This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-21 US Core MedicationStatement

Section Guide:

Implementation... - Actors - Exchange Interactions - Data Payloads - Interaction Methods - Interaction and Payload Matrix - Data Mapping

3-6-1 US Core Patient 3-6-2 Coverage 3-6-3 US Core Encounter 3-6-4 US Core Location 3-6-5 MedicationDispense 3-6-6 US Core Practitioner 3-6-7 US Core Procedure 3-6-8 US Core Condition

3-6-9 US Core AllergyIntolerance 3-6-10 US Core Immunization 3-6-11 US Core DiagnosticReport 3-6-12 US Core Observation 3-6-13 US Core DocumentReference 3-6-14 US Core PractitionerRole 3-6-15 US Core Device 3-6-16 US Core Organization

3-6-17 US Core CarePlan 3-6-18 US Core CareTeam 3-6-19 US Core Medication 3-6-20 US Core MedicationRequest 3-6-21 US Core MedicationStatement 3-6-22 US Core Goal Profile

Where a Health Plan has access to medication information for a member they SHALL make the information available using the US Core MedicationStatement resource.

The essential fields to be provided in the MedicationStatement resource are:

R4 Hierarchical Name	R4 Name	Flags	Card.	Type
MedicationStatement	MedicationStatement	I	0..*
MedicationStatement.id	id		0..1	id
MedicationStatement.status	status	?!S	1..1	code
MedicationStatement.medication[x]	medication[x]	S	1..1	CodeableConcept, Reference(US Core Medication Profile)
MedicationStatement.subject	subject	S	1..1	Reference(US Core Patient Profile)
MedicationStatement.effective[x]	effective[x]	S	0..1	dateTime, Period
MedicationStatement.dateAsserted	dateAsserted	S	1..1	dateTime
MedicationStatement.derivedFrom	derivedFrom	S	0..*	Reference(Resource)

3-6-21-1 Example MedicationStatement Resource

An example mapping of a MedicationStatement is shown below:

{
  "resourceType" : "MedicationStatement",
  "id" : "uscore-ms2",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">
Generated Narrative with Details
id: uscore-ms2
meta: 
contained: 
status: active
medication: lisinopril oral 10 mg. Generated Summary: unknown resource contained
subject: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>
effective: May 1, 2010, 12:00:00 AM --> (ongoing)
dateAsserted: May 1, 2016, 4:13:03 PM
</div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "med1",
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "206765",
            "display" : "Lisinopril 10 MG Oral Tablet [Prinivil]"
          }
        ],
        "text" : "lisinopril oral 10 mg"
      }
    }
  ],
  "status" : "active",
  "medicationReference" : {
    "reference" : "#med1",
    "display" : "lisinopril oral 10 mg"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "effectivePeriod" : {
    "start" : "2010-05-01"
  },
  "dateAsserted" : "2016-05-01T16:13:03Z"
}

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