MyHealth@EU Core
1.0.0 - trial-use 150

This page is part of the MyHealth@Eu Core (v1.0.0: Wave 9) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MedicationStatement (Core)

Official URL: http://fhir.ehdsi.eu/core/StructureDefinition/medicationStatement-myhealtheu-core Version: 1.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: MedicationStatementMyHealthCore

This profile sets minimum expectations for the MedicationStatement resource common to most of the use cases. This profile is adapted from the MPD work.

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
.. MedicationStatement 0..* MedicationStatementEuCore Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the statement
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:code 1..1 Extension Type of adherence.
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
Constraints: ext-1
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
... status ?!OΣ 1..1 code State of the medication
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
ObligationsActor
SHALL:handle MyHealth@EU Handler
... statusReason 0..* CodeableConcept Reason for the 'exception' statuses of the medication
Binding: eHDSI Medication Status Reason With Exceptions (required)
... medication[x] OΣ 1..1 What medication was taken
Binding: Medications - IPS (example)
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core) | Group) Who is/was taking the medication
... Slices for effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Period when the medication is/was or should be used.
... informationSource 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Coded reason for use
Binding: eHDSI Medication Reason With Exceptions (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​medication[x] Base example Medications - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement 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 MedicationStatement 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 MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement 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 MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from MedicationStatementEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuCore Record of medication being taken by a patient
... language 0..1 code Language of the statement
Binding: eHDSI Language (required)
... status O 1..1 code State of the medication
ObligationsActor
SHALL:handle MyHealth@EU Handler
... statusReason 0..* CodeableConcept Reason for the 'exception' statuses of the medication
Binding: eHDSI Medication Status Reason With Exceptions (required)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject 1..1 Reference(Patient (Core) | Group) Who is/was taking the medication
... informationSource 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Coded reason for use
Binding: eHDSI Medication Reason With Exceptions (required)
... dosage
.... site 0..1 CodeableConcept Body site to administer to
Binding: eHDSI Body Site With Exceptions (required)
.... route 0..1 CodeableConcept How drug should enter body
Binding: eHDSI Route of Administration (extensible)
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity(4.0.1) Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuCore 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:code 1..1 Extension Type of adherence.
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] 0..1 CodeableConcept Details of the reason for the current use of the medication
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
... 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 ?!OΣ 1..1 code State of the medication
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
ObligationsActor
SHALL:handle MyHealth@EU Handler
... statusReason 0..* CodeableConcept Reason for the 'exception' statuses of the medication
Binding: eHDSI Medication Status Reason With Exceptions (required)
... category Σ 0..1 CodeableConcept Type of intended use
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Additional BindingsPurpose
Medication Intended Use Preferred
... medication[x] OΣ 1..1 What medication was taken
Binding: Medications - IPS (example)
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core) | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... Slices for effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Period when the medication is/was or should be used.
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) The reference to the source of the statement
... reasonCode 0..* CodeableConcept Coded reason for use
Binding: eHDSI Medication Reason With Exceptions (required)
... 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown Textual note about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken.
.... 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
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction 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".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... 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: eHDSI Body Site With Exceptions (required)
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: eHDSI Route of Administration (extensible)
.... 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.
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio Σ 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod Σ 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​category Base preferred Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example Medications - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuCore Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the statement
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:code 1..1 Extension Type of adherence.
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
Constraints: ext-1
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
... status ?!OΣ 1..1 code State of the medication
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
ObligationsActor
SHALL:handle MyHealth@EU Handler
... statusReason 0..* CodeableConcept Reason for the 'exception' statuses of the medication
Binding: eHDSI Medication Status Reason With Exceptions (required)
... medication[x] OΣ 1..1 What medication was taken
Binding: Medications - IPS (example)
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core) | Group) Who is/was taking the medication
... Slices for effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Period when the medication is/was or should be used.
... informationSource 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Coded reason for use
Binding: eHDSI Medication Reason With Exceptions (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​medication[x] Base example Medications - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement 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 MedicationStatement 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 MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement 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 MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatementEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuCore Record of medication being taken by a patient
... language 0..1 code Language of the statement
Binding: eHDSI Language (required)
... status O 1..1 code State of the medication
ObligationsActor
SHALL:handle MyHealth@EU Handler
... statusReason 0..* CodeableConcept Reason for the 'exception' statuses of the medication
Binding: eHDSI Medication Status Reason With Exceptions (required)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject 1..1 Reference(Patient (Core) | Group) Who is/was taking the medication
... informationSource 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Coded reason for use
Binding: eHDSI Medication Reason With Exceptions (required)
... dosage
.... site 0..1 CodeableConcept Body site to administer to
Binding: eHDSI Body Site With Exceptions (required)
.... route 0..1 CodeableConcept How drug should enter body
Binding: eHDSI Route of Administration (extensible)
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity(4.0.1) Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatementEuCore 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
...... extension:code 1..1 Extension Type of adherence.
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] 0..1 CodeableConcept Details of the reason for the current use of the medication
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
... 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 ?!OΣ 1..1 code State of the medication
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
ObligationsActor
SHALL:handle MyHealth@EU Handler
... statusReason 0..* CodeableConcept Reason for the 'exception' statuses of the medication
Binding: eHDSI Medication Status Reason With Exceptions (required)
... category Σ 0..1 CodeableConcept Type of intended use
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Additional BindingsPurpose
Medication Intended Use Preferred
... medication[x] OΣ 1..1 What medication was taken
Binding: Medications - IPS (example)
ObligationsActor
SHALL:handle MyHealth@EU Handler
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core) | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... Slices for effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod Σ 0..1 Period Period when the medication is/was or should be used.
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) The reference to the source of the statement
... reasonCode 0..* CodeableConcept Coded reason for use
Binding: eHDSI Medication Reason With Exceptions (required)
... 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown Textual note about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken.
.... 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
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction 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".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... 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: eHDSI Body Site With Exceptions (required)
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: eHDSI Route of Administration (extensible)
.... 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.
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio Σ 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod Σ 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​category Base preferred Medication usage category codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example Medications - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationStatement.​dosage.route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.

Constraints

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

 

Other representations of profile: CSV, Excel, Schematron