HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions
Resource Profile: MedicationStatement: Obligations (HDR CZ)
| Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationstatement-obl-hdr | Version: 0.1.0 | ||||
| Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_MedicationStatementObligationsHdr | |||
Profile for MedicationStatement with obligations (HDR CZ).
Usages:
- This Profile is not used by any profiles in this Implementation Guide
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||||
   extension:adherence |
0..1 | (Complex) | R5: Indicates whether the medication is or is not being consumed or administered (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1 | |||||||||||
   Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
  extension:code |
1..1 | Extension | Type of adherence. Constraints: ext-1 | |||||||||||
  url |
1..1 | uri | "code" | |||||||||||
  value[x] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||||||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence" | |||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
Σ | 1..* | Identifier | Medication Statement Identifier | ||||||||||
| status |
?!Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||
| Slices for medication[x] |
Σ | 1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: Medications - IPS (example) | |||||||||||
 medicationCodeableConcept |
CodeableConcept | |||||||||||||
 medicationReference |
Reference(Medication (CZ core)) | |||||||||||||
 medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: DLP_lecivepripravky (0.3.0) (required)
| ||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core)(0.4.0) | Group) | Who is/was taking the medication | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Period when the medication is/was or should be used.
| ||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
| ||||||||||
 reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| Documentation for this format | ||||||||||||||
| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
|---|---|---|---|---|
| MedicationStatement |
||||
| Slices for extension |
||||
| Slices for medication[x] |
||||
| medication[x]:medicationCodeableConcept |
|
|
|
|
| Slices for effective[x] |
||||
| effective[x]:effectivePeriod |
|
|
|
|
| reasonCode |
|
|
|
|
| reasonReference |
|
|
|
|
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.extension:adherence.extension:code.value[x] | Base | example | Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Léčivé přípravky | 📍0.3.0 | HL7 Czech Terminology Implementation Guide v0.3 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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 | MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
|---|---|---|---|---|
| MedicationStatement |
||||
| Slices for medication[x] |
||||
| medication[x]:medicationCodeableConcept |
|
|
|
|
| Slices for effective[x] |
||||
| effective[x]:effectivePeriod |
|
|
|
|
 reasonCode |
|
|
|
|
| reasonReference |
|
|
|
|
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_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 statement 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 | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:adherence |
0..1 | (Complex) | R5: Indicates whether the medication is or is not being consumed or administered (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| extension:code |
1..1 | Extension | Type of adherence. Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "code" | |||||||||||
| value[x] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||||||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| value[x] |
0..1 | CodeableConcept | Details of the reason for the current use of the medication | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence" | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
Σ | 1..* | Identifier | Medication Statement 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 |
?!Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||
| statusReason |
0..* | CodeableConcept | Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of intended use 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, Closed by type:$this Binding: Medications - IPS (example) | |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication (CZ core)) | |||||||||||||
| medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: DLP_lecivepripravky (0.3.0) (required)
| ||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core)(0.4.0) | Group) | Who is/was taking the medication | ||||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Period when the medication is/was or should be used.
| ||||||||||
| dateAsserted |
Σ | 0..1 | dateTime | When the statement was asserted? | ||||||||||
| informationSource |
0..1 | Reference(Patient (CZ core)(0.4.0) | Practitioner (CZ core)(0.4.0) | Practitioner Role (CZ core)(0.4.0) | Related Person (CZ core)(0.4.0) | Organization (CZ core)(0.4.0)) | Person or organization that provided the information about the taking of this medication | |||||||||||
| derivedFrom |
0..* | Reference(Resource) | The reference to the source of the statement | |||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
| ||||||||||
| reasonReference |
O | 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 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
 author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||||
| authorString |
string | |||||||||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||||||||
| text |
Σ | 1..1 | markdown | Textual note about the statement | ||||||||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken. | |||||||||||
| Documentation for this format | ||||||||||||||
| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
|---|---|---|---|---|
| MedicationStatement |
||||
| Slices for extension |
||||
| Slices for medication[x] |
||||
| medication[x]:medicationCodeableConcept |
|
|
|
|
| Slices for effective[x] |
||||
| effective[x]:effectivePeriod |
|
|
|
|
| reasonCode |
|
|
|
|
| reasonReference |
|
|
|
|
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationStatement.extension:adherence.extension:code.value[x] | Base | example | Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.category | Base | preferred | Medication usage category codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Léčivé přípravky | 📍0.3.0 | HL7 Czech Terminology Implementation Guide v0.3 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
|---|---|---|---|---|
| MedicationStatement |
||||
| Slices for extension |
||||
| Slices for medication[x] |
||||
| medication[x]:medicationCodeableConcept |
|
|
|
|
| Slices for effective[x] |
||||
| effective[x]:effectivePeriod |
|
|
|
|
| reasonCode |
|
|
|
|
| reasonReference |
|
|
|
|
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:adherence |
0..1 | (Complex) | R5: Indicates whether the medication is or is not being consumed or administered (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1 | |||||||||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| extension:code |
1..1 | Extension | Type of adherence. Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "code" | |||||||||||
| value[x] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||||||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence" | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
Σ | 1..* | Identifier | Medication Statement Identifier | ||||||||||
| status |
?!Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||
| Slices for medication[x] |
Σ | 1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: Medications - IPS (example) | |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication (CZ core)) | |||||||||||||
| medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: DLP_lecivepripravky (0.3.0) (required)
| ||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core)(0.4.0) | Group) | Who is/was taking the medication | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Period when the medication is/was or should be used.
| ||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
| ||||||||||
| reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| Documentation for this format | ||||||||||||||
| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
|---|---|---|---|---|
| MedicationStatement |
||||
| Slices for extension |
||||
| Slices for medication[x] |
||||
| medication[x]:medicationCodeableConcept |
|
|
|
|
| Slices for effective[x] |
||||
| effective[x]:effectivePeriod |
|
|
|
|
| reasonCode |
|
|
|
|
| reasonReference |
|
|
|
|
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.extension:adherence.extension:code.value[x] | Base | example | Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Léčivé přípravky | 📍0.3.0 | HL7 Czech Terminology Implementation Guide v0.3 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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 | MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
| Slices for medication[x] |
Content/Rules for all slices | |||||||||||||
| medication[x]:medicationCodeableConcept |
O | 0..1 | CodeableConcept | What medication was taken
| ||||||||||
| Slices for effective[x] |
Content/Rules for all slices | |||||||||||||
| effective[x]:effectivePeriod |
O | 0..1 | Period | Period when the medication is/was or should be used.
| ||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Coded reason for use
| ||||||||||
| reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| Documentation for this format | ||||||||||||||
| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
|---|---|---|---|---|
| MedicationStatement |
||||
| Slices for medication[x] |
||||
| medication[x]:medicationCodeableConcept |
|
|
|
|
| Slices for effective[x] |
||||
| effective[x]:effectivePeriod |
|
|
|
|
| reasonCode |
|
|
|
|
| reasonReference |
|
|
|
|
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_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 statement Binding: CommonLanguages (preferred): A human language.
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| 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 | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:adherence |
0..1 | (Complex) | R5: Indicates whether the medication is or is not being consumed or administered (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| extension:code |
1..1 | Extension | Type of adherence. Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "code" | |||||||||||
| value[x] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||||||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) Constraints: ext-1 | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||||||||
| url |
1..1 | uri | "reason" | |||||||||||
| value[x] |
0..1 | CodeableConcept | Details of the reason for the current use of the medication | |||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence" | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
Σ | 1..* | Identifier | Medication Statement 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 |
?!Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||
| statusReason |
0..* | CodeableConcept | Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
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| Slices for medication[x] |
Σ | 1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: Medications - IPS (example) | |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication (CZ core)) | |||||||||||||
| medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: DLP_lecivepripravky (0.3.0) (required)
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| subject |
Σ | 1..1 | Reference(Patient (CZ core)(0.4.0) | Group) | Who is/was taking the medication | ||||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Period when the medication is/was or should be used.
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| dateAsserted |
Σ | 0..1 | dateTime | When the statement was asserted? | ||||||||||
| informationSource |
0..1 | Reference(Patient (CZ core)(0.4.0) | Practitioner (CZ core)(0.4.0) | Practitioner Role (CZ core)(0.4.0) | Related Person (CZ core)(0.4.0) | Organization (CZ core)(0.4.0)) | Person or organization that provided the information about the taking of this medication | |||||||||||
| derivedFrom |
0..* | Reference(Resource) | The reference to the source of the statement | |||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
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| reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
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| note |
0..* | Annotation | Further information about the statement | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||||
| authorString |
string | |||||||||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||||||||
| text |
Σ | 1..1 | markdown | Textual note about the statement | ||||||||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken. | |||||||||||
| Documentation for this format | ||||||||||||||
| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
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| MedicationStatement |
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| Slices for extension |
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| Slices for medication[x] |
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| medication[x]:medicationCodeableConcept |
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| effective[x]:effectivePeriod |
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| reasonCode |
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| reasonReference |
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| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationStatement.extension:adherence.extension:code.value[x] | Base | example | Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.category | Base | preferred | Medication usage category codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Léčivé přípravky | 📍0.3.0 | HL7 Czech Terminology Implementation Guide v0.3 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
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| 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()
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| 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()
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| dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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| dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management |
text.`div`.exists()
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| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
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| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
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| Name | Consumer_L2 | Creator_L3 | Consumer_L3 | Creator_L2 |
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| MedicationStatement |
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| Slices for extension |
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| Slices for medication[x] |
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| medication[x]:medicationCodeableConcept |
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| Slices for effective[x] |
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| effective[x]:effectivePeriod |
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| reasonCode |
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| reasonReference |
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| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron