Finnish Base Profiles
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Resource Profile: FI Base Medication

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication Version: 2.0.0-ci
Draft as of 2025-10-05 Computable Name: FiBaseMedication

This is the Finnish base profile for the Medication resource for other than patient access use cases.

Scope and Usage

The FI Base Medication profile requires that references from the Medication resource to other resources are to resources that also conform to the Finnish Base Profiles.

This profile can be used to ensure greater compatibility, but it should not be expected that all Medications within the Finnish healthcare IT ecosystem conform to this profile.

This implementation guide does present examples of the Medication resource being used in Finnish context.

For patient access use cases, please see the FI SMART Medication profile of the Finnish SMART implementation guide.

See also the Medication Codes section on the terminology page of this guide, and the Medications Module of the main FHIR specification.

For all medication related resources (Medication, MedicationAdministration, MedicationRequest, MedicationStatement), please also see the Prescription project and the related implementation guide of the Kanta system. That project contains useful definitions, examples, and sequence descriptions (mostly in Finnish).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... manufacturer 0..1 Reference(FI Base Organization(2.0.0-ci)) Manufacturer of the item
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(Substance | FI Base Medication(2.0.0-ci)) The actual ingredient or content

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... 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
... 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 Σ 0..* Identifier Business identifier for this medication
... code Σ 0..1 CodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
... status ?!Σ 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 Σ 0..1 Reference(FI Base Organization(2.0.0-ci)) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
... amount Σ 0..1 Ratio Amount of drug in package
... 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
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Open by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Substance | FI Base Medication(2.0.0-ci)) The actual ingredient or content
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient present
... 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 ?!Σ 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Medication.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base example SNOMED CT Form Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Medication

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... manufacturer 0..1 Reference(FI Base Organization(2.0.0-ci)) Manufacturer of the item
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(Substance | FI Base Medication(2.0.0-ci)) The actual ingredient or content

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* Medication Definition of a Medication
... 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
... 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 Σ 0..* Identifier Business identifier for this medication
... code Σ 0..1 CodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
... status ?!Σ 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 Σ 0..1 Reference(FI Base Organization(2.0.0-ci)) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
... amount Σ 0..1 Ratio Amount of drug in package
... 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
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Open by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(Substance | FI Base Medication(2.0.0-ci)) The actual ingredient or content
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient present
... 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 ?!Σ 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Medication.code Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base example SNOMED CT Form Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Medication

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron