This page is part of the Genetic Reporting Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR v3.3.0. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

2.31 StructureDefinition: Current Medication

The official URL for this profile is: 

http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/medicationstatement

2.31.2 Formal Views of Profile Content

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

This structure is derived from MedicationStatement

Summary

Mandatory: 3 elements
Must-Support: 3 elements
Fixed Value: 1 element

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement I0..*Current Medication
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal identifier
... basedOn Σ0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)Part of referenced event
... status ?!SΣ1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: MedicationStatementStatus (required)
Fixed Value: unknown
... statusReason 0..*CodeableConceptReason for current status
Binding: SNOMED CT Drug Therapy Status codes (example)
... category Σ0..1CodeableConceptType of medication usage
Binding: MedicationStatementCategory (preferred)
... medication[x] SΣ1..1CodeableConcept, Reference(Medication)What medication was taken
Binding: (unbound) (required)
... subject SΣ1..1Reference(Patient)Who is/was taking the medication
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] Σ0..1dateTime, PeriodThe date/time or interval when the medication is/was/will taken
... dateAsserted Σ0..1dateTimeWhen the statement was asserted?
... informationSource 0..1Reference(Patient | Practitioner | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom 0..*Reference(Resource)Additional supporting information
... reasonCode 0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note 0..*AnnotationFurther information about the statement
... dosage 0..*DosageDetails of how medication is/was taken or should be taken

doco Documentation for this format

This structure is derived from MedicationStatement

Summary

Mandatory: 3 elements
Must-Support: 3 elements
Fixed Value: 1 element

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement I0..*Current Medication
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal identifier
... basedOn Σ0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)Part of referenced event
... status ?!SΣ1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: MedicationStatementStatus (required)
Fixed Value: unknown
... statusReason 0..*CodeableConceptReason for current status
Binding: SNOMED CT Drug Therapy Status codes (example)
... category Σ0..1CodeableConceptType of medication usage
Binding: MedicationStatementCategory (preferred)
... medication[x] SΣ1..1CodeableConcept, Reference(Medication)What medication was taken
Binding: (unbound) (required)
... subject SΣ1..1Reference(Patient)Who is/was taking the medication
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] Σ0..1dateTime, PeriodThe date/time or interval when the medication is/was/will taken
... dateAsserted Σ0..1dateTimeWhen the statement was asserted?
... informationSource 0..1Reference(Patient | Practitioner | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom 0..*Reference(Resource)Additional supporting information
... reasonCode 0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference 0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note 0..*AnnotationFurther information about the statement
... dosage 0..*DosageDetails of how medication is/was taken or should be taken

doco Documentation for this format

 

Other representations of profile: Schematron

2.31.3 Terminology Bindings

Terminology Bindings

PathNameConformanceValueSet
MedicationStatement.languageCommon LanguagesextensibleCommon Languages
MedicationStatement.statusMedicationStatementStatusrequiredMedicationStatementStatus
MedicationStatement.statusReasonSNOMED CT Drug Therapy Status codes exampleSNOMED CT Drug Therapy Status codes
MedicationStatement.categoryMedicationStatementCategorypreferredMedicationStatementCategory
MedicationStatement.medication[x]?extrequired
MedicationStatement.reasonCodeCondition/Problem/Diagnosis CodesexampleCondition/Problem/Diagnosis Codes

2.31.4 Constraints

Constraints

IdPathDetailsRequirements
dom-2MedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1MedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4MedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3MedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.all(('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists())