abstractbaseDefinitioncopyrightdate- Values Differ
descriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | Medication Statement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips) |
| Right: | Medication Statement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips) |
| Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '1.1.0' |
| Information | StructureDefinition.date | Values for date differ: '2020-05-19T18:37:29+00:00' vs '2022-11-22T03:32:52+00:00' |
| Warning | MedicationStatement | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | MedicationStatement.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | MedicationStatement.medication[x] | Example/preferred bindings differ at MedicationStatement.medication[x] using binding from MedicationStatementIPS |
| Warning | MedicationStatement.medication[x] | Elements differ in binding.description: 'The type of medication' vs 'SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication' |
| Warning | MedicationStatement.effective[x].extension | Elements differ in short: 'effective[x] absence reason' vs 'Additional content defined by implementations' |
| Warning | MedicationStatement.effective[x].extension | Elements differ in definition: 'Provides a reason why the effectiveTime is missing.' vs 'May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' |
| Warning | MedicationStatement.effective[x].extension | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | MedicationStatement.effective[x].extension | Element maximum cardinalities differ: '1' vs '2147483647' |
| Warning | MedicationStatement.informationSource | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | MedicationStatement.dosage.route | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationStatement | ||
| copyright | |||
| date | 2020-05-19T18:37:29+00:00 | 2022-11-22T03:32:52+00:00 |
|
| description | This profile represents the constraints applied to the MedicationStatement resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication statement is represented in the patient summary as an instance of a MedicationStatement resource constrained by this profile. | ||
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
| kind | resource | ||
| name | MedicationStatementIPS | ||
| publisher | Health Level Seven International - Patient Care Work Group | ||
| purpose | This profile constrains the representation of a medication statement related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International. | ||
| status | active | ||
| title | Medication Statement (IPS) | ||
| type | MedicationStatement | ||
| url | http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips | ||
| version | 1.0.0 | 1.1.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 MedicationStatement | S | 0..* | MedicationStatement | Record of medication being taken by a patient | 0..* | MedicationStatement | Record of medication being taken by a patient |
| |||||||||
 id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | External identifier | Σ | 0..* | Identifier | External identifier | |||||||||
| basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | |||||||||
| status | ?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication 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. | 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. | 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. | |||||||||
| Slices for medication[x] | SΣ | 1..1 | CodeableConcept, Reference(Medication) | What medication was taken Slice: Unordered, Closed by type:$this Binding: MedicationCodesUvIps (example): The type of medication | SΣ | 1..1 | Reference(Medication (IPS)), CodeableConceptIPS | What medication was taken Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication |
| ||||||||
 subject | SΣ | 1..1 | Reference(Patient (IPS)) | Who is/was taking the medication | SΣ | 1..1 | Reference(Patient (IPS)) | Who is/was taking the medication | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | |||||||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource | |||||||||
| context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||||||
| effective[x] | SΣ | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken | SΣ | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| data-absent-reason | S | 0..1 | code | effective[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Slice: Unordered, Open by value:url Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||
| dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | Σ | 0..1 | dateTime | When the statement was asserted? | |||||||||
| informationSource | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | 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 | 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. | 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 | 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 | 0..* | Annotation | Further information about the statement | |||||||||||
 dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken | S | 0..* | Dosage | Details of how medication is/was taken or should be taken | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions | |||||||||
| text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | |||||||||
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions | |||||||||
| timing | SΣ | 0..1 | Timing | When medication should be administered | SΣ | 0..1 | Timing | When medication should be administered | |||||||||
| asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||||||
| site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||
| route | S | 0..1 | ?pkp-2? | Concept - reference to a terminology or just text Binding: RouteOfAdminUvIps (preferred): EDQM Standards Terms | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred): EDQM Standards Terms |
| |||||||||
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||||||
| doseAndRate | Σ | 0..* | Element | Amount of medication administered | Σ | 0..* | Element | Amount of medication administered | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||||||
| dose[x] | Σ | 0..1 | Range, SimpleQuantity | Amount of medication per dose | Σ | 0..1 | Range, SimpleQuantity | Amount of medication per dose | |||||||||
| rate[x] | Σ | 0..1 | Ratio, Range, SimpleQuantity | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, SimpleQuantity | Amount of medication per unit of time | |||||||||
| maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||
| maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | |||||||||
| maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | |||||||||
| Documentation for this format | |||||||||||||||||