Bangladesh Core FHIR Implementation Guide
0.5.0 - Published by DGHS, MoHFW
Bangladesh Core FHIR Implementation Guide
0.5.0 - Published by DGHS, MoHFW
Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the Directory of published versions
| Official URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication | Version: 0.5.0 | |||
| Standards status: Informative | Maturity Level: 1 | Computable Name: BDMedication | ||
Profile of the Medication resource for the Bangladesh National Health Information Exchange (HIE). Drug products are coded using the DGDA Drug Registry maintained by the Drug Registration Authority of Bangladesh and served via the national OCL terminology server at https://tr.ocl.dghs.gov.bd.
Ingredient coding uses ICD-11 MMS substance codes (XM-prefix) to support International Patient Summary (IPS) generation and cross-border data exchange. Ingredient data is system-populated from OCL Has-active-ingredient mappings and is not required to be entered manually by clinicians.
Combination drugs are supported via the repeating ingredient element. Ingredients are derived from the DGDA drug concept in the national OCL terminology server through its Has-active-ingredient mappings to ICD-11 MMS substance codes (one mapping per ingredient). Newly registered drugs can take time to appear in the DGDA data, so the ingredient elements are Must Support: systems that hold ingredient data may populate them in the meantime.
Dose form is optional and should be coded using EDQM Standard Terms when populated. Dose form is derivable from the DGDA drug concept via OCL lookup, where DGDA dose forms are mapped to EDQM Standard Terms codes.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Medication |
0..* | Medication | Definition of a Medication | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
  code |
1..1 | CodeableConcept | DGDA registered drug product code Binding: DGDA Registered Drugs Value Set (required) | |
  text |
1..1 | string | Trade name of the drug product | |
| status |
0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. | |
| form |
0..1 | CodeableConcept | Pharmaceutical dose form — EDQM Standard Terms (optional) Binding: Medication Dose Form Value Set (preferred) | |
 ingredient |
0..* | BackboneElement | Active ingredient(s) of the drug product | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| item[x] |
1..1 | CodeableConcept | ICD-11 substance code for the ingredient Binding: ICD-11 Substances Value Set (extensible) | |
| strength |
0..1 | Ratio | Strength of the ingredient (optional) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | required | DGDA Registered Drugs Value Set | 📦0.5.0 | This IG |
| Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| Medication.form | Base | preferred | Medication Dose Form Value Set | 📦0.5.0 | This IG |
| Medication.ingredient.item[x] | Base | extensible | ICD-11 Substances Value Set | 📦0.5.0 | This IG |
| 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 Medication
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Medication |
0..* | Medication | Definition of a Medication | |
 code |
1..1 | CodeableConcept | DGDA registered drug product code Binding: DGDA Registered Drugs Value Set (required) | |
| text |
1..1 | string | Trade name of the drug product | |
| form |
0..1 | CodeableConcept | Pharmaceutical dose form — EDQM Standard Terms (optional) Binding: Medication Dose Form Value Set (preferred) | |
| ingredient |
0..* | BackboneElement | Active ingredient(s) of the drug product | |
| item[x] |
1..1 | CodeableConcept | ICD-11 substance code for the ingredient Binding: ICD-11 Substances Value Set (extensible) | |
| strength |
0..1 | Ratio | Strength of the ingredient (optional) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | required | DGDA Registered Drugs Value Set | 📦0.5.0 | This IG |
| Medication.form | Base | preferred | Medication Dose Form Value Set | 📦0.5.0 | This IG |
| Medication.ingredient.item[x] | Base | extensible | ICD-11 Substances Value Set | 📦0.5.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Medication |
0..* | Medication | Definition of a Medication | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for this medication | |||||
| code |
1..1 | CodeableConcept | DGDA registered drug product code Binding: DGDA Registered Drugs Value Set (required) | |||||
| 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 |
0..* | Coding | Code defined by a terminology system | |||||
| text |
1..1 | string | Trade name of the drug product | |||||
| status |
0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. | |||||
 manufacturer |
0..1 | Reference(Organization) | Manufacturer of the item | |||||
| form |
0..1 | CodeableConcept | Pharmaceutical dose form — EDQM Standard Terms (optional) Binding: Medication Dose Form Value Set (preferred) | |||||
| amount |
0..1 | Ratio | Amount of drug in package | |||||
| ingredient |
0..* | BackboneElement | Active ingredient(s) of the drug product | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| item[x] |
1..1 | CodeableConcept | ICD-11 substance code for the ingredient Binding: ICD-11 Substances Value Set (extensible) | |||||
| isActive |
0..1 | boolean | Active ingredient indicator | |||||
| strength |
0..1 | Ratio | Strength of the ingredient (optional) | |||||
| batch |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| lotNumber |
0..1 | string | Identifier assigned to batch | |||||
| expirationDate |
0..1 | dateTime | When batch will expire | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Medication.code | Base | required | DGDA Registered Drugs Value Set | 📦0.5.0 | This IG |
| Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| Medication.form | Base | preferred | Medication Dose Form Value Set | 📦0.5.0 | This IG |
| Medication.ingredient.item[x] | Base | extensible | ICD-11 Substances Value Set | 📦0.5.0 | This IG |
| 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 Medication
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Medication |
0..* | Medication | Definition of a Medication | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| code |
1..1 | CodeableConcept | DGDA registered drug product code Binding: DGDA Registered Drugs Value Set (required) | |
| text |
1..1 | string | Trade name of the drug product | |
| status |
0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. | |
| form |
0..1 | CodeableConcept | Pharmaceutical dose form — EDQM Standard Terms (optional) Binding: Medication Dose Form Value Set (preferred) | |
| ingredient |
0..* | BackboneElement | Active ingredient(s) of the drug product | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| item[x] |
1..1 | CodeableConcept | ICD-11 substance code for the ingredient Binding: ICD-11 Substances Value Set (extensible) | |
| strength |
0..1 | Ratio | Strength of the ingredient (optional) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | required | DGDA Registered Drugs Value Set | 📦0.5.0 | This IG |
| Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| Medication.form | Base | preferred | Medication Dose Form Value Set | 📦0.5.0 | This IG |
| Medication.ingredient.item[x] | Base | extensible | ICD-11 Substances Value Set | 📦0.5.0 | This IG |
| 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 Medication
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Medication |
0..* | Medication | Definition of a Medication | |
| code |
1..1 | CodeableConcept | DGDA registered drug product code Binding: DGDA Registered Drugs Value Set (required) | |
| text |
1..1 | string | Trade name of the drug product | |
| form |
0..1 | CodeableConcept | Pharmaceutical dose form — EDQM Standard Terms (optional) Binding: Medication Dose Form Value Set (preferred) | |
| ingredient |
0..* | BackboneElement | Active ingredient(s) of the drug product | |
| item[x] |
1..1 | CodeableConcept | ICD-11 substance code for the ingredient Binding: ICD-11 Substances Value Set (extensible) | |
| strength |
0..1 | Ratio | Strength of the ingredient (optional) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | required | DGDA Registered Drugs Value Set | 📦0.5.0 | This IG |
| Medication.form | Base | preferred | Medication Dose Form Value Set | 📦0.5.0 | This IG |
| Medication.ingredient.item[x] | Base | extensible | ICD-11 Substances Value Set | 📦0.5.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Medication |
0..* | Medication | Definition of a Medication | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for this medication | |||||
| code |
1..1 | CodeableConcept | DGDA registered drug product code Binding: DGDA Registered Drugs Value Set (required) | |||||
| 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 |
0..* | Coding | Code defined by a terminology system | |||||
| text |
1..1 | string | Trade name of the drug product | |||||
| status |
0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. | |||||
| manufacturer |
0..1 | Reference(Organization) | Manufacturer of the item | |||||
| form |
0..1 | CodeableConcept | Pharmaceutical dose form — EDQM Standard Terms (optional) Binding: Medication Dose Form Value Set (preferred) | |||||
| amount |
0..1 | Ratio | Amount of drug in package | |||||
| ingredient |
0..* | BackboneElement | Active ingredient(s) of the drug product | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| item[x] |
1..1 | CodeableConcept | ICD-11 substance code for the ingredient Binding: ICD-11 Substances Value Set (extensible) | |||||
| isActive |
0..1 | boolean | Active ingredient indicator | |||||
| strength |
0..1 | Ratio | Strength of the ingredient (optional) | |||||
| batch |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| lotNumber |
0..1 | string | Identifier assigned to batch | |||||
| expirationDate |
0..1 | dateTime | When batch will expire | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Medication.code | Base | required | DGDA Registered Drugs Value Set | 📦0.5.0 | This IG |
| Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| Medication.form | Base | preferred | Medication Dose Form Value Set | 📦0.5.0 | This IG |
| Medication.ingredient.item[x] | Base | extensible | ICD-11 Substances Value Set | 📦0.5.0 | This IG |
| 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 Medication
Other representations of profile: CSV, Excel, Schematron