HL7 Czech Base and Core Implementation Guide
0.3.0-ballot - ci-build
HL7 Czech Base and Core Implementation Guide
0.3.0-ballot - ci-build
HL7 Czech Base and Core Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement | Version: 0.3.0-ballot | |||
| Draft as of 2025-09-23 | Computable Name: CZ_MedicationStatement | |||
Czech national profile for a medication statement.
A medication declaration may indicate that a patient may be taking medications now, has taken medications in the past, or will take medications in the future. The source of this information may be the patient, a significant other (such as a family member or spouse), or the physician. A common scenario in which this information is captured is during the history taking process during a patient visit or stay. Medication information may come from sources such as the patient’s memory, the prescription bottle, or a medication list maintained by the patient, physician, or other party.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  MedicationStatement |
0..* | MedicationStatement | Czech Medication Statement | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
Σ | 1..* | Identifier | External identifier |
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) |
  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(Medication (CZ)) | |||
  medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required) |
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication |
 informationSource |
0..1 | Reference(Patient (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Person or organization that provided the information about the taking of this medication | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-statusFrom the FHIR Standard | |
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1From the FHIR Standard | |
| MedicationStatement.medication[x]:medicationCodeableConcept | required | CZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vsFrom this IG |
| 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() |
This structure is derived from MedicationStatement
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-statusFrom the FHIR Standard | |
| MedicationStatement.medication[x]:medicationCodeableConcept | required | CZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vsFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Czech Medication Statement | |||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | External identifier | ||||
| basedOn |
Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) | ||||
| 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(Medication (CZ)) | |||||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required) | ||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication | ||||
| 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 | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource |
0..1 | Reference(Patient (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode |
0..* | CodeableConcept | Reason for why the medication is being/was taken 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 | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-statusFrom the FHIR Standard | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codes|4.0.1From the FHIR Standard | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-category|4.0.1From the FHIR Standard | ||||
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1From the FHIR Standard | ||||
| MedicationStatement.medication[x]:medicationCodeableConcept | required | CZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vsFrom this IG | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|4.0.1From the FHIR Standard |
| 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() |
This structure is derived from MedicationStatement
Summary
Mandatory: 1 element
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Czech Medication Statement | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 1..* | Identifier | External identifier |
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) |
| 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(Medication (CZ)) | |||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required) |
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication |
| informationSource |
0..1 | Reference(Patient (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Person or organization that provided the information about the taking of this medication | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-statusFrom the FHIR Standard | |
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1From the FHIR Standard | |
| MedicationStatement.medication[x]:medicationCodeableConcept | required | CZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vsFrom this IG |
| 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() |
Differential View
This structure is derived from MedicationStatement
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-statusFrom the FHIR Standard | |
| MedicationStatement.medication[x]:medicationCodeableConcept | required | CZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vsFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Czech Medication Statement | |||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | External identifier | ||||
| basedOn |
Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) | ||||
| 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(Medication (CZ)) | |||||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required) | ||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication | ||||
| 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 | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource |
0..1 | Reference(Patient (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode |
0..* | CodeableConcept | Reason for why the medication is being/was taken 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 | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-statusFrom the FHIR Standard | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codes|4.0.1From the FHIR Standard | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-category|4.0.1From the FHIR Standard | ||||
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1From the FHIR Standard | ||||
| MedicationStatement.medication[x]:medicationCodeableConcept | required | CZ_DLPLecivePripravkyVs(a valid code from Codesystem of DLP Lecive pripravky)https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vsFrom this IG | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|4.0.1From the FHIR Standard |
| 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() |
This structure is derived from MedicationStatement
Summary
Mandatory: 1 element
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
