OPENIMIS.FHIR.R4\openIMIS Medication

openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: openIMIS Medication

Official URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-medication				Version: 1.0.0
Active as of 2022-05-31			Responsible: openIMIS Initiative	Computable Name: OpenIMISMedication

Defines a Medication for openIMIS which maps to a Medical Item.

Usage:

Refer to this Resource Profile:
Examples for this Resource Profile: Medication/AspirinMedication

Formal Views of Profile Content

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

This structure is derived from Medication

Summary

Mandatory: 8 elements (4 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Medication.identifier is sliced based on the value of value:type.coding.code (Closed)

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication
id		0..1	string	Medication UUID
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
medication-usage-context		0..4	(Complex)	Usage Context URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-usage-context
unit-price		1..1	Money	Unit Price URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/unit-price
medication-frequency		0..1	Timing	Frequency URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-frequency
medication-type		1..1	CodeableConcept	Medication Type URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-type Binding: Item Type (Medication) (required)
medication-level		0..1	CodeableConcept	Level URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-level Binding: Level (Medication) (required)
valueCodeableConcept		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/medication-level
code		1..1	code	Symbol in syntax defined by the system Fixed Value: M
display		1..1	string	Representation defined by the system Fixed Value: Medication
Slices for identifier	S	1..*	Identifier	Business identifier for this medication Slice: Unordered, Closed by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Description of identifier
coding
code		0..1	code	Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required)
value		1..1	string	The value that is unique
identifier:Code	S	1..1	Identifier	Business identifier for this medication
type
coding
code		1..1	code	Medication openIMIS Code Required Pattern: Code
identifier:UUID		0..1	Identifier	Business identifier for this medication
type
coding
code		1..1	code	Medication openIMIS UUID Required Pattern: UUID
code		1..1	CodeableConcept	Codes that identify this medication
text		1..1	string	Medication name
status		0..1	code	Active Status Required Pattern: active
manufacturer		0..0
form		0..1	CodeableConcept	Medication Form
amount
numerator		1..1	Quantity	Numerator value
value		1..1	decimal	Numerical value (with implicit precision)
denominator		0..0
ingredient		0..0
batch		0..0
Documentation for this format

Description & Constraints

Medication

0..*

Medication

Definition of a Medication

0..1

string

Medication UUID

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

text

0..1

Narrative

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

2..*

Extension

Extension
Slice: Unordered, Open by value:url

medication-usage-context

0..4

(Complex)

Usage Context
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-usage-context

unit-price

1..1

Money

Unit Price
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/unit-price

medication-frequency

0..1

Timing

Frequency
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-frequency

medication-type

1..1

CodeableConcept

Medication Type
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-type
Binding: Item Type (Medication) (required)

medication-level

0..1

CodeableConcept

Level
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-level
Binding: Level (Medication) (required)

0..1

string

Unique id for inter-element referencing

extension

0..0

url

1..1

uri

"https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-level"

Slices for value[x]

0..1

CodeableConcept

Value of extension
Slice: Unordered, Closed by type:$this

value[x]:valueCodeableConcept

0..1

CodeableConcept

Value of extension
Binding: Level (Medication) (required)
Required Pattern: At least the following

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (complex)

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

system

1..1

uri

Identity of the terminology system
Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/medication-level

version

0..1

string

Version of the system - if relevant

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: M

display

1..1

string

Representation defined by the system
Fixed Value: Medication

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

modifierExtension

0..*

Extension

Extensions that cannot be ignored

Slices for identifier

SΣ

1..*

Identifier

Business identifier for this medication
Slice: Unordered, Closed by value:type.coding.code

identifier:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

code

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

1..1

CodeableConcept

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

0..1

code

Symbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)

display

0..1

string

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

system

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

1..1

string

The value that is unique
Example General: 123456

period

0..1

Period

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

identifier:Code

SΣ

1..1

Identifier

Business identifier for this medication

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

code

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

0..1

CodeableConcept

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Medication openIMIS Code
Required Pattern: Code

display

0..1

string

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

system

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

The value that is unique
Example General: 123456

period

0..1

Period

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

identifier:UUID

0..1

Identifier

Business identifier for this medication

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

code

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

0..1

CodeableConcept

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Medication openIMIS UUID
Required Pattern: UUID

display

0..1

string

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

system

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

The value that is unique
Example General: 123456

period

0..1

Period

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

code

1..1

CodeableConcept

Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

text

1..1

string

Medication name

status

?!Σ

0..1

code

Active Status
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

Required Pattern: active

form

0..1

CodeableConcept

Medication Form
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.

amount

0..1

Ratio

Amount of drug in package

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

numerator

1..1

Quantity

Numerator value

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

value

1..1

decimal

Numerical value (with implicit precision)

comparator

?!Σ

0..1

code

< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

unit

0..1

string

Unit representation

system

ΣI

0..1

uri

System that defines coded unit form

code

0..1

code

Coded form of the unit

Documentation for this format

This structure is derived from Medication

Summary

Mandatory: 8 elements (4 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Medication.identifier is sliced based on the value of value:type.coding.code (Closed)

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication
id		0..1	string	Medication UUID
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
medication-usage-context		0..4	(Complex)	Usage Context URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-usage-context
unit-price		1..1	Money	Unit Price URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/unit-price
medication-frequency		0..1	Timing	Frequency URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-frequency
medication-type		1..1	CodeableConcept	Medication Type URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-type Binding: Item Type (Medication) (required)
medication-level		0..1	CodeableConcept	Level URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-level Binding: Level (Medication) (required)
valueCodeableConcept		0..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/medication-level
code		1..1	code	Symbol in syntax defined by the system Fixed Value: M
display		1..1	string	Representation defined by the system Fixed Value: Medication
Slices for identifier	S	1..*	Identifier	Business identifier for this medication Slice: Unordered, Closed by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Description of identifier
coding
code		0..1	code	Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required)
value		1..1	string	The value that is unique
identifier:Code	S	1..1	Identifier	Business identifier for this medication
type
coding
code		1..1	code	Medication openIMIS Code Required Pattern: Code
identifier:UUID		0..1	Identifier	Business identifier for this medication
type
coding
code		1..1	code	Medication openIMIS UUID Required Pattern: UUID
code		1..1	CodeableConcept	Codes that identify this medication
text		1..1	string	Medication name
status		0..1	code	Active Status Required Pattern: active
manufacturer		0..0
form		0..1	CodeableConcept	Medication Form
amount
numerator		1..1	Quantity	Numerator value
value		1..1	decimal	Numerical value (with implicit precision)
denominator		0..0
ingredient		0..0
batch		0..0
Documentation for this format

Snapshot View

Description & Constraints

Medication

0..*

Medication

Definition of a Medication

0..1

string

Medication UUID

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

text

0..1

Narrative

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

2..*

Extension

Extension
Slice: Unordered, Open by value:url

medication-usage-context

0..4

(Complex)

Usage Context
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-usage-context

unit-price

1..1

Money

Unit Price
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/unit-price

medication-frequency

0..1

Timing

Frequency
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-frequency

medication-type

1..1

CodeableConcept

Medication Type
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-type
Binding: Item Type (Medication) (required)

medication-level

0..1

CodeableConcept

Level
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-level
Binding: Level (Medication) (required)

0..1

string

Unique id for inter-element referencing

extension

0..0

url

1..1

uri

"https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-level"

Slices for value[x]

0..1

CodeableConcept

Value of extension
Slice: Unordered, Closed by type:$this

value[x]:valueCodeableConcept

0..1

CodeableConcept

Value of extension
Binding: Level (Medication) (required)
Required Pattern: At least the following

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (complex)

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

system

1..1

uri

Identity of the terminology system
Fixed Value: https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/medication-level

version

0..1

string

Version of the system - if relevant

code

1..1

code

Symbol in syntax defined by the system
Fixed Value: M

display

1..1

string

Representation defined by the system
Fixed Value: Medication

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

modifierExtension

0..*

Extension

Extensions that cannot be ignored

Slices for identifier

SΣ

1..*

Identifier

Business identifier for this medication
Slice: Unordered, Closed by value:type.coding.code

identifier:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

code

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

1..1

CodeableConcept

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

0..1

code

Symbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)

display

0..1

string

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

system

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

1..1

string

The value that is unique
Example General: 123456

period

0..1

Period

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

identifier:Code

SΣ

1..1

Identifier

Business identifier for this medication

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

code

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

0..1

CodeableConcept

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Medication openIMIS Code
Required Pattern: Code

display

0..1

string

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

system

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

The value that is unique
Example General: 123456

period

0..1

Period

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

identifier:UUID

0..1

Identifier

Business identifier for this medication

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

code

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

0..1

CodeableConcept

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Medication openIMIS UUID
Required Pattern: UUID

display

0..1

string

Representation defined by the system

userSelected

0..1

boolean

If this coding was chosen directly by the user

text

0..1

string

Plain text representation of the concept

system

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

The value that is unique
Example General: 123456

period

0..1

Period

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

code

1..1

CodeableConcept

Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

text

1..1

string

Medication name

status

?!Σ

0..1

code

Active Status
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

Required Pattern: active

form

0..1

CodeableConcept

Medication Form
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.

amount

0..1

Ratio

Amount of drug in package

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

numerator

1..1

Quantity

Numerator value

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

value

1..1

decimal

Numerical value (with implicit precision)

comparator

?!Σ

0..1

code

< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

unit

0..1

string

Unit representation

system

ΣI

0..1

uri

System that defines coded unit form

code

0..1

code

Coded form of the unit

Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Medication.language	preferred	CommonLanguages Max Binding: AllLanguages
Medication.extension:level.value[x]:valueCodeableConcept	required	Pattern: M("Medication")
Medication.identifier.use	required	IdentifierUse
Medication.identifier.type	extensible	Identifier Type Codes
Medication.identifier.type.coding.code	required	OpenIMISIdentifierVS
Medication.identifier:Code.use	required	IdentifierUse
Medication.identifier:Code.type	extensible	Identifier Type Codes
Medication.identifier:UUID.use	required	IdentifierUse
Medication.identifier:UUID.type	extensible	Identifier Type Codes
Medication.code	example	SNOMEDCTMedicationCodes
Medication.status	required	Pattern: active
Medication.form	example	SNOMEDCTFormCodes
Medication.amount.numerator.comparator	required	QuantityComparator

Constraints

Id	Grade	Path	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Best Practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	Medication.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.extension:useContext	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension:useContext	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.extension:unitPrice	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension:unitPrice	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.extension:timing	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension:timing	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.extension:type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension:type	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.extension:level	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension:level	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.extension:level.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.extension:level.value[x]:valueCodeableConcept	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier:Code.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier:Code.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier:Code.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier:Code.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier:Code.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier:Code.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:Code.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier:UUID.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier:UUID.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier:UUID.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier:UUID.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.identifier:UUID.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.identifier:UUID.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.identifier:UUID.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.code.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.code.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.code.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.code.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.form	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.amount	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.amount.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.amount.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.amount.numerator	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.amount.numerator.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.amount.numerator.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.amount.numerator.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.amount.numerator.comparator	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.amount.numerator.unit	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.amount.numerator.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.amount.numerator.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.ingredient.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.ingredient.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.ingredient.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.ingredient.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.ingredient.item[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.ingredient.isActive	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.ingredient.strength	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.batch.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.batch.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.batch.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Medication.batch.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Medication.batch.lotNumber	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Medication.batch.expirationDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())