Canadian Baseline
1.1.0 - CI Build
Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationstatement | Version: 1.1.0 | |||
Draft as of 2019-03-31 | Computable Name: MedicationStatementProfile |
Proposed constraints and extensions on the MedicationStatement resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.
This profile was generated from HL7 StructureDefinition on 2019-03-28 and constrained during a review of US Core against Canadian sources.
Key differences from USCoreR4 MedicationStatement:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationStatement
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | 0..* | MedicationStatement | MedicationStatement Profile | |
basedOn | 0..* | Reference(MedicationRequest Profile | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |
partOf | 0..* | Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use)) | Part of referenced event | |
status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
medication[x] | S | 1..1 | What medication was taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication Profile) | |||
subject | S | 1..1 | Reference(Patient Profile) | Who is/was taking the medication |
context | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |
effective[x] | S | 0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken |
informationSource | S | 0..1 | Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | Person or organization that provided the information about the taking of this medication |
derivedFrom | 0..* | Reference(MedicationRequest Profile | MedicationDispense Profile | Claim | Observation Profile (General Use) | QuestionnaireResponse) | Additional supporting information | |
reasonReference | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting) | Condition or observation that supports why the medication is being/was taken | |
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken |
text | S | 0..1 | string | Free text dosage instructions e.g. SIG |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationStatement.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | 0..* | MedicationStatement | MedicationStatement Profile | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
basedOn | Σ | 0..* | Reference(MedicationRequest Profile | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use)) | 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. |
medication[x] | SΣ | 1..1 | What medication was taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication Profile) | |||
subject | SΣ | 1..1 | Reference(Patient Profile) | Who is/was taking the medication |
context | Σ | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
effective[x] | SΣ | 0..1 | The date/time or interval when the medication is/was/will be taken | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
informationSource | S | 0..1 | Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | Person or organization that provided the information about the taking of this medication |
derivedFrom | 0..* | Reference(MedicationRequest Profile | MedicationDispense Profile | Claim | Observation Profile (General Use) | QuestionnaireResponse) | Additional supporting information | |
reasonReference | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting) | Condition or observation that supports why the medication is being/was taken | |
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | |
MedicationStatement.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
Id | Grade | Path(s) | Details | Requirements |
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 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(canonical) = '#').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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationStatement | 0..* | MedicationStatement | MedicationStatement Profile | |||||
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 | ||||
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 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External identifier | ||||
basedOn | Σ | 0..* | Reference(MedicationRequest Profile | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use)) | 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. | ||||
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] | SΣ | 1..1 | What medication was taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(Patient Profile) | Who is/was taking the medication | ||||
context | Σ | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
effective[x] | SΣ | 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 | S | 0..1 | Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | Person or organization that provided the information about the taking of this medication | ||||
derivedFrom | 0..* | Reference(MedicationRequest Profile | MedicationDispense Profile | Claim | Observation Profile (General Use) | QuestionnaireResponse) | 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 Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting) | Condition or observation that supports why the medication is being/was taken | |||||
note | 0..* | Annotation | Further information about the statement | |||||
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 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 | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | 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". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | Σ | 0..1 | Timing | When medication should be administered | ||||
asNeeded[x] | Σ | 0..1 | 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. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
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. | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 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. | ||||
dose[x] | Σ | 0..1 | Amount of medication per dose | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | ||||
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard | ||||
MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard | ||||
MedicationStatement.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | ||||
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationStatement.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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 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(canonical) = '#').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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from MedicationStatement
Summary
Must-Support: 7 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from MedicationStatement
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | 0..* | MedicationStatement | MedicationStatement Profile | |
basedOn | 0..* | Reference(MedicationRequest Profile | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |
partOf | 0..* | Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use)) | Part of referenced event | |
status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
medication[x] | S | 1..1 | What medication was taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication Profile) | |||
subject | S | 1..1 | Reference(Patient Profile) | Who is/was taking the medication |
context | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |
effective[x] | S | 0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken |
informationSource | S | 0..1 | Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | Person or organization that provided the information about the taking of this medication |
derivedFrom | 0..* | Reference(MedicationRequest Profile | MedicationDispense Profile | Claim | Observation Profile (General Use) | QuestionnaireResponse) | Additional supporting information | |
reasonReference | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting) | Condition or observation that supports why the medication is being/was taken | |
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken |
text | S | 0..1 | string | Free text dosage instructions e.g. SIG |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationStatement.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | 0..* | MedicationStatement | MedicationStatement Profile | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
basedOn | Σ | 0..* | Reference(MedicationRequest Profile | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use)) | 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. |
medication[x] | SΣ | 1..1 | What medication was taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication Profile) | |||
subject | SΣ | 1..1 | Reference(Patient Profile) | Who is/was taking the medication |
context | Σ | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
effective[x] | SΣ | 0..1 | The date/time or interval when the medication is/was/will be taken | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
informationSource | S | 0..1 | Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | Person or organization that provided the information about the taking of this medication |
derivedFrom | 0..* | Reference(MedicationRequest Profile | MedicationDispense Profile | Claim | Observation Profile (General Use) | QuestionnaireResponse) | Additional supporting information | |
reasonReference | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting) | Condition or observation that supports why the medication is being/was taken | |
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | |
MedicationStatement.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
Id | Grade | Path(s) | Details | Requirements |
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 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(canonical) = '#').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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationStatement | 0..* | MedicationStatement | MedicationStatement Profile | |||||
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 | ||||
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 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External identifier | ||||
basedOn | Σ | 0..* | Reference(MedicationRequest Profile | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use)) | 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. | ||||
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] | SΣ | 1..1 | What medication was taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(Patient Profile) | Who is/was taking the medication | ||||
context | Σ | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
effective[x] | SΣ | 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 | S | 0..1 | Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | Person or organization that provided the information about the taking of this medication | ||||
derivedFrom | 0..* | Reference(MedicationRequest Profile | MedicationDispense Profile | Claim | Observation Profile (General Use) | QuestionnaireResponse) | 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 Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting) | Condition or observation that supports why the medication is being/was taken | |||||
note | 0..* | Annotation | Further information about the statement | |||||
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 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 | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | 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". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | Σ | 0..1 | Timing | When medication should be administered | ||||
asNeeded[x] | Σ | 0..1 | 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. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
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. | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 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. | ||||
dose[x] | Σ | 0..1 | Amount of medication per dose | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | ||||
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard | ||||
MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard | ||||
MedicationStatement.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | ||||
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationStatement.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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 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(canonical) = '#').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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from MedicationStatement
Summary
Must-Support: 7 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron