type: resource-definitionsresource: MedicationKnowledge

MedicationKnowledge Definitions

MedicationKnowledge

Definition of Medication Knowledge

Definition: Information about a medication that is used to support knowledge.

Cardinality: 0..*

Mappings: w5=administrative.medication

MedicationKnowledge.identifier

Business identifier for this medication

Definition: Business identifier for this medication.

Comments: This is a business identifier, not a resource identifier (see discussion).

Cardinality: 0..*

Type: Identifier

Summary: true

Definition: A code that specifies 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.

Comments: Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. 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).

Cardinality: 0..1

Type: CodeableConcept

Binding: example:medication-codes

Summary: true

Mappings: script10.6=coding.code = //element(*,MedicationType)/DrugCoded/ProductCode

coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier

coding.display = //element(*,MedicationType)/DrugDescription; w5=FiveWs.class; v2=RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code; rim=.code

MedicationKnowledge.status

draft | active | retired | unknown

Definition: A code to indicate if the medication referred to by this MedicationKnowledge is in active use within the drug database or inventory system. The status refers to the validity about the information of the medication and not to its medicinal properties.

Comments: 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.

Cardinality: 0..1

Type: code

Binding: required:publication-status

Summary: true

Is Modifier: true (Reason: This element changes the interpretation of all descriptive attributes.)

Mappings: rim=.statusCode

MedicationKnowledge.author

Creator or owner of the knowledge or information about the medication

Definition: The creator or owner of the knowledge or information about the medication.

Cardinality: 0..1

Type: ContactDetail

Mappings: w5=FiveWs.actor; rim=ManufacturedProduct.subjectOf.DocumentEvent.author

MedicationKnowledge.jurisdiction

Codes that identify the different jurisdictions for which the information of this resource was created

Definition: Lists the jurisdictions that this medication knowledge was written for.

Comments: The codes could have varying granularity from a country or group of countries down to a specific district.

Cardinality: 0..*

Type: CodeableConcept

MedicationKnowledge.name

A name associated with the medication being described

Definition: All of the names for a medication, for example, the name(s) given to a medication in different countries. For example, acetaminophen and paracetamol or salbutamol and albuterol.

Cardinality: 0..1

Type: string

Summary: true

MedicationKnowledge.relatedMedicationKnowledge

Associated or related medication information

Definition: Associated or related medications. For example, if the medication is a branded product (e.g. Crestor), this is the Therapeutic Moeity (e.g. Rosuvastatin) or if this is a generic medication (e.g. Rosuvastatin), this would link to a branded product (e.g. Crestor.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.relatedMedicationKnowledge.type

Category of medicationKnowledge

Definition: The category of the associated medication knowledge reference.

Cardinality: 1..1

Type: CodeableConcept

MedicationKnowledge.relatedMedicationKnowledge.reference

Associated documentation about the associated medication knowledge

Definition: Associated documentation about the associated medication knowledge.

Cardinality: 1..*

Type: Reference(MedicationKnowledge)

MedicationKnowledge.associatedMedication

The set of medication resources that are associated with this medication

Definition: Links to associated medications that could be prescribed, dispensed or administered.

Cardinality: 0..*

Type: Reference(Medication)

MedicationKnowledge.productType

Category of the medication or product

Definition: Category of the medication or product (e.g. branded product, therapeutic moeity, generic product, innovator product, etc.).

Cardinality: 0..*

Type: CodeableConcept

MedicationKnowledge.monograph

Associated documentation about the medication

Definition: Associated documentation about the medication.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.monograph.type

The category of medication document

Definition: The category of documentation about the medication. (e.g. professional monograph, patient education monograph).

Cardinality: 0..1

Type: CodeableConcept

MedicationKnowledge.monograph.source

Associated documentation about the medication

Definition: Associated documentation about the medication.

Cardinality: 0..1

Type: Reference(DocumentReference)

MedicationKnowledge.preparationInstruction

The instructions for preparing the medication

Definition: The instructions for preparing the medication.

Cardinality: 0..1

Type: markdown

MedicationKnowledge.cost

The pricing of the medication

Definition: The price of the medication.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.cost.effectiveDate

The date range for which the cost is effective

Definition: The date range for which the cost information of the medication is effective.

Cardinality: 0..*

Type: Period

MedicationKnowledge.cost.type

The category of the cost information

Definition: The category of the cost information. For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.

Cardinality: 1..1

Type: CodeableConcept

MedicationKnowledge.cost.source

The source or owner for the price information

Definition: The source or owner that assigns the price to the medication.

Cardinality: 0..1

Type: string

MedicationKnowledge.cost.cost[x]

The price or category of the cost of the medication

Definition: The price or representation of the cost (for example, Band A, Band B or $, $$) of the medication.

Cardinality: 1..1

Type: Money, CodeableConcept

Binding: example:medication-cost-category

MedicationKnowledge.monitoringProgram

Program under which a medication is reviewed

Definition: The program under which the medication is reviewed.

Cardinality: 0..*

Type: BackboneElement

Summary: true

MedicationKnowledge.monitoringProgram.type

Type of program under which the medication is monitored

Definition: Type of program under which the medication is monitored.

Cardinality: 0..1

Type: CodeableConcept

MedicationKnowledge.monitoringProgram.name

Name of the reviewing program

Definition: Name of the reviewing program.

Cardinality: 0..1

Type: string

MedicationKnowledge.indicationGuideline

Guidelines or protocols for administration of the medication for an indication

Definition: Guidelines or protocols that are applicable for the administration of the medication based on indication.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.indicationGuideline.indication

Indication for use that applies to the specific administration guideline

Definition: Indication or reason for use of the medication that applies to the specific administration guideline.

Cardinality: 0..*

Type: CodeableReference

MedicationKnowledge.indicationGuideline.dosingGuideline

Guidelines for dosage of the medication

Definition: The guidelines for the dosage of the medication for the indication.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent

Intention of the treatment

Definition: The overall intention of the treatment, for example, prophylactic, supporative, curative, etc.

Cardinality: 0..1

Type: CodeableConcept

MedicationKnowledge.indicationGuideline.dosingGuideline.dosage

Dosage for the medication for the specific guidelines

Definition: Dosage for the medication for the specific guidelines.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type

Category of dosage for a medication

Definition: The type or category of dosage for a given medication (for example, prophylaxis, maintenance, therapeutic, etc.).

Cardinality: 1..1

Type: CodeableConcept

MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage

Dosage for the medication for the specific guidelines

Definition: Dosage for the medication for the specific guidelines.

Cardinality: 1..*

Type: Dosage

MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment

Type of treatment the guideline applies to

Definition: The type of the treatment that the guideline applies to, for example, long term therapy, first line treatment, etc.

Cardinality: 0..1

Type: CodeableConcept

MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic

Characteristics of the patient that are relevant to the administration guidelines

Definition: Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type

Categorization of specific characteristic that is relevant to the administration guideline

Definition: The categorization of the specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).

Cardinality: 1..1

Type: CodeableConcept

MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]

The specific characteristic

Definition: The specific characteristic (e.g. height, weight, gender, etc.).

Cardinality: 0..1

Type: CodeableConcept, Quantity, Range

MedicationKnowledge.medicineClassification

Categorization of the medication within a formulary or classification system

Definition: Categorization of the medication within a formulary or classification system.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.medicineClassification.type

The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)

Definition: The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification).

Cardinality: 0..1

Type: CodeableConcept

MedicationKnowledge.medicineClassification.classification

Specific category assigned to the medication

Definition: Specific category assigned to the medication (e.g. anti-infective, anti-hypertensive, antibiotic, etc.).

Cardinality: 0..*

Type: CodeableConcept

MedicationKnowledge.packaging

Details about packaged medications

Definition: Information that only applies to packages (not products).

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.packaging.cost

Cost of the packaged medication

Definition: The cost of the packaged medication.

Cardinality: 0..*

MedicationKnowledge.packaging.packagedProduct

The packaged medication that is being priced

Definition: A reference to a PackagedProductDefinition that provides the details of the product that is in the packaging and is being priced.

Cardinality: 0..1

Type: Reference(PackagedProductDefinition)

MedicationKnowledge.clinicalUseIssue

Potential clinical issue with or between medication(s)

Definition: Potential clinical issue with or between medication(s) (for example, drug-drug interaction, drug-disease contraindication, drug-allergy interaction, etc.).

Cardinality: 0..*

Type: Reference(ClinicalUseDefinition)

MedicationKnowledge.storageGuideline

How the medication should be stored

Definition: Information on how the medication should be stored, for example, refrigeration temperatures and length of stability at a given temperature.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.storageGuideline.reference

Reference to additional information

Definition: Reference to additional information about the storage guidelines.

Cardinality: 0..1

Type: uri

MedicationKnowledge.storageGuideline.note

Additional storage notes

Definition: Additional notes about the storage.

Cardinality: 0..*

Type: Annotation

MedicationKnowledge.storageGuideline.stabilityDuration

Duration remains stable

Definition: Duration that the medication remains stable if the environmentalSetting is respected.

Cardinality: 0..1

Type: Duration

MedicationKnowledge.storageGuideline.environmentalSetting

Setting or value of environment for adequate storage

Definition: Describes a setting/value on the environment for the adequate storage of the medication and other substances. Environment settings may involve temperature, humidity, or exposure to light.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.storageGuideline.environmentalSetting.type

Categorization of the setting

Definition: Identifies the category or type of setting (e.g., type of location, temperature, humidity).

Cardinality: 1..1

Type: CodeableConcept

MedicationKnowledge.storageGuideline.environmentalSetting.value[x]

Value of the setting

Definition: Value associated to the setting. E.g., 40° – 50°F for temperature.

Cardinality: 1..1

Type: Quantity, Range, CodeableConcept

MedicationKnowledge.regulatory

Regulatory information about a medication

Definition: Regulatory information about a medication.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.regulatory.regulatoryAuthority

Specifies the authority of the regulation

Definition: The authority that is specifying the regulations.

Cardinality: 1..1

Type: Reference(Organization)

MedicationKnowledge.regulatory.substitution

Specifies if changes are allowed when dispensing a medication from a regulatory perspective

Definition: Specifies if changes are allowed when dispensing a medication from a regulatory perspective.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.regulatory.substitution.type

Specifies the type of substitution allowed

Definition: Specifies the type of substitution allowed.

Cardinality: 1..1

Type: CodeableConcept

MedicationKnowledge.regulatory.substitution.allowed

Specifies if regulation allows for changes in the medication when dispensing

Definition: Specifies if regulation allows for changes in the medication when dispensing.

Cardinality: 1..1

Type: boolean

MedicationKnowledge.regulatory.schedule

Specifies the schedule of a medication in jurisdiction

Definition: Specifies the schedule of a medication in jurisdiction.

Cardinality: 0..*

Type: CodeableConcept

MedicationKnowledge.regulatory.maxDispense

The maximum number of units of the medication that can be dispensed in a period

Definition: The maximum number of units of the medication that can be dispensed in a period.

Cardinality: 0..1

Type: BackboneElement

MedicationKnowledge.regulatory.maxDispense.quantity

The maximum number of units of the medication that can be dispensed

Definition: The maximum number of units of the medication that can be dispensed.

Cardinality: 1..1

Type: Quantity(SimpleQuantity)

MedicationKnowledge.regulatory.maxDispense.period

The period that applies to the maximum number of units

Definition: The period that applies to the maximum number of units.

Cardinality: 0..1

Type: Duration

MedicationKnowledge.definitional

Minimal definition information about the medication

Definition: Along with the link to a Medicinal Product Definition resource, this information provides common definitional elements that are needed to understand the specific medication that is being described.

Cardinality: 0..1

Type: BackboneElement

MedicationKnowledge.definitional.definition

Definitional resources that provide more information about this medication

Definition: Associated definitions for this medication.

Cardinality: 0..*

Type: Reference(MedicinalProductDefinition)

MedicationKnowledge.definitional.doseForm

powder | tablets | capsule +

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

Comments: When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

Cardinality: 0..1

Type: CodeableConcept

Binding: example:medication-form-codes

MedicationKnowledge.definitional.intendedRoute

The intended or approved route of administration

Definition: The intended or approved route of administration.

Cardinality: 0..*

Type: CodeableConcept

Binding: example:route-codes

MedicationKnowledge.definitional.ingredient

Active or inactive ingredient

Definition: Identifies a particular constituent of interest in the product.

Cardinality: 0..*

Type: BackboneElement

Summary: true

MedicationKnowledge.definitional.ingredient.item

Substances contained in the medication

Definition: A reference to the resource that provides information about the ingredient.

Cardinality: 1..1

Type: CodeableReference

Summary: true

MedicationKnowledge.definitional.ingredient.type

A code that defines the type of ingredient, active, base, etc

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

Cardinality: 0..1

Type: CodeableConcept

Binding: example:v3-RoleClassIngredientEntity

MedicationKnowledge.definitional.ingredient.strength[x]

Quantity of ingredient present

Definition: Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet but can also be expressed a quantity when the denominator is assumed to be 1 tablet.

Cardinality: 0..1

Type: Ratio, CodeableConcept, Quantity

Binding: example:medication-ingredientstrength

MedicationKnowledge.definitional.drugCharacteristic

Specifies descriptive properties of the medicine

Definition: Specifies descriptive properties of the medicine, such as color, shape, imprints, etc.

Cardinality: 0..*

Type: BackboneElement

MedicationKnowledge.definitional.drugCharacteristic.type

Code specifying the type of characteristic of medication

Definition: A code specifying which characteristic of the medicine is being described (for example, colour, shape, imprint).

Cardinality: 0..1

Type: CodeableConcept

Binding: example:medicationknowledge-characteristic

MedicationKnowledge.definitional.drugCharacteristic.value[x]

Description of the characteristic

Definition: Description of the characteristic.

Comments: The description should be provided as a CodeableConcept, SimpleQuantity or an image. The description can be a string only when these others are not available.

Cardinality: 0..1

Type: CodeableConcept, string, Quantity(SimpleQuantity), base64Binary, Attachment