CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ACH Daily Event Medication

This profile contains Required and Must Support data elements for reporting medication information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Medication profile, which inherits from the US Core 6.1.0 Medication profile.

Usages:

• Refer to this Profile: ACH Daily Event Medication Administration and ACH Daily Event Medication Request
• Examples for this Profile: Medication/medication-example-ach-daily-influenzatherapeutic, Medication/medication-example-ach-daily-initialpopulationpass, Medication/medication-example-ach-daily-rsvlabbtg-1 and Medication/medication-example-ach-daily-rsvlabbtg-2

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	QICoreMedication(6.0.0)	Definition of a Medication
Medication.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Medication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Medication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Medication.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Codes that identify this medication Binding: MedicationClinicalDrug (20240606) (extensible)
Medication.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Medication.form	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) powder | tablets | capsule + Binding: SNOMEDCTFormCodes (extensible)
Medication.amount	S This element must be supported. Σ This element is included in summaries.	0..1	Ratio	(NHSN-MS) Amount of drug in package
Medication.ingredient	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Active or inactive ingredient
Medication.ingredient.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Medication.ingredient.Slices for item[x]	S This element must be supported.	1..1		(NHSN-MS) The actual ingredient or content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Medication.ingredient.Slices for item[x].itemCodeableConcept			CodeableConcept
Medication.ingredient.Slices for item[x].itemReference			Reference(QICore Substance | QICore Medication)
Medication.ingredient.Slices for item[x].item[x]:itemReference	S This element must be supported.	0..1	Reference(QICore Substance | QICore Medication) {b}	The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) The actual ingredient or content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	extensible	SNOMED CT Form Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (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 QICoreMedication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	QICoreMedication(6.0.0)	Definition of a Medication
Medication.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Medication.meta
Medication.meta.Slices for extension				Content/Rules for all slices
Medication.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Medication.code		1..1	CodeableConcept	(NHSN-MS)(USCDI) Codes that identify this medication
Medication.status	S This element must be supported.	0..1	code	(NHSN-MS) active | inactive | entered-in-error
Medication.form	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) powder | tablets | capsule + Binding: SNOMEDCTFormCodes (extensible)
Medication.amount	S This element must be supported.	0..1	Ratio	(NHSN-MS) Amount of drug in package
Medication.ingredient	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Active or inactive ingredient
Medication.ingredient.Slices for item[x]	S This element must be supported.	1..1		(NHSN-MS) The actual ingredient or content Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Medication.ingredient.Slices for item[x].itemCodeableConcept			CodeableConcept
Medication.ingredient.Slices for item[x].itemReference			Reference(QICore Substance | QICore Medication)
Medication.ingredient.Slices for item[x].item[x]:itemReference	S This element must be supported.	0..1	Reference(QICore Substance | QICore Medication) {b}	The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.reference	S This element must be supported.	1..1	string	(NHSN-MS) The actual ingredient or content
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.form	Base	extensible	SNOMED CT Form Codes	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	QICoreMedication(6.0.0)	Definition of a Medication
Medication.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Medication.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Medication.meta.id		0..1	string	Unique id for inter-element referencing
Medication.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Medication.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Medication.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Medication.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Medication.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Medication.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Medication.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Medication.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Medication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Medication.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Medication.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Medication.contained		0..*	Resource	Contained, inline Resources
Medication.extension		0..*	Extension	Additional content defined by implementations
Medication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Medication.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier for this medication
Medication.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Codes that identify this medication Binding: MedicationClinicalDrug (20240606) (extensible)
Medication.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Medication.manufacturer	Σ This element is included in summaries.	0..1	Reference(QICore Organization)	Manufacturer of the item
Medication.form	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) powder | tablets | capsule + Binding: SNOMEDCTFormCodes (extensible)
Medication.amount	S This element must be supported. Σ This element is included in summaries.	0..1	Ratio	(NHSN-MS) Amount of drug in package
Medication.ingredient	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Active or inactive ingredient
Medication.ingredient.id		0..1	string	Unique id for inter-element referencing
Medication.ingredient.extension		0..*	Extension	Additional content defined by implementations
Medication.ingredient.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Medication.ingredient.Slices for item[x]	S This element must be supported.	1..1		(NHSN-MS) The actual ingredient or content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Medication.ingredient.Slices for item[x].itemCodeableConcept			CodeableConcept
Medication.ingredient.Slices for item[x].itemReference			Reference(QICore Substance | QICore Medication)
Medication.ingredient.Slices for item[x].item[x]:itemReference	S This element must be supported.	0..1	Reference(QICore Substance | QICore Medication) {b}	The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.id		0..1	string	Unique id for inter-element referencing
Medication.ingredient.Slices for item[x].item[x]:itemReference.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Medication.ingredient.Slices for item[x].item[x]:itemReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Medication.ingredient.Slices for item[x].item[x]:itemReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Medication.ingredient.Slices for item[x].item[x]:itemReference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Medication.ingredient.isActive		0..1	boolean	Active ingredient indicator
Medication.ingredient.strength		0..1	Ratio	Quantity of ingredient present
Medication.batch		0..1	BackboneElement	Details about packaged medications
Medication.batch.id		0..1	string	Unique id for inter-element referencing
Medication.batch.extension		0..*	Extension	Additional content defined by implementations
Medication.batch.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Medication.batch.lotNumber		0..1	string	Identifier assigned to batch
Medication.batch.expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Medication.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.code	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	extensible	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​item[x]:itemReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (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 QICoreMedication

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• QICore Substance (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance)
• QICore Medication (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.ingredient.item[x]

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	QICoreMedication(6.0.0)	Definition of a Medication
Medication.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Medication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Medication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Medication.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Codes that identify this medication Binding: MedicationClinicalDrug (20240606) (extensible)
Medication.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Medication.form	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) powder | tablets | capsule + Binding: SNOMEDCTFormCodes (extensible)
Medication.amount	S This element must be supported. Σ This element is included in summaries.	0..1	Ratio	(NHSN-MS) Amount of drug in package
Medication.ingredient	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Active or inactive ingredient
Medication.ingredient.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Medication.ingredient.Slices for item[x]	S This element must be supported.	1..1		(NHSN-MS) The actual ingredient or content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Medication.ingredient.Slices for item[x].itemCodeableConcept			CodeableConcept
Medication.ingredient.Slices for item[x].itemReference			Reference(QICore Substance | QICore Medication)
Medication.ingredient.Slices for item[x].item[x]:itemReference	S This element must be supported.	0..1	Reference(QICore Substance | QICore Medication) {b}	The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) The actual ingredient or content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	extensible	SNOMED CT Form Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (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 QICoreMedication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	QICoreMedication(6.0.0)	Definition of a Medication
Medication.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Medication.meta
Medication.meta.Slices for extension				Content/Rules for all slices
Medication.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Medication.code		1..1	CodeableConcept	(NHSN-MS)(USCDI) Codes that identify this medication
Medication.status	S This element must be supported.	0..1	code	(NHSN-MS) active | inactive | entered-in-error
Medication.form	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) powder | tablets | capsule + Binding: SNOMEDCTFormCodes (extensible)
Medication.amount	S This element must be supported.	0..1	Ratio	(NHSN-MS) Amount of drug in package
Medication.ingredient	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Active or inactive ingredient
Medication.ingredient.Slices for item[x]	S This element must be supported.	1..1		(NHSN-MS) The actual ingredient or content Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Medication.ingredient.Slices for item[x].itemCodeableConcept			CodeableConcept
Medication.ingredient.Slices for item[x].itemReference			Reference(QICore Substance | QICore Medication)
Medication.ingredient.Slices for item[x].item[x]:itemReference	S This element must be supported.	0..1	Reference(QICore Substance | QICore Medication) {b}	The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.reference	S This element must be supported.	1..1	string	(NHSN-MS) The actual ingredient or content
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.form	Base	extensible	SNOMED CT Form Codes	📦4.0.1	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	QICoreMedication(6.0.0)	Definition of a Medication
Medication.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Medication.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Medication.meta.id		0..1	string	Unique id for inter-element referencing
Medication.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Medication.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Medication.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Medication.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Medication.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Medication.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Medication.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Medication.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Medication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Medication.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Medication.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Medication.contained		0..*	Resource	Contained, inline Resources
Medication.extension		0..*	Extension	Additional content defined by implementations
Medication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Medication.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier for this medication
Medication.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Codes that identify this medication Binding: MedicationClinicalDrug (20240606) (extensible)
Medication.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Medication.manufacturer	Σ This element is included in summaries.	0..1	Reference(QICore Organization)	Manufacturer of the item
Medication.form	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) powder | tablets | capsule + Binding: SNOMEDCTFormCodes (extensible)
Medication.amount	S This element must be supported. Σ This element is included in summaries.	0..1	Ratio	(NHSN-MS) Amount of drug in package
Medication.ingredient	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Active or inactive ingredient
Medication.ingredient.id		0..1	string	Unique id for inter-element referencing
Medication.ingredient.extension		0..*	Extension	Additional content defined by implementations
Medication.ingredient.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Medication.ingredient.Slices for item[x]	S This element must be supported.	1..1		(NHSN-MS) The actual ingredient or content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Medication.ingredient.Slices for item[x].itemCodeableConcept			CodeableConcept
Medication.ingredient.Slices for item[x].itemReference			Reference(QICore Substance | QICore Medication)
Medication.ingredient.Slices for item[x].item[x]:itemReference	S This element must be supported.	0..1	Reference(QICore Substance | QICore Medication) {b}	The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.id		0..1	string	Unique id for inter-element referencing
Medication.ingredient.Slices for item[x].item[x]:itemReference.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Medication.ingredient.Slices for item[x].item[x]:itemReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) The actual ingredient or content
Medication.ingredient.Slices for item[x].item[x]:itemReference.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Medication.ingredient.Slices for item[x].item[x]:itemReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Medication.ingredient.Slices for item[x].item[x]:itemReference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Medication.ingredient.isActive		0..1	boolean	Active ingredient indicator
Medication.ingredient.strength		0..1	Ratio	Quantity of ingredient present
Medication.batch		0..1	BackboneElement	Details about packaged medications
Medication.batch.id		0..1	string	Unique id for inter-element referencing
Medication.batch.extension		0..*	Extension	Additional content defined by implementations
Medication.batch.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Medication.batch.lotNumber		0..1	string	Identifier assigned to batch
Medication.batch.expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Medication.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.code	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	extensible	SNOMED CT Form Codes	📦4.0.1	FHIR Std.
Medication.ingredient.​item[x]:itemReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (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 QICoreMedication

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• QICore Substance (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance)
• QICore Medication (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.ingredient.item[x]

Maturity: 2

Other representations of profile: CSV, Excel, Schematron