profile-MedicationStatement
type: StructureDefinition
node role: treeRoot
id:
  v: profile-MedicationStatement
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-MedicationStatement Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:statusReason 0..* CodeableConcept R4: Reason for current status (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.statusReason #xD; basedOn #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:basedOn 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; status #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:status 0..1 code R4: active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.status Binding: R4MedicationStatementStatusForR3 (0.1.0) (required): A coded concept indicating the current status of a MedicationStatement. #xD; informationSource #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:informationSource 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: informationSource URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; reasonReference #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:reasonReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: reasonReference URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
url:
  v: http://hl7.org/fhir/4.0/StructureDefinition/profile-MedicationStatement
  l: profile-MedicationStatement
version:
  v: 0.1.0
name:
  v: Profile_R4_MedicationStatement_R3
title:
  v: Cross-version Profile for R4.MedicationStatement for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:03:29.7540086-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R4 MedicationStatement content to be represented via FHIR STU3 MedicationStatement resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: MedicationStatement
base definition:
  v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
  l: MedicationStatement
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: MedicationStatement
    path:
      v: MedicationStatement
    short:
      v: Record of medication being taken by a patient
    definition:
      v: A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now, or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.
    comment:
      v: When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: MedicationStatement
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource

key:
  v: dom-3
severity:
  v: error
human:
  v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
expression:
  v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
xpath:
  v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

key:
  v: mst-1
severity:
  v: error
human:
  v: Reason not taken is only permitted if Taken is No
expression:
  v: reasonNotTaken.exists().not() or (taken = 'n')
xpath:
  v: not(exists(f:reasonNotTaken)) or f:taken/@value='n'
source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
  l: MedicationStatement

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: ..Event

identity:
  v: rim
map:
  v: SubstanceAdministration

identity:
  v: w5
map:
  v: clinical.medication

id:
  v: MedicationStatement.id
path:
  v: MedicationStatement.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: MedicationStatement.meta
path:
  v: MedicationStatement.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: MedicationStatement.implicitRules
path:
  v: MedicationStatement.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: MedicationStatement.language
path:
  v: MedicationStatement.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: MedicationStatement.text
path:
  v: MedicationStatement.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: MedicationStatement.contained
path:
  v: MedicationStatement.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.extension
path:
  v: MedicationStatement.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationStatement.extension:statusReason
path:
  v: MedicationStatement.extension
slice name:
  v: statusReason
short:
  v: R4: Reason for current status (new)
definition:
  v: R4: `MedicationStatement.statusReason` (new:CodeableConcept)
comment:
  v: Element `MedicationStatement.statusReason` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`. Element `MedicationStatement.statusReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.statusReason|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.statusReason
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationStatement.modifierExtension
path:
  v: MedicationStatement.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.identifier
path:
  v: MedicationStatement.identifier
short:
  v: External identifier
definition:
  v: External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource. The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated; an administration while the patient was off the ward might be made with a different system and entered after the event. Particularly important if these records have to be updated.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …identifer
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: MedicationStatement.basedOn
path:
  v: MedicationStatement.basedOn
short:
  v: Fulfils plan, proposal or order
definition:
  v: A plan, proposal or order that is fulfilled in whole or in part by this event.
requirements:
  v: Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    l: MedicationRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    l: CarePlan
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ProcedureRequest
    l: ProcedureRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ReferralRequest
    l: ReferralRequest
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …basedOn
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]

id:
  v: MedicationStatement.basedOn.id
path:
  v: MedicationStatement.basedOn.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.basedOn.extension
path:
  v: MedicationStatement.basedOn.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationStatement.basedOn.extension:basedOn
path:
  v: MedicationStatement.basedOn.extension
slice name:
  v: basedOn
short:
  v: R4: basedOn
definition:
  v: R4: `MedicationStatement.basedOn`
comment:
  v: Element `MedicationStatement.basedOn` is mapped to FHIR STU3 element `MedicationStatement.basedOn` as `SourceIsBroaderThanTarget`. An externally-defined extension that has been mapped as the representation of FHIR R4 element `MedicationStatement.basedOn`: `http://hl7.org/fhir/StructureDefinition/event-basedOn`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.basedOn` with unmapped reference targets: ServiceRequest.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationStatement.basedOn.reference
path:
  v: MedicationStatement.basedOn.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.basedOn.identifier
path:
  v: MedicationStatement.basedOn.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationStatement.basedOn.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationStatement.basedOn.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.partOf
path:
  v: MedicationStatement.partOf
short:
  v: Part of referenced event
definition:
  v: A larger event of which this particular event is a component or step.
requirements:
  v: This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.partOf
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
    l: MedicationAdministration
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
    l: MedicationDispense
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    l: MedicationStatement
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure
    l: Procedure
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …part of
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]

id:
  v: MedicationStatement.context
path:
  v: MedicationStatement.context
short:
  v: Encounter / Episode associated with MedicationStatement
definition:
  v: The encounter or episode of care that establishes the context for this MedicationStatement.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
    l: EpisodeOfCare
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …context
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]

id:
  v: MedicationStatement.status
path:
  v: MedicationStatement.status
short:
  v: active | completed | entered-in-error | intended | stopped | on-hold
definition:
  v: A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally this will be active or completed.
comment:
  v: MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationStatementStatus
  strength:
    v: required
  description:
    v: A coded concept indicating the current status of a MedicationStatement.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-statement-status|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …status
mapping:
  identity:
    v: rim
  map:
    v: .statusCode
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: MedicationStatement.status.id
path:
  v: MedicationStatement.status.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: MedicationStatement.status.extension
path:
  v: MedicationStatement.status.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationStatement.status.extension:status
path:
  v: MedicationStatement.status.extension
slice name:
  v: status
short:
  v: R4: active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
definition:
  v: R4: `MedicationStatement.status`
comment:
  v: Element `MedicationStatement.status` is mapped to FHIR STU3 element `MedicationStatement.status` as `SourceIsBroaderThanTarget`. The target context `MedicationStatement.status` is a modifier element, so this extension does not need to be defined as a modifier. MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.status|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.status
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationStatement.status.value
path:
  v: MedicationStatement.status.value
representation:
  v: xmlAttr
short:
  v: Primitive value for code
definition:
  v: Primitive value for code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-regex
      l: structuredefinition-regex
    value: String
      v: [^\s]+([\s]?[^\s]+)*
  code:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type
        l: structuredefinition-json-type
      value: String
        v: string
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type
        l: structuredefinition-xml-type
      value: String
        v: xsd:token
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type
        l: structuredefinition-rdf-type
      value: String
        v: xsd:token

id:
  v: MedicationStatement.category
path:
  v: MedicationStatement.category
short:
  v: Type of medication usage
definition:
  v: Indicates where type of medication statement and where the medication is expected to be consumed or administered.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.category
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationStatementCategory
  strength:
    v: preferred
  description:
    v: A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-statement-category|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: MedicationStatement.medication[x]
path:
  v: MedicationStatement.medication[x]
short:
  v: What medication was taken
definition:
  v: Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
comment:
  v: If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example if you require form or lot number, then you must reference the Medication resource. .
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Medication
    l: Medication
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationCode
  strength:
    v: example
  description:
    v: A coded concept identifying the substance or product being taken.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-codes|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …code
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=CSM].role[classCode=ADMM or MANU]
mapping:
  identity:
    v: w5
  map:
    v: what

id:
  v: MedicationStatement.effective[x]
path:
  v: MedicationStatement.effective[x]
short:
  v: The date/time or interval when the medication was taken
definition:
  v: The interval of time during which it is being asserted that the patient was taking the medication (or was not taking, when the wasNotGiven element is true).
comment:
  v: This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …occurrence[x]
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: w5
  map:
    v: when.done

id:
  v: MedicationStatement.dateAsserted
path:
  v: MedicationStatement.dateAsserted
short:
  v: When the statement was asserted?
definition:
  v: The date when the medication statement was asserted by the information source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.dateAsserted
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].time
mapping:
  identity:
    v: w5
  map:
    v: when.recorded

id:
  v: MedicationStatement.informationSource
path:
  v: MedicationStatement.informationSource
short:
  v: Person or organization that provided the information about the taking of this medication
definition:
  v: The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g Claim or MedicationRequest.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationStatement.informationSource
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)
mapping:
  identity:
    v: w5
  map:
    v: who.source

id:
  v: MedicationStatement.informationSource.id
path:
  v: MedicationStatement.informationSource.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.informationSource.extension
path:
  v: MedicationStatement.informationSource.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationStatement.informationSource.extension:informationSource
path:
  v: MedicationStatement.informationSource.extension
slice name:
  v: informationSource
short:
  v: R4: informationSource
definition:
  v: R4: `MedicationStatement.informationSource`
comment:
  v: Element `MedicationStatement.informationSource` is mapped to FHIR STU3 element `MedicationStatement.informationSource` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.informationSource` with unmapped reference targets: PractitionerRole.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationStatement.informationSource.reference
path:
  v: MedicationStatement.informationSource.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.informationSource.identifier
path:
  v: MedicationStatement.informationSource.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationStatement.informationSource.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationStatement.informationSource.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.subject
path:
  v: MedicationStatement.subject
short:
  v: Who is/was taking the medication
definition:
  v: The person, animal or group who is/was taking the medication.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …subject
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role[classCode=PAT]
mapping:
  identity:
    v: w5
  map:
    v: who

id:
  v: MedicationStatement.derivedFrom
path:
  v: MedicationStatement.derivedFrom
short:
  v: Additional supporting information
definition:
  v: Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.
comment:
  v: Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.derivedFrom
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]

id:
  v: MedicationStatement.taken
path:
  v: MedicationStatement.taken
short:
  v: y | n | unk | na
definition:
  v: Indicator of the certainty of whether the medication was taken by the patient.
comment:
  v: This element is labeled as a modifier because it indicates that the medication was not taken.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationStatement.taken
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationStatementTaken
  strength:
    v: required
  description:
    v: A coded concept identifying level of certainty if patient has taken or has not taken the medication
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-statement-taken|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …notDone
mapping:
  identity:
    v: rim
  map:
    v: .actionNegationInd

id:
  v: MedicationStatement.reasonNotTaken
path:
  v: MedicationStatement.reasonNotTaken
short:
  v: True if asserting medication was not given
definition:
  v: A code indicating why the medication was not taken.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.reasonNotTaken
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: mst-1
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationStatementNotTakenReason
  strength:
    v: example
  description:
    v: A coded concept indicating the reason why the medication was not taken
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not taken"].value

id:
  v: MedicationStatement.reasonCode
path:
  v: MedicationStatement.reasonCode
short:
  v: Reason for why the medication is being/was taken
definition:
  v: A reason for why the medication is being/was taken.
comment:
  v: This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.reasonCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationReason
  strength:
    v: example
  description:
    v: A coded concept identifying why the medication is being taken.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/condition-code|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …reasoneCodeableConcept
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: MedicationStatement.reasonReference
path:
  v: MedicationStatement.reasonReference
short:
  v: Condition or observation that supports why the medication is being/was taken
definition:
  v: Condition or observation that supports why the medication is being/was taken.
comment:
  v: This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.reasonReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
mapping:
  identity:
    v: workflow
  map:
    v: …reasonReference
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use"].value
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: MedicationStatement.reasonReference.id
path:
  v: MedicationStatement.reasonReference.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationStatement.reasonReference.extension
path:
  v: MedicationStatement.reasonReference.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationStatement.reasonReference.extension:reasonReference
path:
  v: MedicationStatement.reasonReference.extension
slice name:
  v: reasonReference
short:
  v: R4: reasonReference
definition:
  v: R4: `MedicationStatement.reasonReference`
comment:
  v: Element `MedicationStatement.reasonReference` is mapped to FHIR STU3 element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.reasonReference` with unmapped reference targets: DiagnosticReport. This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationStatement.reasonReference.reference
path:
  v: MedicationStatement.reasonReference.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.reasonReference.identifier
path:
  v: MedicationStatement.reasonReference.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationStatement.reasonReference.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationStatement.reasonReference.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationStatement.note
path:
  v: MedicationStatement.note
short:
  v: Further information about the statement
definition:
  v: Provides extra information about the medication statement that is not conveyed by the other attributes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
mapping:
  identity:
    v: workflow
  map:
    v: …note
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value

id:
  v: MedicationStatement.dosage
path:
  v: MedicationStatement.dosage
short:
  v: Details of how medication is/was taken or should be taken
definition:
  v: Indicates how the medication is/was or should be taken by the patient.
comment:
  v: The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationStatement.dosage
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Dosage
    l: Dosage
mapping:
  identity:
    v: rim
  map:
    v: refer dosageInstruction mapping

element:
  id:
    v: MedicationStatement
  path:
    v: MedicationStatement
element:
  id:
    v: MedicationStatement.extension
  path:
    v: MedicationStatement.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: MedicationStatement.extension:statusReason
  path:
    v: MedicationStatement.extension
  slice name:
    v: statusReason
  short:
    v: R4: Reason for current status (new)
  definition:
    v: R4: `MedicationStatement.statusReason` (new:CodeableConcept)
  comment:
    v: Element `MedicationStatement.statusReason` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`. Element `MedicationStatement.statusReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.
  min:
    v: 0
  max:
    v: *
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.statusReason|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.statusReason
element:
  id:
    v: MedicationStatement.basedOn.extension
  path:
    v: MedicationStatement.basedOn.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: MedicationStatement.basedOn.extension:basedOn
  path:
    v: MedicationStatement.basedOn.extension
  slice name:
    v: basedOn
  short:
    v: R4: basedOn
  definition:
    v: R4: `MedicationStatement.basedOn`
  comment:
    v: Element `MedicationStatement.basedOn` is mapped to FHIR STU3 element `MedicationStatement.basedOn` as `SourceIsBroaderThanTarget`. An externally-defined extension that has been mapped as the representation of FHIR R4 element `MedicationStatement.basedOn`: `http://hl7.org/fhir/StructureDefinition/event-basedOn`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.basedOn` with unmapped reference targets: ServiceRequest.
  min:
    v: 0
  max:
    v: *
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/alternate-reference
      l: alternate-reference
element:
  id:
    v: MedicationStatement.status.extension
  path:
    v: MedicationStatement.status.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: MedicationStatement.status.extension:status
  path:
    v: MedicationStatement.status.extension
  slice name:
    v: status
  short:
    v: R4: active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
  definition:
    v: R4: `MedicationStatement.status`
  comment:
    v: Element `MedicationStatement.status` is mapped to FHIR STU3 element `MedicationStatement.status` as `SourceIsBroaderThanTarget`. The target context `MedicationStatement.status` is a modifier element, so this extension does not need to be defined as a modifier. MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.status|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.status
element:
  id:
    v: MedicationStatement.informationSource.extension
  path:
    v: MedicationStatement.informationSource.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: MedicationStatement.informationSource.extension:informationSource
  path:
    v: MedicationStatement.informationSource.extension
  slice name:
    v: informationSource
  short:
    v: R4: informationSource
  definition:
    v: R4: `MedicationStatement.informationSource`
  comment:
    v: Element `MedicationStatement.informationSource` is mapped to FHIR STU3 element `MedicationStatement.informationSource` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.informationSource` with unmapped reference targets: PractitionerRole.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension

id:
  v: MedicationStatement.reasonReference.extension
path:
  v: MedicationStatement.reasonReference.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
min:
  v: 0
max:
  v: *

id:
  v: MedicationStatement.reasonReference.extension:reasonReference
path:
  v: MedicationStatement.reasonReference.extension
slice name:
  v: reasonReference
short:
  v: R4: reasonReference
definition:
  v: R4: `MedicationStatement.reasonReference`
comment:
  v: Element `MedicationStatement.reasonReference` is mapped to FHIR STU3 element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.reasonReference` with unmapped reference targets: DiagnosticReport. This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference