HL7 FHIR Malaysia Core (MY Core) Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MedicationKnowledge (MY Core)

Supports creation of and querying for drug information including attributes such as drug classifications, images of medications, drug costs and/or coverages, etc. This resource can be used to return drug information as part of a formulary or a catalogue. In the Malaysian context, coding for medication is adopted from and constrained to the Malaysian Ministry of Health Pharmacy Information System (PhIS) master catalogue to standardize usage across the country.

Usage:

• Examples for this Resource Profile: MedicationKnowledge/example-medicationknowledge

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
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
audit		0..1	(Complex)	Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
setting		0..1	(Complex)	Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) ele-1: All FHIR elements must have a @value or children
synonym	Σ	0..*	string	Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name ele-1: All FHIR elements must have a @value or children
productType		0..*	CodeableConcept	Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type ele-1: All FHIR elements must have a @value or children
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard
MedicationKnowledge.doseForm	required	ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-core from this IG
MedicationKnowledge.synonym	preferred	ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-core from this IG
MedicationKnowledge.productType	required	ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-core from this IG
MedicationKnowledge.intendedRoute	required	ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-core from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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 MedicationKnowledge

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
audit		0..1	(Complex)	Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
setting		0..1	(Complex)	Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core
code		1..1	CodeableConcept	Code that identifies this medication
coding
code		0..1	code	Symbol in syntax defined by the system Binding: ValueSetDrug (MY Core) (preferred)
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required)
synonym		0..*	string	Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name
productType		0..*	CodeableConcept	Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type
ingredient
strength
numerator		0..1	Quantity	Numerator value Binding: ValueSetPhisUom (MY Core) (required)
denominator		0..1	Quantity	Denominator value Binding: ValueSetPhisUom (MY Core) (required)
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required)
administrationGuidelines
dosage
dosage
Slices for extension				Content/Rules for all slices
cautionary		0..1	CodeableConcept	Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary
Slices for additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred)
additionalInstruction:special-instruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core
additionalInstruction:cautionary		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core
timing
code		0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required)
doseAndRate
dose[x]		0..1	Range, SimpleQuantity	Amount of medication per dose Binding: ValueSetPhisUom (MY Core) (required)
medicineClassification
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
formulary		0..1	boolean	An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core
classification		1..1	CodeableConcept	Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category
regulatory
schedule
schedule		1..1	CodeableConcept	Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationKnowledge.code.coding.code	preferred	ValueSetDrugMyCore (a valid code from CodeSystemDrug (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-my-core from this IG
MedicationKnowledge.doseForm	required	ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-core from this IG
MedicationKnowledge.synonym	preferred	ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-core from this IG
MedicationKnowledge.productType	required	ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-core from this IG
MedicationKnowledge.ingredient.strength.numerator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.ingredient.strength.denominator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.intendedRoute	required	ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction	preferred	ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary	preferred	ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code	required	ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x]	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.medicineClassification.classification	required	ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-core from this IG
MedicationKnowledge.regulatory.schedule.schedule	preferred	ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-core from this IG

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
audit		0..1	(Complex)	Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
setting		0..1	(Complex)	Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
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	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: ValueSetDrug (MY Core) (preferred)
display	Σ	0..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
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required)
amount	Σ	0..1	SimpleQuantity	Amount of drug in package
synonym	Σ	0..*	string	Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name
relatedMedicationKnowledge		0..*	BackboneElement	Associated or related medication information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of medicationKnowledge
reference		1..*	Reference(MedicationKnowledge)	Associated documentation about the associated medication knowledge
associatedMedication		0..*	Reference(Medication)	A medication resource that is associated with this medication
productType		0..*	CodeableConcept	Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type
monograph		0..*	BackboneElement	Associated documentation about the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	The category of medication document
source		0..1	Reference(DocumentReference | Media)	Associated documentation about the medication
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		Medication(s) or substance(s) contained in the medication
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity of ingredient present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	0..1	Quantity	Numerator value Binding: ValueSetPhisUom (MY Core) (required)
denominator	Σ	0..1	Quantity	Denominator value Binding: ValueSetPhisUom (MY Core) (required)
preparationInstruction		0..1	markdown	The instructions for preparing the medication
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required)
cost		0..*	BackboneElement	The pricing of the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	The category of the cost information
source		0..1	string	The source or owner for the price information
cost		1..1	Money	The price of the medication
monitoringProgram		0..*	BackboneElement	Program under which a medication is reviewed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Type of program under which the medication is monitored
name		0..1	string	Name of the reviewing program
administrationGuidelines		0..*	BackboneElement	Guidelines for administration of the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dosage		0..*	BackboneElement	Dosage for the medication for the specific guidelines
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Type of dosage
dosage		1..*	Dosage	Dosage for the medication for the specific guidelines
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
cautionary		0..1	CodeableConcept	Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
Slices for additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred)
additionalInstruction:special-instruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id		0..1	string	Unique id for inter-element referencing
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	Unique id for inter-element referencing
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: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..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
additionalInstruction:cautionary	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred)
id		0..1	string	Unique id for inter-element referencing
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	Unique id for inter-element referencing
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: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..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
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose Binding: ValueSetPhisUom (MY Core) (required)
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
indication[x]		0..1		Indication for use that apply to the specific administration guidelines
indicationCodeableConcept			CodeableConcept
indicationReference			Reference(ObservationDefinition)
patientCharacteristics		0..*	BackboneElement	Characteristics of the patient that are relevant to the administration guidelines
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
characteristic[x]		1..1		Specific characteristic that is relevant to the administration guideline
characteristicCodeableConcept			CodeableConcept
characteristicQuantity			Quantity(SimpleQuantity)
value		0..*	string	The specific characteristic
medicineClassification		0..*	BackboneElement	Categorization of the medication within a formulary or classification system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
formulary		0..1	boolean	An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)
classification		1..1	CodeableConcept	Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category
packaging		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	A code that defines the specific type of packaging that the medication can be found in Binding: medicationKnowledge Package Type Codes (example): A coded concept defining the type of packaging of a medication.
quantity		0..1	SimpleQuantity	The number of product units the package would contain if fully loaded
drugCharacteristic		0..*	BackboneElement	Specifies descriptive properties of the medicine
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Code specifying the type of characteristic of medication Binding: medicationKnowledge Characteristic Codes (example): A coded concept defining the characteristic types of a medication.
value[x]		0..1		Description of the characteristic
valueCodeableConcept			CodeableConcept
valueString			string
valueQuantity			Quantity(SimpleQuantity)
valueBase64Binary			base64Binary
contraindication		0..*	Reference(DetectedIssue)	Potential clinical issue with or between medication(s)
regulatory		0..*	BackboneElement	Regulatory information about a medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regulatoryAuthority		1..1	Reference(Organization)	Specifies the authority of the regulation
substitution		0..*	BackboneElement	Specifies if changes are allowed when dispensing a medication from a regulatory perspective
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Specifies the type of substitution allowed
allowed		1..1	boolean	Specifies if regulation allows for changes in the medication when dispensing
schedule		0..*	BackboneElement	Specifies the schedule of a medication in jurisdiction
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
schedule		1..1	CodeableConcept	Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule
maxDispense		0..1	BackboneElement	The maximum number of units of the medication that can be dispensed in a period
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		1..1	SimpleQuantity	The maximum number of units of the medication that can be dispensed
period		0..1	Duration	The period that applies to the maximum number of units
kinetics		0..*	BackboneElement	The time course of drug absorption, distribution, metabolism and excretion of a medication from the body
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
areaUnderCurve		0..*	SimpleQuantity	The drug concentration measured at certain discrete points in time
lethalDose50		0..*	SimpleQuantity	The median lethal dose of a drug
halfLifePeriod		0..1	Duration	Time required for concentration in the body to decrease by half
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationKnowledge.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationKnowledge.code.coding.code	preferred	ValueSetDrugMyCore (a valid code from CodeSystemDrug (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-my-core from this IG
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard
MedicationKnowledge.doseForm	required	ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-core from this IG
MedicationKnowledge.synonym	preferred	ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-core from this IG
MedicationKnowledge.productType	required	ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-core from this IG
MedicationKnowledge.ingredient.strength.numerator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.ingredient.strength.denominator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.intendedRoute	required	ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction	preferred	ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:special-instruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary	preferred	ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code	required	ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x]	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.medicineClassification.classification	required	ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-core from this IG
MedicationKnowledge.packaging.type	example	medicationKnowledge Package Type Codes http://hl7.org/fhir/ValueSet/medicationknowledge-package-type from the FHIR Standard
MedicationKnowledge.drugCharacteristic.type	example	medicationKnowledge Characteristic Codes http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic from the FHIR Standard
MedicationKnowledge.regulatory.schedule.schedule	preferred	ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-core from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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()
tim-1	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationKnowledge

Summary

Mandatory: 1 element(3 nested mandatory elements)
Fixed: 2 elements

Extensions

This structure refers to these extensions:

