FHIR Clinical Guidelines (v1.0.0) (STU1)

Clinical Practice Guidelines, published by Clinical Decision Support WG. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions

D.4.1 StructureDefinition-cpg-medicationstatement

Introduction:

Examples:

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationstatement

Documentation of the use of a particular medication as an activity within the context of a computable clinical practice guideline

This profile builds on MedicationStatement.

This profile was published on Thu Jun 06 00:00:00 UTC 2019 as a draft by Health Level Seven, Inc. - CDS WG.

Description of Profiles, Differentials, and Snapshots.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... cpg-instantiatesCaseFeature S0..1canonical(StructureDefinition)Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
... cpg-caseFeatureType S0..1codeasserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred

... cpg-caseFeaturePertinence S0..1codeweakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature

... cpg-pertinent S0..*Reference()Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
... identifier S0..*IdentifierExternal identifier
... basedOn S0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... status S1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
... statusReason S0..*CodeableConceptReason for current status
... category S0..1CodeableConceptType of medication usage
... medication[x] S1..1CodeableConcept, Reference(Medication)What medication was taken
... subject S1..1Reference(Patient | Group)Who is/was taking the medication
... context S0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... informationSource S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom S0..*Reference(Resource)Additional supporting information
... reasonCode S0..*CodeableConceptReason for why the medication is being/was taken
... reasonReference S0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... id Σ0..1stringLogical 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: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cpg-instantiatesCaseFeature S0..1canonical(StructureDefinition)Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
... cpg-caseFeatureType S0..1codeasserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred


... cpg-caseFeaturePertinence S0..1codeweakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature


... cpg-pertinent S0..*Reference()Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierExternal identifier
... basedOn SΣ0..*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: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... statusReason S0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category SΣ0..1CodeableConceptType 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] SΣ1..1What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
... subject SΣ1..1Reference(Patient | Group)Who is/was taking the medication
... context SΣ0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] Σ0..1The date/time or interval when the medication is/was/will be taken
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted Σ0..1dateTimeWhen the statement was asserted?
... informationSource S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom S0..*Reference(Resource)Additional supporting information
... reasonCode S0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference S0..*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

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... cpg-instantiatesCaseFeature S0..1canonical(StructureDefinition)Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
... cpg-caseFeatureType S0..1codeasserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred

... cpg-caseFeaturePertinence S0..1codeweakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature

... cpg-pertinent S0..*Reference()Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
... identifier S0..*IdentifierExternal identifier
... basedOn S0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... status S1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
... statusReason S0..*CodeableConceptReason for current status
... category S0..1CodeableConceptType of medication usage
... medication[x] S1..1CodeableConcept, Reference(Medication)What medication was taken
... subject S1..1Reference(Patient | Group)Who is/was taking the medication
... context S0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... informationSource S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom S0..*Reference(Resource)Additional supporting information
... reasonCode S0..*CodeableConceptReason for why the medication is being/was taken
... reasonReference S0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... id Σ0..1stringLogical 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: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cpg-instantiatesCaseFeature S0..1canonical(StructureDefinition)Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
... cpg-caseFeatureType S0..1codeasserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred


... cpg-caseFeaturePertinence S0..1codeweakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature


... cpg-pertinent S0..*Reference()Pertinent information
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinent
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierExternal identifier
... basedOn SΣ0..*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: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... statusReason S0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category SΣ0..1CodeableConceptType 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] SΣ1..1What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
... subject SΣ1..1Reference(Patient | Group)Who is/was taking the medication
... context SΣ0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] Σ0..1The date/time or interval when the medication is/was/will be taken
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted Σ0..1dateTimeWhen the statement was asserted?
... informationSource S0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Person or organization that provided the information about the taking of this medication
... derivedFrom S0..*Reference(Resource)Additional supporting information
... reasonCode S0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference S0..*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

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
MedicationStatement.languagepreferredCommonLanguages
Max Binding: AllLanguages
MedicationStatement.statusrequiredMedication Status Codes
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
MedicationStatement.categorypreferredMedication usage category codes
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2MedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.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.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-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-5MedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6MedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1MedicationStatement.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.extension:instantiatesCaseFeatureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.extension:instantiatesCaseFeatureMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.extension:caseFeatureTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.extension:caseFeatureTypeMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.extension:caseFeaturePertinenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.extension:caseFeaturePertinenceMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.extension:pertinentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.extension:pertinentMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationStatement.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationStatement.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.medication[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.contextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dateAssertedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.informationSourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.derivedFromAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationStatement.dosageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())