Extensions for Using Data Elements from FHIR R5 in FHIR R4B
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Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_MedicationStatement_R4B

Official URL: http://hl7.org/fhir/5.0/StructureDefinition/profile-MedicationStatement Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: Profile_R5_MedicationStatement_R4B

This cross-version profile allows R5 MedicationStatement content to be represented via FHIR R4B MedicationStatement resources.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(4.3.0) Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:effective 0..1 Timing R5: effective additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.effective
Constraints: ext-1
.... extension:reason 0..* CodeableReference(Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4B(0.1.0) | DiagnosticReport) R5: Reason for why the medication is being/was taken additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.reason
Constraints: ext-1
.... extension:relatedClinicalInformation 0..* Reference(Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition) R5: Link to information relevant to the usage of a medication (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.relatedClinicalInformation
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
Constraints: ext-1
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required MedicationStatement Status Codes 📍4.3.0 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationStatement.implicitRules, MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension, MedicationStatement.status, MedicationStatement.medication[x], MedicationStatement.subject All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(4.3.0) Record of medication being taken by a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing R5: effective additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.effective
.... extension:reason 0..* CodeableReference(Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4B(0.1.0) | DiagnosticReport) R5: Reason for why the medication is being/was taken additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.reason
.... extension:relatedClinicalInformation 0..* Reference(Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition) R5: Link to information relevant to the usage of a medication (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.relatedClinicalInformation
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(4.3.0) Record of medication being taken by a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
Constraints: dom-r4b
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:effective 0..1 Timing R5: effective additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.effective
Constraints: ext-1
.... extension:reason 0..* CodeableReference(Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4B(0.1.0) | DiagnosticReport) R5: Reason for why the medication is being/was taken additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.reason
Constraints: ext-1
.... extension:relatedClinicalInformation 0..* Reference(Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition) R5: Link to information relevant to the usage of a medication (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.relatedClinicalInformation
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
Constraints: ext-1
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!Σ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: MedicationStatement Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.3.0 FHIR Std.
MedicationStatement.​status Base required MedicationStatement Status Codes 📍4.3.0 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.3.0 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.3.0 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dom-r4b warning MedicationStatement.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1 error MedicationStatement.meta, MedicationStatement.implicitRules, MedicationStatement.language, MedicationStatement.text, MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension, MedicationStatement.identifier, MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.status, MedicationStatement.statusReason, MedicationStatement.category, MedicationStatement.medication[x], MedicationStatement.subject, MedicationStatement.context, MedicationStatement.effective[x], MedicationStatement.dateAsserted, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonCode, MedicationStatement.reasonReference, MedicationStatement.note, MedicationStatement.dosage All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(4.3.0) Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:effective 0..1 Timing R5: effective additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.effective
Constraints: ext-1
.... extension:reason 0..* CodeableReference(Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4B(0.1.0) | DiagnosticReport) R5: Reason for why the medication is being/was taken additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.reason
Constraints: ext-1
.... extension:relatedClinicalInformation 0..* Reference(Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition) R5: Link to information relevant to the usage of a medication (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.relatedClinicalInformation
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
Constraints: ext-1
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required MedicationStatement Status Codes 📍4.3.0 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationStatement.implicitRules, MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension, MedicationStatement.status, MedicationStatement.medication[x], MedicationStatement.subject All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(4.3.0) Record of medication being taken by a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effective 0..1 Timing R5: effective additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.effective
.... extension:reason 0..* CodeableReference(Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4B(0.1.0) | DiagnosticReport) R5: Reason for why the medication is being/was taken additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.reason
.... extension:relatedClinicalInformation 0..* Reference(Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition) R5: Link to information relevant to the usage of a medication (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.relatedClinicalInformation
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(4.3.0) Record of medication being taken by a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
Constraints: dom-r4b
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:effective 0..1 Timing R5: effective additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.effective
Constraints: ext-1
.... extension:reason 0..* CodeableReference(Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4B(0.1.0) | DiagnosticReport) R5: Reason for why the medication is being/was taken additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.reason
Constraints: ext-1
.... extension:relatedClinicalInformation 0..* Reference(Cross-version Profile for R5.Observation for use in FHIR R4B(0.1.0) | Observation | Cross-version Profile for R5.Condition for use in FHIR R4B(0.1.0) | Condition) R5: Link to information relevant to the usage of a medication (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.relatedClinicalInformation
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction
Constraints: ext-1
.... extension:adherence 0..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!Σ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: MedicationStatement Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.3.0 FHIR Std.
MedicationStatement.​status Base required MedicationStatement Status Codes 📍4.3.0 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.3.0 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.3.0 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.3.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
dom-r4b warning MedicationStatement.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1 error MedicationStatement.meta, MedicationStatement.implicitRules, MedicationStatement.language, MedicationStatement.text, MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension, MedicationStatement.identifier, MedicationStatement.basedOn, MedicationStatement.partOf, MedicationStatement.status, MedicationStatement.statusReason, MedicationStatement.category, MedicationStatement.medication[x], MedicationStatement.subject, MedicationStatement.context, MedicationStatement.effective[x], MedicationStatement.dateAsserted, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reasonCode, MedicationStatement.reasonReference, MedicationStatement.note, MedicationStatement.dosage All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.extension, MedicationStatement.extension:effective, MedicationStatement.extension:reason, MedicationStatement.extension:relatedClinicalInformation, MedicationStatement.extension:renderedDosageInstruction, MedicationStatement.extension:adherence, MedicationStatement.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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