International Patient Summary Implementation Guide
1.0.0 - STU 1

This page is part of the International Patient Summary Implementation Guide (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: MedicationStatementIPS

This profile represents the constraints applied to the MedicationStatement resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication statement is represented in the patient summary as an instance of a MedicationStatement resource constrained by this profile.

The official URL for this profile is:

http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips
medicationCodeableConcept vs. medicationReference

In the previously balloted versions the medicationCodeableConcept was used only to provide information about the known absent/unknown medications; using the medicationReference to describe the actual medication. To better support local implementations of patient summaries and align with the US Core appoach, both options (medicationCodeableConcept and medicationReference) have been made possible; recognizing however that there are jurisdictions that impose that the medicationReference is always used.

Implemeters are encouraged "to improve global interoperability (...)" to use the medicationReference, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.

It also should be noted that in an anticipated future version of the IG based on R5, these two slices on medication[x] will be replaced by the 'medication' element in the MedicationUsage resource (which replaces MedicationStatement), as it uses the new CodeableReference data type.

Formal Views of Profile Content

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

This structure is derived from MedicationStatement

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element MedicationStatement.medication[x] is sliced based on the value of type:$this (Closed)

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S0..*MedicationStatementRecord of medication being taken by a patient
... status S1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
... medication[x] S1..1(Slice Definition)What medication was taken
Slice: Unordered, Closed by type:$this
Binding: Medications (example) - IPS (example)
.... medication[x]:medicationReference S0..1Reference(Medication (IPS))What medication was taken
.... medication[x]:medicationCodeableConcept S0..1CodeableConceptIPSCode for absent or unknown medication
Binding: Absent or Unknown Medication - IPS (extensible)
... subject S1..1Reference(Patient (IPS))Who is/was taking the medication
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
.... data-absent-reason S0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... informationSource S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... dosage S0..*DosageDetails of how medication is/was taken or should be taken
.... text S0..1stringFree text dosage instructions e.g. SIG
.... timing S0..1TimingWhen medication should be administered
.... route S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement SI0..*MedicationStatementRecord of medication being taken by a patient
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierExternal identifier
... basedOn ΣI0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)Part of referenced event
... status ?!SΣI1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason I0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example)
... category ΣI0..1CodeableConceptType of medication usage
Binding: Medication usage category codes (preferred)
... medication[x] SΣI1..1(Slice Definition)What medication was taken
Slice: Unordered, Closed by type:$this
Binding: Medications (example) - IPS (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference SΣI0..1Reference(Medication (IPS))What medication was taken
.... medication[x]:medicationCodeableConcept SI0..1CodeableConceptIPSCode for absent or unknown medication
Binding: Absent or Unknown Medication - IPS (extensible)
... subject SΣI1..1Reference(Patient (IPS))Who is/was taking the medication
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... context ΣI0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] SΣI1..1The date/time or interval when the medication is/was/will be taken
.... effective[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... data-absent-reason SI0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Slice: Unordered, Open by value:url
Binding: DataAbsentReason (required)
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted ΣI0..1dateTimeWhen the statement was asserted?
... informationSource SI0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom I0..*Reference(Resource)Additional supporting information
... reasonCode I0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example)
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note I0..*AnnotationFurther information about the statement
... dosage SI0..*DosageDetails of how medication is/was taken or should be taken
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence ΣI0..1integerThe order of the dosage instructions
.... text SΣI0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction ΣI0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example)
.... patientInstruction ΣI0..1stringPatient or consumer oriented instructions
.... timing SΣI0..1TimingWhen medication should be administered
.... asNeeded[x] ΣI0..1Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site ΣI0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
.... route SI0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
.... method ΣI0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example)
.... doseAndRate ΣI0..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type ΣI0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example)
..... dose[x] ΣI0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] ΣI0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod ΣI0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration ΣI0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime ΣI0..1SimpleQuantityUpper limit on medication per lifetime of the patient

doco Documentation for this format

This structure is derived from MedicationStatement

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element MedicationStatement.medication[x] is sliced based on the value of type:$this (Closed)

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S0..*MedicationStatementRecord of medication being taken by a patient
... status S1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
... medication[x] S1..1(Slice Definition)What medication was taken
Slice: Unordered, Closed by type:$this
Binding: Medications (example) - IPS (example)
.... medication[x]:medicationReference S0..1Reference(Medication (IPS))What medication was taken
.... medication[x]:medicationCodeableConcept S0..1CodeableConceptIPSCode for absent or unknown medication
Binding: Absent or Unknown Medication - IPS (extensible)
... subject S1..1Reference(Patient (IPS))Who is/was taking the medication
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
.... data-absent-reason S0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... informationSource S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... dosage S0..*DosageDetails of how medication is/was taken or should be taken
.... text S0..1stringFree text dosage instructions e.g. SIG
.... timing S0..1TimingWhen medication should be administered
.... route S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement SI0..*MedicationStatementRecord of medication being taken by a patient
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierExternal identifier
... basedOn ΣI0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)Part of referenced event
... status ?!SΣI1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason I0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example)
... category ΣI0..1CodeableConceptType of medication usage
Binding: Medication usage category codes (preferred)
... medication[x] SΣI1..1(Slice Definition)What medication was taken
Slice: Unordered, Closed by type:$this
Binding: Medications (example) - IPS (example)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference SΣI0..1Reference(Medication (IPS))What medication was taken
.... medication[x]:medicationCodeableConcept SI0..1CodeableConceptIPSCode for absent or unknown medication
Binding: Absent or Unknown Medication - IPS (extensible)
... subject SΣI1..1Reference(Patient (IPS))Who is/was taking the medication
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... context ΣI0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] SΣI1..1The date/time or interval when the medication is/was/will be taken
.... effective[x]:All Types Content/Rules for all Types
..... id 0..1stringUnique id for inter-element referencing
..... data-absent-reason SI0..1codeeffective[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Slice: Unordered, Open by value:url
Binding: DataAbsentReason (required)
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted ΣI0..1dateTimeWhen the statement was asserted?
... informationSource SI0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom I0..*Reference(Resource)Additional supporting information
... reasonCode I0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example)
... reasonReference I0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note I0..*AnnotationFurther information about the statement
... dosage SI0..*DosageDetails of how medication is/was taken or should be taken
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence ΣI0..1integerThe order of the dosage instructions
.... text SΣI0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction ΣI0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example)
.... patientInstruction ΣI0..1stringPatient or consumer oriented instructions
.... timing SΣI0..1TimingWhen medication should be administered
.... asNeeded[x] ΣI0..1Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site ΣI0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
.... route SI0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Medicine Route of Administration - IPS (preferred)
.... method ΣI0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example)
.... doseAndRate ΣI0..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type ΣI0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example)
..... dose[x] ΣI0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] ΣI0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod ΣI0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration ΣI0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime ΣI0..1SimpleQuantityUpper limit on medication per lifetime of the patient

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet
MedicationStatement.languagepreferredCommonLanguages
Max Binding: AllLanguages
MedicationStatement.statusrequiredMedication Status Codes
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
MedicationStatement.categorypreferredMedication usage category codes
MedicationStatement.medication[x]exampleMedicationCodesUvIps
MedicationStatement.medication[x]:medicationCodeableConceptextensibleNoMedsInfoUvIps
MedicationStatement.subject.typeextensibleResourceType
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationStatement.dosage.routepreferredRouteOfAdminUvIps
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType

Constraints

Constraints

IdPathDetailsRequirements
dom-2MedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3MedicationStatementIf 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-4MedicationStatementIf 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-5MedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6MedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1MedicationStatement.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.medication[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.medication[x]:medicationReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.medication[x]:medicationCodeableConceptAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.subject.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.subject.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.subject.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.subject.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.subject.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.subject.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.contextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.effective[x].extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.effective[x].extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.dateAssertedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.informationSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.derivedFromAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.dosage.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.dosage.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.dosage.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.dosage.sequenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.additionalInstructionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.patientInstructionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.timingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.asNeeded[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.siteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.routeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.methodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.doseAndRateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.doseAndRate.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.dosage.doseAndRate.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.dosage.doseAndRate.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.doseAndRate.dose[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.doseAndRate.rate[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.maxDosePerPeriodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.maxDosePerAdministrationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosage.maxDosePerLifetimeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())