit datatypenvoor verdere informatie over hoe [x] te gebruiken
                Is modifierfalse
                Samenvattingfalse
                Requirements

                The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingDit element introduceert een set slices op Medication.ingredient.item[x]De slices zijnZonder volgorde en Closed, en kunnen worden gedifferentieerd met de volgende discriminators:
                • type @ $this
                • 82. Medication.ingredient.item[x]:itemReference
                  SlicenaamitemReference
                  Definitie

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

                  KortThe actual ingredient or content
                  Control0..1
                  TypeReference(Medication (EU core))
                  [x] NoteZieKeuze uit datatypenvoor verdere informatie over hoe [x] te gebruiken
                  Is modifierfalse
                  Samenvattingfalse
                  Requirements

                  The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  84. Medication.ingredient.item[x]:itemCodeableConcept
                  SlicenaamitemCodeableConcept
                  Definitie

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

                  KortThe actual ingredient or content
                  Control0..1
                  BindingVoor voorbeeldcodes, zie Medicine Active Substances - IPS .
                  (example to http://hl7.org/fhir/uv/ips/ValueSet/medicine-active-substances-uv-ips)
                  TypeCodeableConcept
                  [x] NoteZieKeuze uit datatypenvoor verdere informatie over hoe [x] te gebruiken
                  Is modifierfalse
                  Samenvattingfalse
                  Requirements

                  The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  86. Medication.ingredient.isActive
                  Definitie

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

                  KortActive ingredient indicator. By default, only active ingredients are expected - therefore, the default value is true.
                  Control0..1
                  Typeboolean
                  Is modifierfalse
                  Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
                  Samenvattingfalse
                  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).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  88. Medication.ingredient.strength
                  Definitie

                  Definitional resources should be used for specifying the different types of strengths: presentation; concentration.

                  KortAmount of substance in product (presentation or concentration strength)
                  Control0..1
                  TypeRatio
                  Is modifierfalse
                  Samenvattingfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  90. Medication.ingredient.strength.id
                  Definitie

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  KortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is modifierfalse
                  Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
                  Samenvattingfalse
                  92. Medication.ingredient.strength.extension
                  Definitie

                  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 manageable, 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.

                  KortAdditional content defined by implementations
                  Opmerkingen

                  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.

                  Control0..*
                  TypeExtension
                  Is modifierfalse
                  Samenvattingfalse
                  Alternatieve namenextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingDit element introduceert een set slices op Medication.ingredient.strength.extensionDe slices zijnZonder volgorde en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
                  • value @ url
                  • 94. Medication.ingredient.strength.extension:basisOfStrengthSubstance
                    SlicenaambasisOfStrengthSubstance
                    Definitie

                    Substance for marking the basis of strength. When the precise active ingredient is a salt, the strength is often provided for the active moiety (basis of strength).

                    KortSubstance for which the strength is provided (this could be different from the precise active ingredient).
                    Control0..1
                    TypeExtension(Medication - Strength substance) (Extensie type: CodeableConcept)
                    Is modifierfalse
                    Samenvattingfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    96. Medication.ingredient.strength.numerator
                    Definitie

                    The value of the numerator.

                    KortNumerator value
                    Control0..1
                    TypeQuantity
                    Is modifierfalse
                    Samenvattingtrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    98. Medication.ingredient.strength.denominator
                    Definitie

                    The value of the denominator.

                    KortDenominator value
                    Control0..1
                    TypeQuantity
                    Is modifierfalse
                    Samenvattingtrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    100. Medication.batch
                    Definitie

                    Information that only applies to packages (not products).

                    KortDetails about packaged medications
                    Control0..1
                    TypeBackboneElement
                    Is modifierfalse
                    Samenvattingfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    102. Medication.batch.id
                    Definitie

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    KortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is modifierfalse
                    Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
                    Samenvattingfalse
                    104. Medication.batch.extension
                    Definitie

                    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 manageable, 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.

                    KortAdditional content defined by implementations
                    Opmerkingen

                    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.

                    Control0..*
                    TypeExtension
                    Is modifierfalse
                    Samenvattingfalse
                    Alternatieve namenextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    106. Medication.batch.modifierExtension
                    Definitie

                    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 manageable, 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).

                    KortExtensions that cannot be ignored even if unrecognized
                    Opmerkingen

                    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.

                    Control0..*
                    TypeExtension
                    Is modifiertrue omdat Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Samenvattingtrue
                    Requirements

                    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.

                    Alternatieve namenextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    108. Medication.batch.lotNumber
                    Definitie

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

                    KortLot Number
                    Control0..1
                    Typestring
                    Is modifierfalse
                    Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
                    Moet ondersteunentrue
                    Samenvattingfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    110. Medication.batch.expirationDate
                    Definitie

                    When this specific batch of product will expire.

                    KortExpiration Date
                    Control0..1
                    TypedateTime
                    Is modifierfalse
                    Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
                    Samenvattingfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))