QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.1)
QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions
| Penicillin MedicationStatement Example |
The official URL for this profile is:
http://hl7.org/fhir/us/qicore/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 builds on MedicationStatement.
This profile was published on Wed Aug 22 00:00:00 UTC 2018 as a draft by Health Level Seven, Inc. - CQI WG.
Description of Profiles, Differentials, and Snapshots.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement | 0..* | MedicationStatement | ||
  id | 0..1 | string | ||
| status | S | 1..1 | code | |
| statusReason | 0..* | CodeableConcept | ||
 medication[x] | S | 1..1 | Binding: US Core Medication Codes (RxNorm) (preferred) | |
  medicationCodeableConcept | CodeableConcept | |||
  medicationReference | Reference(QICoreMedication) | |||
| subject | S | 1..1 | Reference(QICorePatient) | |
| effective[x] | S | 0..1 | dateTime, Period | |
| dateAsserted | S | 1..1 | dateTime | |
| informationSource | S | 0..1 | Reference(QICorePatient | QICorePractitioner | QICoreRelatedPerson) | |
| derivedFrom | S | 0..* | Reference(Resource) | |
| reasonCode | 0..* | CodeableConcept | ||
| dosage | 0..* | Dosage | ||
  modifierExtension | ?! | 0..* | Extension | |
| timing | S | 0..1 | Timing | |
| site | 0..1 | CodeableConcept | ||
| route | S | 0..1 | CodeableConcept | |
| doseAndRate | S | 0..* | Element | |
| dose[x] | S | 0..1 | Range, SimpleQuantity | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | I | 0..* | MedicationStatement | Record of medication being taken by a patient |
 id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | External identifier |
| basedOn | ΣI | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
| partOf | ΣI | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event |
| status | ?!SΣI | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) |
| statusReason | I | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example) |
| category | ΣI | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred) |
| medication[x] | SΣI | 1..1 | What medication was taken Binding: US Core Medication Codes (RxNorm) (preferred) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(QICoreMedication) | |||
| subject | SΣI | 1..1 | Reference(QICorePatient) | Who is/was taking the medication |
| context | ΣI | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| effective[x] | SΣI | 0..1 | The date/time or interval when the medication is/was/will be taken | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| dateAsserted | SΣI | 1..1 | dateTime | When the statement was asserted? |
| informationSource | SI | 0..1 | Reference(QICorePatient | QICorePractitioner | QICoreRelatedPerson) | Person or organization that provided the information about the taking of this medication |
| derivedFrom | SI | 0..* | Reference(Resource) | Additional supporting information |
| reasonCode | I | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example) |
| reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken |
| note | I | 0..* | Annotation | Further information about the statement |
| dosage | I | 0..* | Dosage | Details of how medication is/was taken or should be taken |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| modifierExtension | ?!ΣI | 0..* | Extension | Extension |
| sequence | ΣI | 0..1 | integer | The order of the dosage instructions |
| text | ΣI | 0..1 | string | Free text dosage instructions e.g. SIG |
| additionalInstruction | ΣI | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example) |
| patientInstruction | ΣI | 0..1 | string | Patient or consumer oriented instructions |
| timing | SΣI | 0..1 | Timing | When medication should be administered |
| asNeeded[x] | ΣI | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| site | ΣI | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) |
| route | SΣI | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example) |
| method | ΣI | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example) |
| doseAndRate | SΣI | 0..* | Element | Amount of medication administered |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| type | ΣI | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example) |
| dose[x] | SΣI | 0..1 | Amount of medication per dose | |
| doseRange | Range | |||
| doseQuantity | Quantity(SimpleQuantity) | |||
| rate[x] | ΣI | 0..1 | Amount of medication per unit of time | |
| rateRatio | Ratio | |||
| rateRange | Range | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| maxDosePerPeriod | ΣI | 0..1 | Ratio | Upper limit on medication per unit of time |
| maxDosePerAdministration | ΣI | 0..1 | SimpleQuantity | Upper limit on medication per administration |
| maxDosePerLifetime | ΣI | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient |
| Documentation for this format | ||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | ||
| id | 0..1 | string | ||
| status | S | 1..1 | code | |
| statusReason | 0..* | CodeableConcept | ||
| medication[x] | S | 1..1 | Binding: US Core Medication Codes (RxNorm) (preferred) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(QICoreMedication) | |||
| subject | S | 1..1 | Reference(QICorePatient) | |
| effective[x] | S | 0..1 | dateTime, Period | |
| dateAsserted | S | 1..1 | dateTime | |
| informationSource | S | 0..1 | Reference(QICorePatient | QICorePractitioner | QICoreRelatedPerson) | |
| derivedFrom | S | 0..* | Reference(Resource) | |
| reasonCode | 0..* | CodeableConcept | ||
| dosage | 0..* | Dosage | ||
| modifierExtension | ?! | 0..* | Extension | |
| timing | S | 0..1 | Timing | |
| site | 0..1 | CodeableConcept | ||
| route | S | 0..1 | CodeableConcept | |
| doseAndRate | S | 0..* | Element | |
| dose[x] | S | 0..1 | Range, SimpleQuantity | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | I | 0..* | MedicationStatement | Record of medication being taken by a patient |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | External identifier |
| basedOn | ΣI | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
| partOf | ΣI | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event |
| status | ?!SΣI | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) |
| statusReason | I | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example) |
| category | ΣI | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred) |
| medication[x] | SΣI | 1..1 | What medication was taken Binding: US Core Medication Codes (RxNorm) (preferred) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(QICoreMedication) | |||
| subject | SΣI | 1..1 | Reference(QICorePatient) | Who is/was taking the medication |
| context | ΣI | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| effective[x] | SΣI | 0..1 | The date/time or interval when the medication is/was/will be taken | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| dateAsserted | SΣI | 1..1 | dateTime | When the statement was asserted? |
| informationSource | SI | 0..1 | Reference(QICorePatient | QICorePractitioner | QICoreRelatedPerson) | Person or organization that provided the information about the taking of this medication |
| derivedFrom | SI | 0..* | Reference(Resource) | Additional supporting information |
| reasonCode | I | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example) |
| reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken |
| note | I | 0..* | Annotation | Further information about the statement |
| dosage | I | 0..* | Dosage | Details of how medication is/was taken or should be taken |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| modifierExtension | ?!ΣI | 0..* | Extension | Extension |
| sequence | ΣI | 0..1 | integer | The order of the dosage instructions |
| text | ΣI | 0..1 | string | Free text dosage instructions e.g. SIG |
| additionalInstruction | ΣI | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example) |
| patientInstruction | ΣI | 0..1 | string | Patient or consumer oriented instructions |
| timing | SΣI | 0..1 | Timing | When medication should be administered |
| asNeeded[x] | ΣI | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| site | ΣI | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) |
| route | SΣI | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example) |
| method | ΣI | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example) |
| doseAndRate | SΣI | 0..* | Element | Amount of medication administered |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| type | ΣI | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example) |
| dose[x] | SΣI | 0..1 | Amount of medication per dose | |
| doseRange | Range | |||
| doseQuantity | Quantity(SimpleQuantity) | |||
| rate[x] | ΣI | 0..1 | Amount of medication per unit of time | |
| rateRatio | Ratio | |||
| rateRange | Range | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| maxDosePerPeriod | ΣI | 0..1 | Ratio | Upper limit on medication per unit of time |
| maxDosePerAdministration | ΣI | 0..1 | SimpleQuantity | Upper limit on medication per administration |
| maxDosePerLifetime | ΣI | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationStatement.language | preferred | CommonLanguages Max Binding: AllLanguages |
| MedicationStatement.status | required | Medication Status Codes |
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes |
| MedicationStatement.category | preferred | Medication usage category codes |
| MedicationStatement.medication[x] | preferred | USCoreMedicationCodes |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |
| MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions |
| MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes |
| MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes |
| MedicationStatement.dosage.route | example | SNOMEDCTRouteCodes |
| MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodes |
| MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateType |
| Id | Path | Details | Requirements |
| dom-2 | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | 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 | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | MedicationStatement | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | MedicationStatement.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.medication[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.context | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.effective[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dateAsserted | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.informationSource | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.derivedFrom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.dosage.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.dosage.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.dosage.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.dosage.sequence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.additionalInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.patientInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.timing | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.asNeeded[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.site | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.route | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.doseAndRate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.doseAndRate.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.dosage.doseAndRate.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.dosage.doseAndRate.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.doseAndRate.dose[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.doseAndRate.rate[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.maxDosePerPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.maxDosePerAdministration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationStatement.dosage.maxDosePerLifetime | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
© HL7.org 2011+. (Clinical Quality Improvement WG). hl7.fhir.us.qicore#4.0.0 based on FHIR v4.0.1 Generated 2020-03-24.
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