US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | Version: 8.0.0 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: USCoreMedicationAdherenceExtension | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.33 | ||||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
The Medication Adherence Extension is used to report whether a medication has been consumed according to instructions as reported by a patient or on behalf of the patient.
Context of Use
This extension may be used on the following element(s):
Profile Specific Implementation Guidance:
This Complex Extension is made up of three sub-extensions:
A required Medication Adherence Code, which is bound to the Medication Adherence ValueSet - a "starter" set of medication compliance SNOMED CT and NullValue codes. Its binding is extensible, and other concepts from SNOMED CT or another code system, including local codes, can be used. The table below illustrates basic scenarios of how an implementer can use them:
Example Scenario | Medication Adherence Code (SCT ID)|Preferred Term |
---|---|
The medication is being taken as directed. | 1156699004|Complies with drug therapy (finding) |
The medication is being taken, but not as directed. For example, the patient occasionally forgets or takes two pills instead of three. | 702565001|Non-compliance of drug therapy (finding) |
The medication is not being taken. For example, the patient did not pick up a prescription. | 715036001|Does not take medication (finding) |
Usage info
Usage:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
Summary
Complex Extension: The Medication Adherence Extension is used to report whether a medication has been consumed according to instructions as reported by a patient or on behalf of the patient.
Maturity: 3
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Extension | 0..* | Extension | Extension | |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:medicationAdherence | S | 1..1 | Extension | Medication adherence code |
url | 1..1 | uri | "medicationAdherence" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Medication Adherence (extensible): This set of values contains terms representing whether a medication has been consumed according to instructions. | |
extension:dateAsserted | S | 1..1 | Extension | When the medication adherence was asserted |
url | 1..1 | uri | "dateAsserted" | |
value[x] | 1..1 | dateTime | Value of extension | |
extension:informationSource | S | 0..* | Extension | Who provided the information about the medication adherence |
url | 1..1 | uri | "informationSource" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Information Source for Medication Adherence (example): The person or organization that provided the information about the medication adherence | |
url | 1..1 | uri | "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence" | |
value[x] | 0..0 | |||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Extension | 0..* | Extension | Extension | |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:medicationAdherence | S | 1..1 | Extension | Medication adherence code |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
url | 1..1 | uri | "medicationAdherence" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Medication Adherence (extensible): This set of values contains terms representing whether a medication has been consumed according to instructions. | |
extension:dateAsserted | S | 1..1 | Extension | When the medication adherence was asserted |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
url | 1..1 | uri | "dateAsserted" | |
value[x] | 1..1 | dateTime | Value of extension | |
extension:informationSource | S | 0..* | Extension | Who provided the information about the medication adherence |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
url | 1..1 | uri | "informationSource" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Information Source for Medication Adherence (example): The person or organization that provided the information about the medication adherence | |
url | 1..1 | uri | "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence" | |
Documentation for this format |
This structure is derived from Extension
Summary
Complex Extension: The Medication Adherence Extension is used to report whether a medication has been consumed according to instructions as reported by a patient or on behalf of the patient.
Maturity: 3
Differential View
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Extension | 0..* | Extension | Extension | |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:medicationAdherence | S | 1..1 | Extension | Medication adherence code |
url | 1..1 | uri | "medicationAdherence" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Medication Adherence (extensible): This set of values contains terms representing whether a medication has been consumed according to instructions. | |
extension:dateAsserted | S | 1..1 | Extension | When the medication adherence was asserted |
url | 1..1 | uri | "dateAsserted" | |
value[x] | 1..1 | dateTime | Value of extension | |
extension:informationSource | S | 0..* | Extension | Who provided the information about the medication adherence |
url | 1..1 | uri | "informationSource" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Information Source for Medication Adherence (example): The person or organization that provided the information about the medication adherence | |
url | 1..1 | uri | "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence" | |
value[x] | 0..0 | |||
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Extension | 0..* | Extension | Extension | |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:medicationAdherence | S | 1..1 | Extension | Medication adherence code |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
url | 1..1 | uri | "medicationAdherence" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Medication Adherence (extensible): This set of values contains terms representing whether a medication has been consumed according to instructions. | |
extension:dateAsserted | S | 1..1 | Extension | When the medication adherence was asserted |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
url | 1..1 | uri | "dateAsserted" | |
value[x] | 1..1 | dateTime | Value of extension | |
extension:informationSource | S | 0..* | Extension | Who provided the information about the medication adherence |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
url | 1..1 | uri | "informationSource" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Information Source for Medication Adherence (example): The person or organization that provided the information about the medication adherence | |
url | 1..1 | uri | "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence" | |
Documentation for this format |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet | URI |
Extension.extension:medicationAdherence.value[x] | extensible | MedicationAdherence http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.8 | |
Extension.extension:informationSource.value[x] | example | InformationSourceForMedicationAdherence http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.11 |