CH EMED (R4)
5.0.0-ci-build - trial-use Switzerland flag

CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emed/ and changes regularly. See the Directory of published versions

Resource Profile: CH EMED MedicationStatement (CARD)

Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement-card Version: 5.0.0-ci-build
Active as of 2024-05-06 Computable Name: CHEMEDMedicationStatementCard

Copyright/Legal: CC0-1.0

Definition of the medication statement for the medication card document

Usage:

Formal Views of Profile Content

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

This structure is derived from CHEMEDMedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* CHEMEDMedicationStatement CH EMED MedicationStatement (CARD)
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... lastConsideredDocument 0..1 Identifier Identifier of the last considered document for consolidating this MedicationStatement
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
... informationSource 1..1 Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) The "last" author of the medical decision, see also 'Guidance - Authorship'
... reasonCode
.... text S 0..1 string Plain text representation of the concept
... note 0..* Annotation Annotation comment
... dosage S 1..* CHCoreDosage How the medication should be taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatement CH EMED MedicationStatement (CARD)
ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 1..* Resource Contained, inline Resources
... substitution 0..1 CodeableConcept Whether substitution is allowed or not
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
Binding: ActSubstanceAdminSubstitutionCode (preferred)
... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... lastConsideredDocument 0..1 Identifier Identifier of the last considered document for consolidating this MedicationStatement
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier MedicationStatement Identifier
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!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.

... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(CH EMED Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... dateAsserted Σ 1..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) The "last" author of the medical decision, see also 'Guidance - Authorship'
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode 0..* CodeableConcept Treatment reason
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


.... text SΣ 0..1 string Plain text representation of the concept
... note 0..* Annotation Annotation comment
... Slices for dosage S 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosage:baseEntry C 1..1 CHEMEDDosage Base entry of the dosage instruction
ch-dosage-4: For split dosage timing event and dose/rate are required
.... dosage:additionalEntry 0..* CHEMEDDosageSplit Additional entry of the dosage instruction

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-dosage-4errorMedicationStatement.dosage:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstaterrorMedicationStatementIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not())
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatement CH EMED MedicationStatement (CARD)
ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 1..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... substitution 0..1 CodeableConcept Whether substitution is allowed or not
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
Binding: ActSubstanceAdminSubstitutionCode (preferred)
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... lastConsideredDocument 0..1 Identifier Identifier of the last considered document for consolidating this MedicationStatement
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier MedicationStatement Identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!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.


... 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.

... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(CH EMED Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 1..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) The "last" author of the medical decision, see also 'Guidance - Authorship'
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Treatment reason
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being 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
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Annotation comment
... Slices for dosage S 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosage:baseEntry C 1..1 CHEMEDDosage Base entry of the dosage instruction
ch-dosage-4: For split dosage timing event and dose/rate are required
.... dosage:additionalEntry 0..* CHEMEDDosageSplit Additional entry of the dosage instruction

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.informationSource.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-dosage-4errorMedicationStatement.dosage:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstaterrorMedicationStatementIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not())
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from CHEMEDMedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* CHEMEDMedicationStatement CH EMED MedicationStatement (CARD)
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... lastConsideredDocument 0..1 Identifier Identifier of the last considered document for consolidating this MedicationStatement
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
... informationSource 1..1 Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) The "last" author of the medical decision, see also 'Guidance - Authorship'
... reasonCode
.... text S 0..1 string Plain text representation of the concept
... note 0..* Annotation Annotation comment
... dosage S 1..* CHCoreDosage How the medication should be taken

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatement CH EMED MedicationStatement (CARD)
ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 1..* Resource Contained, inline Resources
... substitution 0..1 CodeableConcept Whether substitution is allowed or not
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
Binding: ActSubstanceAdminSubstitutionCode (preferred)
... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... lastConsideredDocument 0..1 Identifier Identifier of the last considered document for consolidating this MedicationStatement
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier MedicationStatement Identifier
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!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.

... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(CH EMED Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... dateAsserted Σ 1..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) The "last" author of the medical decision, see also 'Guidance - Authorship'
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode 0..* CodeableConcept Treatment reason
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


.... text SΣ 0..1 string Plain text representation of the concept
... note 0..* Annotation Annotation comment
... Slices for dosage S 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosage:baseEntry C 1..1 CHEMEDDosage Base entry of the dosage instruction
ch-dosage-4: For split dosage timing event and dose/rate are required
.... dosage:additionalEntry 0..* CHEMEDDosageSplit Additional entry of the dosage instruction

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-dosage-4errorMedicationStatement.dosage:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstaterrorMedicationStatementIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not())
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatement CH EMED MedicationStatement (CARD)
ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 1..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... substitution 0..1 CodeableConcept Whether substitution is allowed or not
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
Binding: ActSubstanceAdminSubstitutionCode (preferred)
... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... lastConsideredDocument 0..1 Identifier Identifier of the last considered document for consolidating this MedicationStatement
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier MedicationStatement Identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!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.


... 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.

... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ 0..1 Reference(CH EMED Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 1..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) The "last" author of the medical decision, see also 'Guidance - Authorship'
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Treatment reason
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being 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
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Annotation comment
... Slices for dosage S 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosage:baseEntry C 1..1 CHEMEDDosage Base entry of the dosage instruction
ch-dosage-4: For split dosage timing event and dose/rate are required
.... dosage:additionalEntry 0..* CHEMEDDosageSplit Additional entry of the dosage instruction

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.informationSource.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-dosage-4errorMedicationStatement.dosage:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstaterrorMedicationStatementIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not())
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron