CH EMED EPR
2.0.0-ci-build - ci-build Switzerland flag

CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

Resource Profile: PMLC MedicationStatement

Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationstatement-card Version: 2.0.0-ci-build
Draft as of 2024-12-20 Computable Name: CHEMEDEPRMedicationStatementCard

Copyright/Legal: CC0-1.0

Definition of the aggregated 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 CHEMEDMedicationStatementCard

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatementCard CH EMED MedicationStatement (CARD)
split-dosage-unit-must-match-base-dosage: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
... meta
.... extension D 0..* Extension ✕ This element is not supported
.... versionId D 0..1 id ✕ This element is not supported
.... lastUpdated D 0..1 instant ✕ This element is not supported
.... source D 0..1 uri ✕ This element is not supported
.... security D 0..* Coding ✕ This element is not supported
.... tag D 0..* Coding ✕ This element is not supported
... implicitRules 0..0
... extension 2..* Extension Extension
.... extension:substitution 0..1 CHEMEDExtSubstitution Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
..... id D 0..1 string ✕ This element is not supported
..... value[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Substance Administration Substitution Codes (required)
...... coding 0..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: N
....... display 1..1 string Representation defined by the system
Fixed Value: none
.... extension:treatmentPlan 1..1 CHEMEDExtTreatmentPlan Reference to the MTP that introduced this medication in the treatment plan
.... extension:authorDocument 0..1 Author The last intervening author, only if different that the last medical author (see 'Document PMLC' and 'Guidance - Different Authors')
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) Author of the content
.... extension:lastConsideredDocument 1..1 CHEMEDExtLastConsideredDocument Optional Extensions Element
.... prescription 0..1 (Complex) Reference to the PRE that introduced this medication in the treatment plan, if any
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... modifierExtension 0..0
... identifier
.... extension D 0..* Extension ✕ This element is not supported
.... type D 0..1 CodeableConcept ✕ This element is not supported
.... period D 0..1 Period ✕ This element is not supported
.... assigner D 0..1 Reference(CH EMED EPR Organization) ✕ This element will be removed in PML(C) documents
... basedOn D 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) ✕ This element will be removed in PML(C) documents
... partOf 0..0
... statusReason D 0..* CodeableConcept ✕ This element is not supported
... category D 0..1 CodeableConcept ✕ This element is not supported
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationReference 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
... context D 0..1 Reference(Encounter | EpisodeOfCare) ✕ This element will be removed in PML(C) documents
... effective[x] D 0..1 dateTime, Period ✕ Do not use. The effective period is contained in the main dosage
... informationSource 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) The last medical author, (see 'Document PMLC' and 'Guidance - Different Authors')
... derivedFrom D 0..* Reference(Resource) ✕ This element will be removed in PML(C) documents
... reasonCode 0..* CodeableConcept The treatment reason(s) as text, and optionally coded
.... extension D 0..* Extension ✕ This element is not supported
.... text 1..1 string Plain text representation of the treatment reason(s)
... reasonReference D 0..* Reference(Condition | Observation | DiagnosticReport) ✕ This element will be removed in PML(C) documents
... note
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
.... author[x] 1..1 Reference(Practitioner | Patient | RelatedPerson | Organization) Individual responsible for the annotation
.... time 1..1 dateTime When the annotation was made
.... text 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... Slices for dosage Content/Rules for all slices
.... dosage:baseEntry 1..1 CHEMEDEPRDosage CH EMED Dosage (MedicationStatement / MedicationDispense)
.... dosage:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.extension:substitution.value[x]requiredCHEMEDEprActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code
from this IG

Constraints

IdGradePath(s)DetailsRequirements
split-dosage-unit-must-match-base-dosageerrorMedicationStatementThe unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
: (dosage.count() > 1) implies dosage.doseAndRate.dose.ofType(Quantity).code.union(dosage.doseAndRate.dose.ofType(Range).low.code).union(dosage.doseAndRate.dose.ofType(Range).high.code).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatementCard CH EMED MedicationStatement (CARD)
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.
split-dosage-unit-must-match-base-dosage: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
... contained 1..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... substitution 0..1 (Complex) Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... id D 0..1 string ✕ This element is not supported
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
..... value[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Substance Administration Substitution Codes (required)
ele-1: All FHIR elements must have a @value or children
...... coding Σ 0..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: N
....... display 1..1 string Representation defined by the system
Fixed Value: none
.... treatmentPlan 1..1 (Complex) Reference to the MTP that introduced this medication in the treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... authorDocument 0..1 (Complex) The last intervening author, only if different that the last medical author (see 'Document PMLC' and 'Guidance - Different Authors')
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
..... Slices for value[x] 1..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
...... value[x]:valueReference 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) Author of the content
ele-1: All FHIR elements must have a @value or children
....... Slices for extension Content/Rules for all slices
........ time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... lastConsideredDocument 1..1 Identifier Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... prescription 0..1 (Complex) Reference to the PRE that introduced this medication in the treatment plan, if any
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
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
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
.... type ΣD 0..1 CodeableConcept ✕ This element is not supported
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.


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
.... period ΣD 0..1 Period ✕ This element is not supported
ele-1: All FHIR elements must have a @value or children
.... assigner ΣD 0..1 Reference(CH EMED EPR Organization) ✕ This element will be removed in PML(C) documents
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
... statusReason D 0..* CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


ele-1: All FHIR elements must have a @value or children
... category ΣD 0..1 CodeableConcept ✕ This element is not supported
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.


ele-1: All FHIR elements must have a @value or children
... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... medication[x]:medicationReference SΣ 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
ele-1: All FHIR elements must have a @value or children
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... context ΣD 0..1 Reference(Encounter | EpisodeOfCare) ✕ This element will be removed in PML(C) documents
ele-1: All FHIR elements must have a @value or children
... effective[x] ΣD 0..1 ✕ Do not use. The effective period is contained in the main dosage
ele-1: All FHIR elements must have a @value or children
.... effectiveDateTime dateTime
.... effectivePeriod Period
... 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 EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) The last medical author, (see 'Document PMLC' and 'Guidance - Different Authors')
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
... derivedFrom D 0..* Reference(Resource) ✕ This element will be removed in PML(C) documents
ele-1: All FHIR elements must have a @value or children
... reasonCode 0..* CodeableConcept The treatment reason(s) as text, and optionally coded
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


ele-1: All FHIR elements must have a @value or children
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... text SΣ 1..1 string Plain text representation of the treatment reason(s)
ele-1: All FHIR elements must have a @value or children
... reasonReference D 0..* Reference(Condition | Observation | DiagnosticReport) ✕ This element will be removed in PML(C) documents
ele-1: All FHIR elements must have a @value or children
... Slices for dosage S 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 CHEMEDEPRDosage CH EMED Dosage (MedicationStatement / MedicationDispense)
ele-1: All FHIR elements must have a @value or children
ch-dosage-4: For split dosage timing event and dose/rate are required
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosage:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.extension:substitution.value[x]requiredCHEMEDEprActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code
from this IG
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.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
base-dosage-textwarningMedicationStatement.dosage:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
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()
split-dosage-unit-must-match-base-dosageerrorMedicationStatementThe unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
: (dosage.count() > 1) implies dosage.doseAndRate.dose.ofType(Quantity).code.union(dosage.doseAndRate.dose.ofType(Range).low.code).union(dosage.doseAndRate.dose.ofType(Range).high.code).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatementCard 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.
split-dosage-unit-must-match-base-dosage: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId ΣD 0..1 id ✕ This element is not supported
.... lastUpdated ΣD 0..1 instant ✕ This element is not supported
.... source ΣD 0..1 uri ✕ This element is not supported
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security ΣD 0..* Coding ✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag ΣD 0..* Coding ✕ This element is not supported
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... contained 1..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... substitution 0..1 (Complex) Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
..... id D 0..1 string ✕ This element is not supported
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
..... value[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Substance Administration Substitution Codes (required)
...... 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

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: N
....... display 1..1 string Representation defined by the system
Fixed Value: none
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... treatmentPlan 1..1 (Complex) Reference to the MTP that introduced this medication in the treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
.... authorDocument 0..1 (Complex) The last intervening author, only if different that the last medical author (see 'Document PMLC' and 'Guidance - Different Authors')
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
..... Slices for value[x] 1..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueReference 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) Author of the content
....... id 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
........ time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
....... 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
.... lastConsideredDocument 1..1 Identifier Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
.... prescription 0..1 (Complex) Reference to the PRE that introduced this medication in the treatment plan, if any
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... identifier Σ 1..1 Identifier MedicationStatement Identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension D 0..* Extension ✕ This element is not supported
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 ΣD 0..1 CodeableConcept ✕ This element is not supported
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 ΣD 0..1 Period ✕ This element is not supported
.... assigner ΣD 0..1 Reference(CH EMED EPR Organization) ✕ This element will be removed in PML(C) documents
... basedOn ΣD 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) ✕ This element will be removed in PML(C) documents
... 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 D 0..* CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category ΣD 0..1 CodeableConcept ✕ This element is not supported
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 EPR Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
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 ΣD 0..1 Reference(Encounter | EpisodeOfCare) ✕ This element will be removed in PML(C) documents
... effective[x] ΣD 0..1 ✕ Do not use. The effective period is contained in the main dosage
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 1..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) The last medical author, (see 'Document PMLC' and 'Guidance - Different Authors')
.... 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 D 0..* Reference(Resource) ✕ This element will be removed in PML(C) documents
... reasonCode 0..* CodeableConcept The treatment reason(s) as text, and optionally coded
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 D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 1..1 string Plain text representation of the treatment reason(s)
... reasonReference D 0..* Reference(Condition | Observation | DiagnosticReport) ✕ This element will be removed in PML(C) documents
... note 0..* Annotation Annotation comment
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 1..1 Reference(Practitioner | Patient | RelatedPerson | Organization) Individual responsible for the annotation
.... time Σ 1..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... Slices for dosage S 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosage:baseEntry C 1..1 CHEMEDEPRDosage CH EMED Dosage (MedicationStatement / MedicationDispense)
ch-dosage-4: For split dosage timing event and dose/rate are required
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosage:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.extension:substitution.value[x]requiredCHEMEDEprActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code
from this IG
MedicationStatement.extension:authorDocument.value[x]:valueReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
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
base-dosage-textwarningMedicationStatement.dosage:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
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()
split-dosage-unit-must-match-base-dosageerrorMedicationStatementThe unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
: (dosage.count() > 1) implies dosage.doseAndRate.dose.ofType(Quantity).code.union(dosage.doseAndRate.dose.ofType(Range).low.code).union(dosage.doseAndRate.dose.ofType(Range).high.code).count() = 1

Differential View

This structure is derived from CHEMEDMedicationStatementCard

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatementCard CH EMED MedicationStatement (CARD)
split-dosage-unit-must-match-base-dosage: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
... meta
.... extension D 0..* Extension ✕ This element is not supported
.... versionId D 0..1 id ✕ This element is not supported
.... lastUpdated D 0..1 instant ✕ This element is not supported
.... source D 0..1 uri ✕ This element is not supported
.... security D 0..* Coding ✕ This element is not supported
.... tag D 0..* Coding ✕ This element is not supported
... implicitRules 0..0
... extension 2..* Extension Extension
.... extension:substitution 0..1 CHEMEDExtSubstitution Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
..... id D 0..1 string ✕ This element is not supported
..... value[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Substance Administration Substitution Codes (required)
...... coding 0..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: N
....... display 1..1 string Representation defined by the system
Fixed Value: none
.... extension:treatmentPlan 1..1 CHEMEDExtTreatmentPlan Reference to the MTP that introduced this medication in the treatment plan
.... extension:authorDocument 0..1 Author The last intervening author, only if different that the last medical author (see 'Document PMLC' and 'Guidance - Different Authors')
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueReference 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) Author of the content
.... extension:lastConsideredDocument 1..1 CHEMEDExtLastConsideredDocument Optional Extensions Element
.... prescription 0..1 (Complex) Reference to the PRE that introduced this medication in the treatment plan, if any
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... modifierExtension 0..0
... identifier
.... extension D 0..* Extension ✕ This element is not supported
.... type D 0..1 CodeableConcept ✕ This element is not supported
.... period D 0..1 Period ✕ This element is not supported
.... assigner D 0..1 Reference(CH EMED EPR Organization) ✕ This element will be removed in PML(C) documents
... basedOn D 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) ✕ This element will be removed in PML(C) documents
... partOf 0..0
... statusReason D 0..* CodeableConcept ✕ This element is not supported
... category D 0..1 CodeableConcept ✕ This element is not supported
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationReference 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
... context D 0..1 Reference(Encounter | EpisodeOfCare) ✕ This element will be removed in PML(C) documents
... effective[x] D 0..1 dateTime, Period ✕ Do not use. The effective period is contained in the main dosage
... informationSource 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) The last medical author, (see 'Document PMLC' and 'Guidance - Different Authors')
... derivedFrom D 0..* Reference(Resource) ✕ This element will be removed in PML(C) documents
... reasonCode 0..* CodeableConcept The treatment reason(s) as text, and optionally coded
.... extension D 0..* Extension ✕ This element is not supported
.... text 1..1 string Plain text representation of the treatment reason(s)
... reasonReference D 0..* Reference(Condition | Observation | DiagnosticReport) ✕ This element will be removed in PML(C) documents
... note
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
.... author[x] 1..1 Reference(Practitioner | Patient | RelatedPerson | Organization) Individual responsible for the annotation
.... time 1..1 dateTime When the annotation was made
.... text 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... Slices for dosage Content/Rules for all slices
.... dosage:baseEntry 1..1 CHEMEDEPRDosage CH EMED Dosage (MedicationStatement / MedicationDispense)
.... dosage:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.extension:substitution.value[x]requiredCHEMEDEprActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code
from this IG

Constraints

IdGradePath(s)DetailsRequirements
split-dosage-unit-must-match-base-dosageerrorMedicationStatementThe unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
: (dosage.count() > 1) implies dosage.doseAndRate.dose.ofType(Quantity).code.union(dosage.doseAndRate.dose.ofType(Range).low.code).union(dosage.doseAndRate.dose.ofType(Range).high.code).count() = 1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatementCard CH EMED MedicationStatement (CARD)
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.
split-dosage-unit-must-match-base-dosage: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
... contained 1..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... substitution 0..1 (Complex) Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... id D 0..1 string ✕ This element is not supported
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
..... value[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Substance Administration Substitution Codes (required)
ele-1: All FHIR elements must have a @value or children
...... coding Σ 0..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: N
....... display 1..1 string Representation defined by the system
Fixed Value: none
.... treatmentPlan 1..1 (Complex) Reference to the MTP that introduced this medication in the treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... authorDocument 0..1 (Complex) The last intervening author, only if different that the last medical author (see 'Document PMLC' and 'Guidance - Different Authors')
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
..... Slices for value[x] 1..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
...... value[x]:valueReference 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) Author of the content
ele-1: All FHIR elements must have a @value or children
....... Slices for extension Content/Rules for all slices
........ time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... lastConsideredDocument 1..1 Identifier Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... prescription 0..1 (Complex) Reference to the PRE that introduced this medication in the treatment plan, if any
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
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
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
.... type ΣD 0..1 CodeableConcept ✕ This element is not supported
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.


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
.... period ΣD 0..1 Period ✕ This element is not supported
ele-1: All FHIR elements must have a @value or children
.... assigner ΣD 0..1 Reference(CH EMED EPR Organization) ✕ This element will be removed in PML(C) documents
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
... statusReason D 0..* CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


ele-1: All FHIR elements must have a @value or children
... category ΣD 0..1 CodeableConcept ✕ This element is not supported
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.


ele-1: All FHIR elements must have a @value or children
... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... medication[x]:medicationReference SΣ 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
ele-1: All FHIR elements must have a @value or children
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... context ΣD 0..1 Reference(Encounter | EpisodeOfCare) ✕ This element will be removed in PML(C) documents
ele-1: All FHIR elements must have a @value or children
... effective[x] ΣD 0..1 ✕ Do not use. The effective period is contained in the main dosage
ele-1: All FHIR elements must have a @value or children
.... effectiveDateTime dateTime
.... effectivePeriod Period
... 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 EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) The last medical author, (see 'Document PMLC' and 'Guidance - Different Authors')
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
... derivedFrom D 0..* Reference(Resource) ✕ This element will be removed in PML(C) documents
ele-1: All FHIR elements must have a @value or children
... reasonCode 0..* CodeableConcept The treatment reason(s) as text, and optionally coded
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


ele-1: All FHIR elements must have a @value or children
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... text SΣ 1..1 string Plain text representation of the treatment reason(s)
ele-1: All FHIR elements must have a @value or children
... reasonReference D 0..* Reference(Condition | Observation | DiagnosticReport) ✕ This element will be removed in PML(C) documents
ele-1: All FHIR elements must have a @value or children
... Slices for dosage S 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 CHEMEDEPRDosage CH EMED Dosage (MedicationStatement / MedicationDispense)
ele-1: All FHIR elements must have a @value or children
ch-dosage-4: For split dosage timing event and dose/rate are required
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosage:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.extension:substitution.value[x]requiredCHEMEDEprActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code
from this IG
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.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
base-dosage-textwarningMedicationStatement.dosage:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
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()
split-dosage-unit-must-match-base-dosageerrorMedicationStatementThe unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
: (dosage.count() > 1) implies dosage.doseAndRate.dose.ofType(Quantity).code.union(dosage.doseAndRate.dose.ofType(Range).low.code).union(dosage.doseAndRate.dose.ofType(Range).high.code).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* CHEMEDMedicationStatementCard 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.
split-dosage-unit-must-match-base-dosage: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId ΣD 0..1 id ✕ This element is not supported
.... lastUpdated ΣD 0..1 instant ✕ This element is not supported
.... source ΣD 0..1 uri ✕ This element is not supported
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security ΣD 0..* Coding ✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag ΣD 0..* Coding ✕ This element is not supported
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... contained 1..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... substitution 0..1 (Complex) Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution
..... id D 0..1 string ✕ This element is not supported
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
..... value[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Substance Administration Substitution Codes (required)
...... 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

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: N
....... display 1..1 string Representation defined by the system
Fixed Value: none
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... treatmentPlan 1..1 (Complex) Reference to the MTP that introduced this medication in the treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
.... authorDocument 0..1 (Complex) The last intervening author, only if different that the last medical author (see 'Document PMLC' and 'Guidance - Different Authors')
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author"
..... Slices for value[x] 1..1 Reference() Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueReference 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) Author of the content
....... id 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
........ time 0..1 dateTime Timestamp of the authorship/data input
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time
....... 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
.... lastConsideredDocument 1..1 Identifier Optional Extensions Element
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document
.... prescription 0..1 (Complex) Reference to the PRE that introduced this medication in the treatment plan, if any
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
... identifier Σ 1..1 Identifier MedicationStatement Identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension D 0..* Extension ✕ This element is not supported
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 ΣD 0..1 CodeableConcept ✕ This element is not supported
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 ΣD 0..1 Period ✕ This element is not supported
.... assigner ΣD 0..1 Reference(CH EMED EPR Organization) ✕ This element will be removed in PML(C) documents
... basedOn ΣD 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) ✕ This element will be removed in PML(C) documents
... 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 D 0..* CodeableConcept ✕ This element is not supported
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category ΣD 0..1 CodeableConcept ✕ This element is not supported
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 EPR Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
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 ΣD 0..1 Reference(Encounter | EpisodeOfCare) ✕ This element will be removed in PML(C) documents
... effective[x] ΣD 0..1 ✕ Do not use. The effective period is contained in the main dosage
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 1..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) The last medical author, (see 'Document PMLC' and 'Guidance - Different Authors')
.... 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 D 0..* Reference(Resource) ✕ This element will be removed in PML(C) documents
... reasonCode 0..* CodeableConcept The treatment reason(s) as text, and optionally coded
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 D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 1..1 string Plain text representation of the treatment reason(s)
... reasonReference D 0..* Reference(Condition | Observation | DiagnosticReport) ✕ This element will be removed in PML(C) documents
... note 0..* Annotation Annotation comment
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 1..1 Reference(Practitioner | Patient | RelatedPerson | Organization) Individual responsible for the annotation
.... time Σ 1..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... Slices for dosage S 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosage:baseEntry C 1..1 CHEMEDEPRDosage CH EMED Dosage (MedicationStatement / MedicationDispense)
ch-dosage-4: For split dosage timing event and dose/rate are required
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosage:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.extension:substitution.value[x]requiredCHEMEDEprActSubstanceAdminSubstitutionCode
http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code
from this IG
MedicationStatement.extension:authorDocument.value[x]:valueReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
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
base-dosage-textwarningMedicationStatement.dosage:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
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()
split-dosage-unit-must-match-base-dosageerrorMedicationStatementThe unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
: (dosage.count() > 1) implies dosage.doseAndRate.dose.ofType(Quantity).code.union(dosage.doseAndRate.dose.ofType(Range).low.code).union(dosage.doseAndRate.dose.ofType(Range).high.code).count() = 1

 

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