MyHealth@Eu Patient Summary
1.0.0-poc - qa-preview 150

MyHealth@Eu Patient Summary - Downloaded Version 1.0.0-poc See the Directory of published versions

## Resource Profile: MedicationStatement: MyHealth@EU EPS

Official URL: http://fhir.ehdsi.eu/eps/StructureDefinition/medicationStatement-myhealtheu-eps | Version: 1.0.0-poc
Standards status: Draft | Maturity Level: 1 | Computable Name: MedicationStatementMyHealthEuEps
Copyright/Legal: Copyright European Union, represented by the European Commission - DG SANTE. Licenced under CC-BY-4.0.

This profile constrains the MedicationStatement resource for the purpose of the MyHealth@EU EPS.

Usages:

- Use this Profile: Bundle: MyHealth@EU EPS
- Refer to this Profile: Composition: MyHealth@EU EPS
- Examples for this Profile: MedicationStatement/b3a1ed32-3f44-41e2-919b-1c8bdeaee29c

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatementMyHealthCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (EPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
Slices for extension |  |  |  | Content/Rules for all slices
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"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!O Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
medication[x] | O Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication: MyHealth@EU EPS) |
subject | Σ | 1..1 | Reference(Patient: MyHealth@EU EPS) | Who is/was taking the medication
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for effective[x] | O Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period when the medication is/was or should be used.
informationSource |  | 0..1 | Reference(Patient: MyHealth@EU EPS | Practitioner: MyHealth@EU EPS | PractitionerRole: MyHealth@EU EPS | Organization: MyHealth@EU EPS | RelatedPerson) | Person or organization that provided the information about the taking of this medication
dosage | O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
doseAndRate | O Σ | 0..* | Element | Amount of medication administered
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
Slices for dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Unordered, Open by type:$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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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.​medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### 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, MedicationStatement.dosage.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationStatementMyHealthCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  |  | MedicationStatementMyHealthCore | This profile also imposes the profile MedicationStatement (EPS)
medication[x] |  | 1..1 |  | What medication was taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication: MyHealth@EU EPS) |
subject |  | 1..1 | Reference(Patient: MyHealth@EU EPS) | Who is/was taking the medication
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
effective[x] | O | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
informationSource |  | 0..1 | Reference(Patient: MyHealth@EU EPS | Practitioner: MyHealth@EU EPS | PractitionerRole: MyHealth@EU EPS | Organization: MyHealth@EU EPS | RelatedPerson) | Person or organization that provided the information about the taking of this medication
dosage | O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
timing |  |  |  |
repeat | O | 0..1 | Element | When the event is to occur
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
bounds[x] | O | 0..1 | Duration, Range, Period | Length/Range of lengths, or (Start and/or end) limits
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
duration | O | 0..1 | decimal | How long when it happens
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
frequency | O | 0..1 | positiveInt | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
period | O | 0..1 | decimal | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
periodUnit | O | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
doseAndRate | O | 0..* | Element | Amount of medication administered
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatementMyHealthCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (EPS)
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
language |  | 0..1 | code | Language of the statement Binding: eHDSI Language (required)
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
Slices for extension |  |  |  | Content/Rules for all slices
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 | ?!O Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
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 Bindings | Purpose
Medication Intended Use | Preferred
medication[x] | O Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication: MyHealth@EU EPS) |
subject | Σ | 1..1 | Reference(Patient: MyHealth@EU EPS) | Who is/was taking the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
Slices for effective[x] | O Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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: MyHealth@EU EPS | Practitioner: MyHealth@EU EPS | PractitionerRole: MyHealth@EU EPS | Organization: MyHealth@EU EPS | 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 | O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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
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
event | Σ | 0..* | dateTime | When the event occurs
repeat | O Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | O Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | O Σ | 0..1 | decimal | How long when it happens
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | O Σ | 0..1 | positiveInt | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | O Σ | 0..1 | decimal | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | O Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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 | O Σ | 0..* | Element | Amount of medication administered
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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
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 | MyHealth@EU Core v1.0
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.​subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationStatement.​reasonCode | Base | required | eHDSI Medication Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when | Base | required | EventTiming | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.code | Base | preferred | TimingAbbreviation | 📍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 | MyHealth@EU Core v1.0
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()`
tim-1 | error | MedicationStatement.dosage.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationStatement.dosage.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationStatement.dosage.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationStatement.dosage.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationStatement.dosage.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationStatement.dosage.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationStatement.dosage.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationStatement.dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationStatement.dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from MedicationStatementMyHealthCore

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Medication: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/medication-eps-myhealtheu)
- Patient: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps)
- Practitioner: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/practitioner-myhealtheu-eps)
- PractitionerRole: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/practitionerRole-myhealtheu-eps)
- Organization: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/organization-myhealtheu-eps)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatementMyHealthCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (EPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
Slices for extension |  |  |  | Content/Rules for all slices
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"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!O Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
medication[x] | O Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication: MyHealth@EU EPS) |
subject | Σ | 1..1 | Reference(Patient: MyHealth@EU EPS) | Who is/was taking the medication
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for effective[x] | O Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period when the medication is/was or should be used.
informationSource |  | 0..1 | Reference(Patient: MyHealth@EU EPS | Practitioner: MyHealth@EU EPS | PractitionerRole: MyHealth@EU EPS | Organization: MyHealth@EU EPS | RelatedPerson) | Person or organization that provided the information about the taking of this medication
dosage | O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
doseAndRate | O Σ | 0..* | Element | Amount of medication administered
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
Slices for dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Unordered, Open by type:$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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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.​medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0

#### 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, MedicationStatement.dosage.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from MedicationStatementMyHealthCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  |  | MedicationStatementMyHealthCore | This profile also imposes the profile MedicationStatement (EPS)
medication[x] |  | 1..1 |  | What medication was taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication: MyHealth@EU EPS) |
subject |  | 1..1 | Reference(Patient: MyHealth@EU EPS) | Who is/was taking the medication
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
effective[x] | O | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
informationSource |  | 0..1 | Reference(Patient: MyHealth@EU EPS | Practitioner: MyHealth@EU EPS | PractitionerRole: MyHealth@EU EPS | Organization: MyHealth@EU EPS | RelatedPerson) | Person or organization that provided the information about the taking of this medication
dosage | O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
timing |  |  |  |
repeat | O | 0..1 | Element | When the event is to occur
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
bounds[x] | O | 0..1 | Duration, Range, Period | Length/Range of lengths, or (Start and/or end) limits
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
duration | O | 0..1 | decimal | How long when it happens
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
frequency | O | 0..1 | positiveInt | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
period | O | 0..1 | decimal | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
periodUnit | O | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
doseAndRate | O | 0..* | Element | Amount of medication administered
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatementMyHealthCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (EPS)
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
language |  | 0..1 | code | Language of the statement Binding: eHDSI Language (required)
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
Slices for extension |  |  |  | Content/Rules for all slices
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 | ?!O Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
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 Bindings | Purpose
Medication Intended Use | Preferred
medication[x] | O Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
Obligations | Actor | Source
SHALL:handle | MyHealth@EU Handler | from MedicationStatement (Core)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication: MyHealth@EU EPS) |
subject | Σ | 1..1 | Reference(Patient: MyHealth@EU EPS) | Who is/was taking the medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
Slices for effective[x] | O Σ | 1..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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: MyHealth@EU EPS | Practitioner: MyHealth@EU EPS | PractitionerRole: MyHealth@EU EPS | Organization: MyHealth@EU EPS | 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 | O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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
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
event | Σ | 0..* | dateTime | When the event occurs
repeat | O Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | O Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | O Σ | 0..1 | decimal | How long when it happens
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | O Σ | 0..1 | positiveInt | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | O Σ | 0..1 | decimal | Event occurs frequency times per period
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | O Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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 | O Σ | 0..* | Element | Amount of medication administered
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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
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 | MyHealth@EU Core v1.0
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.​subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationStatement.​reasonCode | Base | required | eHDSI Medication Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.repeat.​when | Base | required | EventTiming | 📍4.0.1 | FHIR Std.
MedicationStatement.​dosage.timing.code | Base | preferred | TimingAbbreviation | 📍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 | MyHealth@EU Core v1.0
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()`
tim-1 | error | MedicationStatement.dosage.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationStatement.dosage.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationStatement.dosage.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationStatement.dosage.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationStatement.dosage.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationStatement.dosage.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationStatement.dosage.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationStatement.dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationStatement.dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from MedicationStatementMyHealthCore

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

- Medication: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/medication-eps-myhealtheu)
- Patient: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps)
- Practitioner: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/practitioner-myhealtheu-eps)
- PractitionerRole: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/practitionerRole-myhealtheu-eps)
- Organization: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/organization-myhealtheu-eps)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron