FHIR Clinical Guidelines (v1.0.0) (STU1)
This page is part of the Clinical Guidelines (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationstatement
Documentation of the use of a particular medication as an activity within the context of a computable clinical practice guideline
This profile builds on MedicationStatement.
This profile was published on Thu Jun 06 00:00:00 UTC 2019 as a draft by Health Level Seven, Inc. - CDS WG.
Description of Profiles, Differentials, and Snapshots.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |
  cpg-instantiatesCaseFeature | S | 0..1 | canonical(StructureDefinition) | Definition of this case feature URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| cpg-caseFeatureType | S | 0..1 | code | asserted | inferred URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred |
| cpg-caseFeaturePertinence | S | 0..1 | code | weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature |
| cpg-pertinent | S | 0..* | Reference() | Pertinent information URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent |
 identifier | S | 0..* | Identifier | External identifier |
| basedOn | S | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
| status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
| statusReason | S | 0..* | CodeableConcept | Reason for current status |
| category | S | 0..1 | CodeableConcept | Type of medication usage |
| medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | What medication was taken |
| subject | S | 1..1 | Reference(Patient | Group) | Who is/was taking the medication |
| context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| informationSource | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication |
| derivedFrom | S | 0..* | Reference(Resource) | Additional supporting information |
| reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken |
 reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |
 id | Σ | 0..1 | string | 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 resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpg-instantiatesCaseFeature | S | 0..1 | canonical(StructureDefinition) | Definition of this case feature URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| cpg-caseFeatureType | S | 0..1 | code | asserted | inferred URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred |
| cpg-caseFeaturePertinence | S | 0..1 | code | weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature |
| cpg-pertinent | S | 0..* | Reference() | Pertinent information URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..* | Identifier | External identifier |
 basedOn | SΣ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. |
| statusReason | S | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. |
| category | SΣ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. |
 medication[x] | SΣ | 1..1 | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |
 medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| subject | SΣ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication |
| context | SΣ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? |
| informationSource | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication |
| derivedFrom | S | 0..* | Reference(Resource) | Additional supporting information |
| reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. |
| reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken |
| note | 0..* | Annotation | Further information about the statement | |
| dosage | 0..* | Dosage | Details of how medication is/was taken or should be taken | |
| Documentation for this format | ||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |
| cpg-instantiatesCaseFeature | S | 0..1 | canonical(StructureDefinition) | Definition of this case feature URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| cpg-caseFeatureType | S | 0..1 | code | asserted | inferred URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred |
| cpg-caseFeaturePertinence | S | 0..1 | code | weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature |
| cpg-pertinent | S | 0..* | Reference() | Pertinent information URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent |
| identifier | S | 0..* | Identifier | External identifier |
| basedOn | S | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
| status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
| statusReason | S | 0..* | CodeableConcept | Reason for current status |
| category | S | 0..1 | CodeableConcept | Type of medication usage |
| medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | What medication was taken |
| subject | S | 1..1 | Reference(Patient | Group) | Who is/was taking the medication |
| context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| informationSource | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication |
| derivedFrom | S | 0..* | Reference(Resource) | Additional supporting information |
| reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken |
| reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |
| id | Σ | 0..1 | string | 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 resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpg-instantiatesCaseFeature | S | 0..1 | canonical(StructureDefinition) | Definition of this case feature URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature |
| cpg-caseFeatureType | S | 0..1 | code | asserted | inferred URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred |
| cpg-caseFeaturePertinence | S | 0..1 | code | weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature |
| cpg-pertinent | S | 0..* | Reference() | Pertinent information URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..* | Identifier | External identifier |
| basedOn | SΣ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. |
| statusReason | S | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. |
| category | SΣ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. |
| medication[x] | SΣ | 1..1 | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| subject | SΣ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication |
| context | SΣ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? |
| informationSource | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication |
| derivedFrom | S | 0..* | Reference(Resource) | Additional supporting information |
| reasonCode | S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. |
| reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken |
| note | 0..* | Annotation | Further information about the statement | |
| dosage | 0..* | Dosage | Details of how medication is/was taken or should be taken | |
| 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] | example | SNOMEDCTMedicationCodes |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |
| 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.extension:instantiatesCaseFeature | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.extension:instantiatesCaseFeature | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.extension:caseFeatureType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.extension:caseFeatureType | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.extension:caseFeaturePertinence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.extension:caseFeaturePertinence | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationStatement.extension:pertinent | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationStatement.extension:pertinent | 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()) |
© HL7.org (Clinical Decision Support WG). hl7.fhir.uv.cpg#1.0.0 based on FHIR v4.0.1. Generated 2021-02-11.
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