MyHealth@Eu Hospital Discharge Report
0.0.1 - qa-preview 150

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Resource Profile: MedicationStatement: HDR

Official URL: http://fhir.ehdsi.eu/hdr/StructureDefinition/medicationStatement-hdr-myhealtheu Version: 0.0.1
Standards status: Draft Maturity Level: 1 Computable Name: MedicationStatementHdrMyHealthEu

This profile constrains the MedicationStatement resource for the purpose of this guide, adapted from the MPD work.

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuHdr Record of medication being taken by a patient
... 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 1..1 code Current state of the medication statement
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication: HDR)
.... medication[x]:medicationReference OΣ 0..1 Reference(Medication: HDR) What medication was taken
ObligationsActor
SHALL:handle HDR Handler
... subject OΣ 1..1 Reference(Patient: HDR) Who is/was taking the medication
ObligationsActor
SHALL:handle HDR Handler
... effective[x] OΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:handle HDR Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dosage 0..* DosageHdrMyHealthEu Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
From the FHIR Standard
MedicationStatement.statusReasonrequiredEHDSIMedicationStatusReasonWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIMedicationStatusReasonWithExceptions
From this IG
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatementEuHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement MedicationStatementEuHdr
... status 1..1 code Current state of the medication statement
... statusReason 0..* CodeableConcept Reason for current status
Binding: eHDSI Medication Status Reason With Exceptions (required)
... Slices for medication[x] 1..1 What medication was taken
Slice: Unordered, Open by type:$this
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication: HDR)
.... medication[x]:medicationReference O 0..1 Reference(Medication: HDR) What medication was taken
ObligationsActor
SHALL:handle HDR Handler
... effective[x] O 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:handle HDR Handler
... dosage 0..* DosageHdrMyHealthEu Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.statusReasonrequiredEHDSIMedicationStatusReasonWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIMedicationStatusReasonWithExceptions
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuHdr Record of medication being taken by a patient
... 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
... 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 Medication Statement Identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!Σ 1..1 code Current state of the medication statement
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... statusReason 0..* CodeableConcept Reason for current status
Binding: eHDSI Medication Status Reason With Exceptions (required)
... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication: HDR)
.... medication[x]:medicationReference OΣ 0..1 Reference(Medication: HDR) What medication was taken
ObligationsActor
SHALL:handle HDR Handler
... subject OΣ 1..1 Reference(Patient: HDR) Who is/was taking the medication
ObligationsActor
SHALL:handle HDR Handler
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] OΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:handle HDR Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage 0..* DosageHdrMyHealthEu Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
From the FHIR Standard
MedicationStatement.statusReasonrequiredEHDSIMedicationStatusReasonWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIMedicationStatusReasonWithExceptions
From this IG
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
From the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatementEuHdr

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 MedicationStatement.medication[x]

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuHdr Record of medication being taken by a patient
... 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 1..1 code Current state of the medication statement
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication: HDR)
.... medication[x]:medicationReference OΣ 0..1 Reference(Medication: HDR) What medication was taken
ObligationsActor
SHALL:handle HDR Handler
... subject OΣ 1..1 Reference(Patient: HDR) Who is/was taking the medication
ObligationsActor
SHALL:handle HDR Handler
... effective[x] OΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:handle HDR Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dosage 0..* DosageHdrMyHealthEu Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
From the FHIR Standard
MedicationStatement.statusReasonrequiredEHDSIMedicationStatusReasonWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIMedicationStatusReasonWithExceptions
From this IG
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatementEuHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement MedicationStatementEuHdr
... status 1..1 code Current state of the medication statement
... statusReason 0..* CodeableConcept Reason for current status
Binding: eHDSI Medication Status Reason With Exceptions (required)
... Slices for medication[x] 1..1 What medication was taken
Slice: Unordered, Open by type:$this
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication: HDR)
.... medication[x]:medicationReference O 0..1 Reference(Medication: HDR) What medication was taken
ObligationsActor
SHALL:handle HDR Handler
... effective[x] O 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:handle HDR Handler
... dosage 0..* DosageHdrMyHealthEu Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.statusReasonrequiredEHDSIMedicationStatusReasonWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIMedicationStatusReasonWithExceptions
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuHdr Record of medication being taken by a patient
... 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
... 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 Medication Statement Identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!Σ 1..1 code Current state of the medication statement
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... statusReason 0..* CodeableConcept Reason for current status
Binding: eHDSI Medication Status Reason With Exceptions (required)
... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication: HDR)
.... medication[x]:medicationReference OΣ 0..1 Reference(Medication: HDR) What medication was taken
ObligationsActor
SHALL:handle HDR Handler
... subject OΣ 1..1 Reference(Patient: HDR) Who is/was taking the medication
ObligationsActor
SHALL:handle HDR Handler
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] OΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:handle HDR Handler
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage 0..* DosageHdrMyHealthEu Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
From the FHIR Standard
MedicationStatement.statusReasonrequiredEHDSIMedicationStatusReasonWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIMedicationStatusReasonWithExceptions
From this IG
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
From the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatementEuHdr

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 MedicationStatement.medication[x]

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron