CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot-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

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• Detailed Descriptions
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• XML
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Resource Profile: CH EMED MedicationStatement Changed

Definition of the changed medication statement for the pharmaceutical advice document

Usage:

• Derived from this Resource Profile: CH EMED MedicationStatement Changed (LIST)
• Use this Resource Profile: CH EMED Pharmaceutical Advice Document
• Refer to this Resource Profile: CH EMED Extension MedicationStatement Changed
• Examples for this Resource Profile: MedicationStatement/MedStatTriatec-ChangeDosage

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHEMEDMedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	CHEMEDMedicationStatement	CH EMED MedicationStatement Changed (PADV)
partOf		1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	CHEMEDMedicationStatement	CH EMED MedicationStatement Changed (PADV) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
contained		1..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	MedicationStatement Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID ele-1: All FHIR elements must have a @value or children Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
partOf	Σ	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE' ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Slices for medication[x]	Σ	1..1		What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(CH Core Medication)
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED Medication) {c}	Reference to the contained medication ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH Core Patient)	Patient ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
dateAsserted	Σ	1..1	dateTime	When the statement was asserted? ele-1: All FHIR elements must have a @value or children
informationSource		1..1	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the medical decision, see also 'Guidance - Authorship' ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for dosage		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this ele-1: All FHIR elements must have a @value or children
dosage:baseEntry	C	1..1	CHEMEDDosage	Base entry of the dosage instruction ele-1: All FHIR elements must have a @value or children ch-dosage-4: For split dosage timing event and dose/rate are required
dosage:additionalEntry		0..*	CHEMEDDosageSplit	Additional entry of the dosage instruction ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-4	error	MedicationStatement.dosage:baseEntry	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstat	error	MedicationStatement	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. : (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-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	C	0..*	CHEMEDMedicationStatement	CH EMED MedicationStatement Changed (PADV) 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 Bindings Purpose 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)
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	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
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		What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(CH Core Medication)
medication[x]:medicationReference	Σ	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 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.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
Slices for dosage		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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-4	error	MedicationStatement.dosage:baseEntry	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstat	error	MedicationStatement	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. : (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-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 CHEMEDMedicationStatement

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• CH EMED Observation (PADV) (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-observation)

Differential View

This structure is derived from CHEMEDMedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	CHEMEDMedicationStatement	CH EMED MedicationStatement Changed (PADV)
partOf		1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	CHEMEDMedicationStatement	CH EMED MedicationStatement Changed (PADV) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
contained		1..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	MedicationStatement Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID ele-1: All FHIR elements must have a @value or children Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
partOf	Σ	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE' ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Slices for medication[x]	Σ	1..1		What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(CH Core Medication)
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED Medication) {c}	Reference to the contained medication ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH Core Patient)	Patient ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
dateAsserted	Σ	1..1	dateTime	When the statement was asserted? ele-1: All FHIR elements must have a @value or children
informationSource		1..1	Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson)	The author of the medical decision, see also 'Guidance - Authorship' ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for dosage		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this ele-1: All FHIR elements must have a @value or children
dosage:baseEntry	C	1..1	CHEMEDDosage	Base entry of the dosage instruction ele-1: All FHIR elements must have a @value or children ch-dosage-4: For split dosage timing event and dose/rate are required
dosage:additionalEntry		0..*	CHEMEDDosageSplit	Additional entry of the dosage instruction ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-4	error	MedicationStatement.dosage:baseEntry	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstat	error	MedicationStatement	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. : (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-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	C	0..*	CHEMEDMedicationStatement	CH EMED MedicationStatement Changed (PADV) 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 Bindings Purpose 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)
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	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
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		What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(CH Core Medication)
medication[x]:medicationReference	Σ	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 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.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
Slices for dosage		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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-4	error	MedicationStatement.dosage:baseEntry	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medstat	error	MedicationStatement	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. : (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-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 CHEMEDMedicationStatement

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• CH EMED Observation (PADV) (http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-observation)

Other representations of profile: CSV, Excel, Schematron