• http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
audit		0..1	(Complex)	Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
setting		0..1	(Complex)	Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) ele-1: All FHIR elements must have a @value or children
synonym	Σ	0..*	string	Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name ele-1: All FHIR elements must have a @value or children
productType		0..*	CodeableConcept	Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type ele-1: All FHIR elements must have a @value or children
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard
MedicationKnowledge.doseForm	required	ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-core from this IG
MedicationKnowledge.synonym	preferred	ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-core from this IG
MedicationKnowledge.productType	required	ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-core from this IG
MedicationKnowledge.intendedRoute	required	ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-core from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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 MedicationKnowledge

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
audit		0..1	(Complex)	Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
setting		0..1	(Complex)	Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core
code		1..1	CodeableConcept	Code that identifies this medication
coding
code		0..1	code	Symbol in syntax defined by the system Binding: ValueSetDrug (MY Core) (preferred)
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required)
synonym		0..*	string	Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name
productType		0..*	CodeableConcept	Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type
ingredient
strength
numerator		0..1	Quantity	Numerator value Binding: ValueSetPhisUom (MY Core) (required)
denominator		0..1	Quantity	Denominator value Binding: ValueSetPhisUom (MY Core) (required)
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required)
administrationGuidelines
dosage
dosage
Slices for extension				Content/Rules for all slices
cautionary		0..1	CodeableConcept	Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary
Slices for additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred)
additionalInstruction:special-instruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core
additionalInstruction:cautionary		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core
timing
code		0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required)
doseAndRate
dose[x]		0..1	Range, SimpleQuantity	Amount of medication per dose Binding: ValueSetPhisUom (MY Core) (required)
medicineClassification
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
formulary		0..1	boolean	An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core
classification		1..1	CodeableConcept	Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category
regulatory
schedule
schedule		1..1	CodeableConcept	Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationKnowledge.code.coding.code	preferred	ValueSetDrugMyCore (a valid code from CodeSystemDrug (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-my-core from this IG
MedicationKnowledge.doseForm	required	ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-core from this IG
MedicationKnowledge.synonym	preferred	ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-core from this IG
MedicationKnowledge.productType	required	ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-core from this IG
MedicationKnowledge.ingredient.strength.numerator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.ingredient.strength.denominator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.intendedRoute	required	ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction	preferred	ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary	preferred	ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code	required	ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x]	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.medicineClassification.classification	required	ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-core from this IG
MedicationKnowledge.regulatory.schedule.schedule	preferred	ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-core from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationKnowledge		0..*	MedicationKnowledge	Definition of Medication Knowledge
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
audit		0..1	(Complex)	Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
setting		0..1	(Complex)	Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
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	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: ValueSetDrug (MY Core) (preferred)
display	Σ	0..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
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
doseForm		0..1	CodeableConcept	powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required)
amount	Σ	0..1	SimpleQuantity	Amount of drug in package
synonym	Σ	0..*	string	Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name
relatedMedicationKnowledge		0..*	BackboneElement	Associated or related medication information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of medicationKnowledge
reference		1..*	Reference(MedicationKnowledge)	Associated documentation about the associated medication knowledge
associatedMedication		0..*	Reference(Medication)	A medication resource that is associated with this medication
productType		0..*	CodeableConcept	Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type
monograph		0..*	BackboneElement	Associated documentation about the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	The category of medication document
source		0..1	Reference(DocumentReference | Media)	Associated documentation about the medication
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		Medication(s) or substance(s) contained in the medication
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance)
isActive		0..1	boolean	Active ingredient indicator
strength		0..1	Ratio	Quantity of ingredient present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	0..1	Quantity	Numerator value Binding: ValueSetPhisUom (MY Core) (required)
denominator	Σ	0..1	Quantity	Denominator value Binding: ValueSetPhisUom (MY Core) (required)
preparationInstruction		0..1	markdown	The instructions for preparing the medication
intendedRoute		0..*	CodeableConcept	The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required)
cost		0..*	BackboneElement	The pricing of the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	The category of the cost information
source		0..1	string	The source or owner for the price information
cost		1..1	Money	The price of the medication
monitoringProgram		0..*	BackboneElement	Program under which a medication is reviewed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Type of program under which the medication is monitored
name		0..1	string	Name of the reviewing program
administrationGuidelines		0..*	BackboneElement	Guidelines for administration of the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
dosage		0..*	BackboneElement	Dosage for the medication for the specific guidelines
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Type of dosage
dosage		1..*	Dosage	Dosage for the medication for the specific guidelines
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
cautionary		0..1	CodeableConcept	Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
Slices for additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred)
additionalInstruction:special-instruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id		0..1	string	Unique id for inter-element referencing
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	Unique id for inter-element referencing
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: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..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
additionalInstruction:cautionary	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred)
id		0..1	string	Unique id for inter-element referencing
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	Unique id for inter-element referencing
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: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..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
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose Binding: ValueSetPhisUom (MY Core) (required)
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
indication[x]		0..1		Indication for use that apply to the specific administration guidelines
indicationCodeableConcept			CodeableConcept
indicationReference			Reference(ObservationDefinition)
patientCharacteristics		0..*	BackboneElement	Characteristics of the patient that are relevant to the administration guidelines
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
characteristic[x]		1..1		Specific characteristic that is relevant to the administration guideline
characteristicCodeableConcept			CodeableConcept
characteristicQuantity			Quantity(SimpleQuantity)
value		0..*	string	The specific characteristic
medicineClassification		0..*	BackboneElement	Categorization of the medication within a formulary or classification system
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
formulary		0..1	boolean	An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)
classification		1..1	CodeableConcept	Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category
packaging		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	A code that defines the specific type of packaging that the medication can be found in Binding: medicationKnowledge Package Type Codes (example): A coded concept defining the type of packaging of a medication.
quantity		0..1	SimpleQuantity	The number of product units the package would contain if fully loaded
drugCharacteristic		0..*	BackboneElement	Specifies descriptive properties of the medicine
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Code specifying the type of characteristic of medication Binding: medicationKnowledge Characteristic Codes (example): A coded concept defining the characteristic types of a medication.
value[x]		0..1		Description of the characteristic
valueCodeableConcept			CodeableConcept
valueString			string
valueQuantity			Quantity(SimpleQuantity)
valueBase64Binary			base64Binary
contraindication		0..*	Reference(DetectedIssue)	Potential clinical issue with or between medication(s)
regulatory		0..*	BackboneElement	Regulatory information about a medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regulatoryAuthority		1..1	Reference(Organization)	Specifies the authority of the regulation
substitution		0..*	BackboneElement	Specifies if changes are allowed when dispensing a medication from a regulatory perspective
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Specifies the type of substitution allowed
allowed		1..1	boolean	Specifies if regulation allows for changes in the medication when dispensing
schedule		0..*	BackboneElement	Specifies the schedule of a medication in jurisdiction
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
schedule		1..1	CodeableConcept	Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule
maxDispense		0..1	BackboneElement	The maximum number of units of the medication that can be dispensed in a period
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		1..1	SimpleQuantity	The maximum number of units of the medication that can be dispensed
period		0..1	Duration	The period that applies to the maximum number of units
kinetics		0..*	BackboneElement	The time course of drug absorption, distribution, metabolism and excretion of a medication from the body
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
areaUnderCurve		0..*	SimpleQuantity	The drug concentration measured at certain discrete points in time
lethalDose50		0..*	SimpleQuantity	The median lethal dose of a drug
halfLifePeriod		0..1	Duration	Time required for concentration in the body to decrease by half
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationKnowledge.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationKnowledge.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationKnowledge.code.coding.code	preferred	ValueSetDrugMyCore (a valid code from CodeSystemDrug (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-my-core from this IG
MedicationKnowledge.status	required	MedicationKnowledge Status Codes http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1 from the FHIR Standard
MedicationKnowledge.doseForm	required	ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-core from this IG
MedicationKnowledge.synonym	preferred	ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-core from this IG
MedicationKnowledge.productType	required	ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-core from this IG
MedicationKnowledge.ingredient.strength.numerator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.ingredient.strength.denominator	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.intendedRoute	required	ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction	preferred	ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:special-instruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary	preferred	ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code	required	ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-core from this IG
MedicationKnowledge.administrationGuidelines.dosage.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x]	required	ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-core from this IG
MedicationKnowledge.medicineClassification.classification	required	ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-core from this IG
MedicationKnowledge.packaging.type	example	medicationKnowledge Package Type Codes http://hl7.org/fhir/ValueSet/medicationknowledge-package-type from the FHIR Standard
MedicationKnowledge.drugCharacteristic.type	example	medicationKnowledge Characteristic Codes http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic from the FHIR Standard
MedicationKnowledge.regulatory.schedule.schedule	preferred	ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-core from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationKnowledge	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationKnowledge	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	MedicationKnowledge	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	MedicationKnowledge	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationKnowledge	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()
tim-1	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationKnowledge

Summary

Mandatory: 1 element(3 nested mandatory elements)
Fixed: 2 elements

Extensions

This structure refers to these extensions:

• http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core
• http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction