STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

F.25.1 StructureDefinition: QICore-MedicationStatement

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/qicore-medicationstatement

Profile of MedicationStatement for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile was published on Fri, Feb 27, 2015 00:00+1100 as a draft by Health Level Seven International (Clinical Quality Information - QICore).

F.25.1.1 Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement ∑ I0..*MedicationStatementRecord of medication being taken by a patient
mst-2: Reason for use is only permitted if wasNotTaken is false
mst-1: Reason not taken is only permitted if wasNotTaken is true
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal identifier
... status ?! S∑1..1codeactive | completed | entered-in-error | intended
Binding: MedicationStatementStatus (required)
... medication[x] S ∑1..1CodeableConcept, Reference(QICore-Medication)What medication was taken
Binding: Medication Clinical Drug (RxNorm) (preferred)
... patient S ∑1..1Reference(QICore-Patient)Who is/was taking the medication
... effective[x] S ∑0..1dateTime, PeriodOver what period was medication consumed?
... informationSource S ∑0..1Reference(QICore-Patient | QICore-Practitioner | QICore-RelatedPerson)Person who provided the information about the taking of this medication
... supportingInformation ∑0..*Reference(Resource)Additional supporting information
... dateAsserted S ∑0..1dateTimeWhen the statement was asserted?
... wasNotTaken ?! S∑0..1booleanTrue if medication is/was not being taken
... reasonNotTaken ∑ I0..*CodeableConceptTrue if asserting medication was not given
Binding: Reason Medication Not Given Codes (example)
... reasonForUse[x] ∑0..1CodeableConcept, Reference(QICore-Condition)Binding: Condition/Problem/Diagnosis Codes (example)
... note ∑0..*AnnotationFurther information about the statement
... dosage ∑0..*BackboneElementDetails of how medication was taken
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringFree text dosage instructions as reported by the information source
.... timing S ∑0..1TimingWhen/how often was medication taken
.... asNeeded[x] ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... site[x] ∑0..1CodeableConcept, Reference(BodySite)Where (on body) medication is/was administered
Binding: Vaccine Administered Body Site (preferred)
.... route S ∑0..1CodeableConceptHow the medication entered the body
Binding: Medication Route FDA Value Set (preferred)
.... method ∑0..1CodeableConceptTechnique used to administer medication
Binding: (unbound) (example)
.... quantity[x] ∑0..1SimpleQuantity, RangeAmount administered in one dose
.... rate[x] ∑0..1Ratio, RangeDose quantity per unit of time
.... maxDosePerPeriod ∑0..1RatioMaximum dose that was consumed per unit of time

doco Documentation for this format

todo

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement ∑ I0..*MedicationStatementRecord of medication being taken by a patient
mst-2: Reason for use is only permitted if wasNotTaken is false
mst-1: Reason not taken is only permitted if wasNotTaken is true
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal identifier
... status ?! S∑1..1codeactive | completed | entered-in-error | intended
Binding: MedicationStatementStatus (required)
... medication[x] S ∑1..1CodeableConcept, Reference(QICore-Medication)What medication was taken
Binding: Medication Clinical Drug (RxNorm) (preferred)
... patient S ∑1..1Reference(QICore-Patient)Who is/was taking the medication
... effective[x] S ∑0..1dateTime, PeriodOver what period was medication consumed?
... informationSource S ∑0..1Reference(QICore-Patient | QICore-Practitioner | QICore-RelatedPerson)Person who provided the information about the taking of this medication
... supportingInformation ∑0..*Reference(Resource)Additional supporting information
... dateAsserted S ∑0..1dateTimeWhen the statement was asserted?
... wasNotTaken ?! S∑0..1booleanTrue if medication is/was not being taken
... reasonNotTaken ∑ I0..*CodeableConceptTrue if asserting medication was not given
Binding: Reason Medication Not Given Codes (example)
... reasonForUse[x] ∑0..1CodeableConcept, Reference(QICore-Condition)Binding: Condition/Problem/Diagnosis Codes (example)
... note ∑0..*AnnotationFurther information about the statement
... dosage ∑0..*BackboneElementDetails of how medication was taken
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringFree text dosage instructions as reported by the information source
.... timing S ∑0..1TimingWhen/how often was medication taken
.... asNeeded[x] ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... site[x] ∑0..1CodeableConcept, Reference(BodySite)Where (on body) medication is/was administered
Binding: Vaccine Administered Body Site (preferred)
.... route S ∑0..1CodeableConceptHow the medication entered the body
Binding: Medication Route FDA Value Set (preferred)
.... method ∑0..1CodeableConceptTechnique used to administer medication
Binding: (unbound) (example)
.... quantity[x] ∑0..1SimpleQuantity, RangeAmount administered in one dose
.... rate[x] ∑0..1Ratio, RangeDose quantity per unit of time
.... maxDosePerPeriod ∑0..1RatioMaximum dose that was consumed per unit of time

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

F.25.1.2 Terminology Bindings

PathNameConformanceValueSet
MedicationStatement.language?extrequiredhttp://tools.ietf.org/html/bcp47
MedicationStatement.statusMedicationStatementStatusrequiredMedicationStatementStatus
MedicationStatement.medication[x]Medication Clinical Drug (RxNorm)preferredMedication Clinical Drug (RxNorm)
MedicationStatement.reasonNotTakenReason Medication Not Given CodesexampleReason Medication Not Given Codes
MedicationStatement.reasonForUse[x]Condition/Problem/Diagnosis CodesexampleCondition/Problem/Diagnosis Codes
MedicationStatement.dosage.asNeeded[x]?extexample
MedicationStatement.dosage.site[x]Vaccine Administered Body SitepreferredVaccine Administered Body Site
MedicationStatement.dosage.routeMedication Route FDA Value SetpreferredMedication Route FDA Value Set
MedicationStatement.dosage.method?extexample

F.25.1.3 Constraints

IdPathDetailsRequirements
mst-2MedicationStatementReason for use is only permitted if wasNotTaken is false
XPath: not(exists(*[starts-with(local-name(.), 'reasonForUse')]) and f:wasNotTaken/@value=true())
mst-1MedicationStatementReason not taken is only permitted if wasNotTaken is true
XPath: not(exists(f:reasonNotTaken) and f:wasNotTaken/@value=false())
.