Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement vs http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationstatement

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationStatement
copyright	Used by permission of HL7 International all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International all rights reserved Creative Commons License'
date	2022-08-02	2024-12-13	Values Differ
description	Minimum expectations for a MedicationStatement resource when accessed via a International Patient Access API. The MedicationStatement resource represents all medications a patient is taking, be it those ordered by a clinician or reported by another organization, the patient or a caregiver.	Proposed constraints and extensions on the MedicationStatement resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		urn:iso:std:iso:3166#CA	Added the item 'urn:iso:std:iso:3166#CA'
kind	resource
name	IPAMedicationStatement	MedicationStatementProfile	Values Differ
publisher	HL7 International / Patient Care	HL7 Canada - FHIR Implementation Work Group	Values Differ
purpose
status	active	draft	Values Differ
title	IPA-MedicationStatement	MedicationStatement Profile	Values Differ
type	MedicationStatement
url	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement	http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationstatement	Values Differ
version	1.1.0

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient		0..*	MedicationStatement	MedicationStatement Profile
id	Σ	0..1	id	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: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
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 Profile | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event	Σ	0..*	Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use))	Part of referenced event
status	?!SOΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.
statusReason	S	0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.	Elements differ in definition for mustSupport: 'true' vs 'false'
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: ?? (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: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SOΣ	1..1	CodeableConcept, Reference(IPA-Medication)	What medication was taken Binding: ?? (example): A coded concept identifying the substance or product being taken. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	SΣ	1..1	CodeableConcept, Reference(Medication Profile)	What medication was taken Binding: ?? (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.	Example/preferred bindings differ at MedicationStatement.medication[x] using binding from MedicationStatementProfile
subject	SOΣ	1..1	Reference(IPA-Patient)	Who is/was taking the medication Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	SΣ	1..1	Reference(Patient Profile)	Who is/was taking the medication
context	SOΣ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server	Σ	0..1	Reference(Encounter Profile | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement	Elements differ in definition for mustSupport: 'true' vs 'false'
effective[x]	SOΣ	0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHOULD:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	SΣ	0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?	Σ	0..1	dateTime	When the statement was asserted?
informationSource	SO	0..1	Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson)	Person or organization that provided the information about the taking of this medication Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server	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	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitioner], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitionerrole], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient], CanonicalType[http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner], CanonicalType[http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization]])
derivedFrom		0..*	Reference(Resource)	Additional supporting information		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: ?? (example): A coded concept identifying why the medication is being taken.		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: ?? (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 Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile)	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	SO	0..*	Dosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHOULD:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	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	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHOULD:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	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: ?? (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: ?? (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	Σ	0..1	Timing	When medication should be administered	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (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: ?? (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: ?? (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: ?? (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: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (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: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (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: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x]	Σ	0..1	Range, ??	Amount of medication per dose	Σ	0..1	Range, ??	Amount of medication per dose
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	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	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
Documentation for this format