Canadian Baseline
1.2.0 - CI Build
Canadian Baseline
1.2.0 - CI Build
Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationstatement | Version: 1.2.0 | |||
| Draft as of 2024-12-13 | Computable Name: MedicationStatementProfile | |||
Proposed constraints and extensions on the MedicationStatement resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.
This profile was generated from HL7 StructureDefinition on 2019-03-28 and constrained during a review of US Core against Canadian sources.
Key differences from USCoreR4 MedicationStatement:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement |
0..* | MedicationStatement | MedicationStatement Profile 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 | |
  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 |
 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 |
 basedOn |
Σ | 0..* | Reference(MedicationRequest Profile | CarePlan | ServiceRequest) | Fulfils plan, proposal or order ele-1: All FHIR elements must have a @value or children |
| partOf |
Σ | 0..* | Reference(MedicationAdministration Profile | MedicationDispense Profile | MedicationStatement Profile | Procedure Profile | Observation Profile (General Use)) | Part of referenced event ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 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 |
  medication[x] |
SΣ | 1..1 | What medication was taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. ele-1: All FHIR elements must have a @value or children | |
  medicationCodeableConcept |
CodeableConcept | |||
 medicationReference |
Reference(Medication Profile) | |||
| subject |
SΣ | 1..1 | Reference(Patient Profile) | Who is/was taking the medication ele-1: All FHIR elements must have a @value or children |
| context |
Σ | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement ele-1: All FHIR elements must have a @value or children |
| effective[x] |
SΣ | 0..1 | The date/time or interval when the medication is/was/will be taken ele-1: All FHIR elements must have a @value or children | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| informationSource |
S | 0..1 | Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | Person or organization that provided the information about the taking of this medication ele-1: All FHIR elements must have a @value or children |
| derivedFrom |
0..* | Reference(MedicationRequest Profile | MedicationDispense Profile | Claim | Observation Profile (General Use) | QuestionnaireResponse) | Additional supporting information ele-1: All FHIR elements must have a @value or children | |
| reasonReference |
0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile) | Condition or observation that supports why the medication is being/was taken ele-1: All FHIR elements must have a @value or children | |
 dosage |
S | 0..* | Dosage | Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| text |
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | |
| MedicationStatement.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Other representations of profile: CSV, Excel, Schematron
