Status: Active: Approved (STU)

Introduction

This profile sets out the expectations for the Interweave medication resource. For shared care, the importance needs to be placed on “What” the medication is and its form. We therefore have defined a very minimal dataset and removed all unnecessary fields.

Mandatory fields

The following fields are mandatory:

• code – This field is the most important, we need to know what the medication is. A SNOMED dm+d code MUST be supplied.

Must Support fields

In addition, the following fields are “Must Support” - i.e. they must be populated if relevant and known:

• form – This field is recommended by PRSB. Useful information if it is available.

Optional fields

Other fields are optional and may be populated if known - on the understanding that not all data consumers will necessarily make use of them. Optional fields to note include:

• identifier – Allows for an additional local medication identifier to be shared in addition to the official DM&D identifier.

• manufacturer – Option to provide a reference to the organization which manufactured the medication.

Discouraged or Removed fields

• ingredient – DISCOURAGED. This field has been discouraged to removed complexity. No real use case was identified at the time of writing, however, it was recognised that it may have a part to play in relation to allergies/intolerances, so it has been left in rather than removed. To keep this field inline with R4, the subfield ‘amount’ is removed and the field ‘strength’ introduced.

• The following fields have been removed to keep the medication model clear:

  • package
  • image
  • status
  • isBrand
  • isOverTheCounter

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CareConnect-Medication-1

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CareConnect-Medication-1	Definition of a Medication
id	S	0..1	id	Logical id of this artifact
meta
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
R4Identifier		0..*	Identifier	Business identifier for this resource. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4Identifier
code	S	1..1	CodeableConcept	Codes that identify this medication
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
status		0..0
isBrand		0..0
isOverTheCounter		0..0
form	S	0..1	CodeableConcept	Codes that describe a medication dose form
ingredient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
strengthR4		0..1	Ratio	Quantity of ingredient present. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4IngredientStrength
item[x]	S	1..1	CodeableConcept, Reference(Substance | CareConnect-Medication-1)	The product contained
amount		0..0
package		0..0
image		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CareConnect-Medication-1	Definition of a Medication
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
R4Identifier		0..*	Identifier	Business identifier for this resource. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4Identifier
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: Care Connect Medication Code (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication from the VTM/VMP/VMPP/AMP/AMPP subsets from the dm+d terminology
form	S	0..1	CodeableConcept	Codes that describe a medication dose form Binding: Care Connect Medication Form (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication dose form
ingredient		0..*	BackboneElement	Active or inactive ingredient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
strengthR4		0..1	Ratio	Quantity of ingredient present. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4IngredientStrength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
item[x]	S	1..1		The product contained
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CareConnect-Medication-1)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.meta.security	extensible	All Security Labels
Medication.meta.tag	example	Common Tags
Medication.meta.tag:Source	example	Common Tags
Medication.meta.tag:Provenance	example	Common Tags
Medication.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	required	Care Connect Medication Code
Medication.form	required	Care Connect Medication Form

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Medication	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CareConnect-Medication-1	Definition of a Medication
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
R4Identifier		0..*	Identifier	Business identifier for this resource. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4Identifier
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: Care Connect Medication Code (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication from the VTM/VMP/VMPP/AMP/AMPP subsets from the dm+d terminology
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
manufacturer	Σ	0..1	Reference(CareConnect-Organization-1)	Manufacturer of the item
form	S	0..1	CodeableConcept	Codes that describe a medication dose form Binding: Care Connect Medication Form (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication dose form
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
strengthR4		0..1	Ratio	Quantity of ingredient present. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4IngredientStrength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
item[x]	S	1..1		The product contained
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CareConnect-Medication-1)
isActive		0..1	boolean	Active ingredient indicator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.meta.security	extensible	All Security Labels
Medication.meta.tag	example	Common Tags
Medication.meta.tag:Source	example	Common Tags
Medication.meta.tag:Provenance	example	Common Tags
Medication.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	required	Care Connect Medication Code
Medication.form	required	Care Connect Medication Form
Medication.package.container	example	MedicationContainer

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from CareConnect-Medication-1

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CareConnect-Medication-1	Definition of a Medication
id	S	0..1	id	Logical id of this artifact
meta
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
R4Identifier		0..*	Identifier	Business identifier for this resource. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4Identifier
code	S	1..1	CodeableConcept	Codes that identify this medication
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
status		0..0
isBrand		0..0
isOverTheCounter		0..0
form	S	0..1	CodeableConcept	Codes that describe a medication dose form
ingredient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
strengthR4		0..1	Ratio	Quantity of ingredient present. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4IngredientStrength
item[x]	S	1..1	CodeableConcept, Reference(Substance | CareConnect-Medication-1)	The product contained
amount		0..0
package		0..0
image		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CareConnect-Medication-1	Definition of a Medication
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
R4Identifier		0..*	Identifier	Business identifier for this resource. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4Identifier
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: Care Connect Medication Code (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication from the VTM/VMP/VMPP/AMP/AMPP subsets from the dm+d terminology
form	S	0..1	CodeableConcept	Codes that describe a medication dose form Binding: Care Connect Medication Form (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication dose form
ingredient		0..*	BackboneElement	Active or inactive ingredient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
strengthR4		0..1	Ratio	Quantity of ingredient present. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4IngredientStrength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
item[x]	S	1..1		The product contained
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CareConnect-Medication-1)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.meta.security	extensible	All Security Labels
Medication.meta.tag	example	Common Tags
Medication.meta.tag:Source	example	Common Tags
Medication.meta.tag:Provenance	example	Common Tags
Medication.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	required	Care Connect Medication Code
Medication.form	required	Care Connect Medication Form

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Medication	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	CareConnect-Medication-1	Definition of a Medication
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
R4Identifier		0..*	Identifier	Business identifier for this resource. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4Identifier
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Codes that identify this medication Binding: Care Connect Medication Code (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication from the VTM/VMP/VMPP/AMP/AMPP subsets from the dm+d terminology
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
manufacturer	Σ	0..1	Reference(CareConnect-Organization-1)	Manufacturer of the item
form	S	0..1	CodeableConcept	Codes that describe a medication dose form Binding: Care Connect Medication Form (required): A code from the SNOMED Clinical Terminology UK coding system that describes a medication dose form
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
strengthR4		0..1	Ratio	Quantity of ingredient present. URL: https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4IngredientStrength
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
item[x]	S	1..1		The product contained
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | CareConnect-Medication-1)
isActive		0..1	boolean	Active ingredient indicator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Medication.meta.security	extensible	All Security Labels
Medication.meta.tag	example	Common Tags
Medication.meta.tag:Source	example	Common Tags
Medication.meta.tag:Provenance	example	Common Tags
Medication.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Medication.code	required	Care Connect Medication Code
Medication.form	required	Care Connect Medication Form
Medication.package.container	example	MedicationContainer

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CareConnect-Medication-1

Summary

Mandatory: 1 element (9 nested mandatory elements)
Must-Support: 13 elements
Fixed Value: 2 elements
Prohibited: 6 elements

Extensions

This structure refers to these extensions:

• https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4Identifier
• https://fhir.yhcr.nhs.uk/StructureDefinition/Extension-Interweave-R4IngredientStrength

Slices

This structure defines the following Slices:

• The element Medication.meta.tag is sliced based on the value of value:system