NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medication | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreMedication | ||||
Sets minimum expectations for representing a medication within the NP Core context.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| 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 | Codes that identify this medication Binding: Nepal Drug Value Set (preferred)
| |||||||||
| 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 |
1..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| |||||||||
 ingredient |
0..* | BackboneElement | Active or inactive ingredient
| |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
 item[x] |
1..1 | The actual ingredient or content
| ||||||||||
| itemCodeableConcept |
CodeableConcept | |||||||||||
  itemReference |
Reference(Substance | Medication) | |||||||||||
| strength |
0..1 | Ratio | Quantity of ingredient present
| |||||||||
 batch |
0..1 | BackboneElement | Details about packaged medications
| |||||||||
 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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
| code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| 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. |
| 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 | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
 code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | 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 | Codes that identify this medication Binding: Nepal Drug Value Set (preferred)
| |||||||||
| 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 |
1..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| |||||||||
| amount |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| item[x] |
1..1 | The actual ingredient or content
| ||||||||||
| itemCodeableConcept |
CodeableConcept | |||||||||||
| itemReference |
Reference(Substance | Medication) | |||||||||||
| 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 |
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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
| code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Medication.code | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| 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. |
| 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()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
| code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
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 | Codes that identify this medication Binding: Nepal Drug Value Set (preferred)
| |||||||||
| 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 |
1..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| |||||||||
| ingredient |
0..* | BackboneElement | Active or inactive ingredient
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| item[x] |
1..1 | The actual ingredient or content
| ||||||||||
| itemCodeableConcept |
CodeableConcept | |||||||||||
| itemReference |
Reference(Substance | Medication) | |||||||||||
| strength |
0..1 | Ratio | Quantity of ingredient present
| |||||||||
| batch |
0..1 | BackboneElement | Details about packaged medications
| |||||||||
| 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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
| code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| 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. |
| 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 | Codes that identify this medication Binding: Nepal Drug Value Set (preferred)
| |||||||||
| status |
0..1 | code | active | inactive | entered-in-error
| |||||||||
| form |
1..1 | CodeableConcept | powder | tablets | capsule +
| |||||||||
| ingredient |
0..* | BackboneElement | Active or inactive ingredient
| |||||||||
| item[x] |
1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
| |||||||||
| strength |
0..1 | Ratio | Quantity of ingredient present
| |||||||||
| batch |
0..1 | BackboneElement | Details about packaged medications
| |||||||||
| lotNumber |
0..1 | string | Identifier assigned to batch
| |||||||||
| expirationDate |
0..1 | dateTime | When batch will expire
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
| code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.code | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
Snapshot ViewView
| 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 | Codes that identify this medication Binding: Nepal Drug Value Set (preferred)
| |||||||||
| 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 |
1..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
| |||||||||
| amount |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| item[x] |
1..1 | The actual ingredient or content
| ||||||||||
| itemCodeableConcept |
CodeableConcept | |||||||||||
| itemReference |
Reference(Substance | Medication) | |||||||||||
| 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 |
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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
| code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Medication.code | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| 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. |
| 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()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| Medication |
|||
| code |
|
|
|
| status |
|
|
|
| form |
|
|
|
| ingredient |
|
|
|
| item[x] |
|
|
|
| strength |
|
|
|
| batch |
|
|
|
| lotNumber |
|
|
|
| expirationDate |
|
|
|
| Documentation for this format | |||
This structure is derived from Medication
Other representations of profile: CSV, Excel, Schematron