International Patient Access
1.1.0 - STU1 International flag

International Patient Access, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ipa/ and changes regularly. See the Directory of published versions

Resource Profile: IPA-MedicationStatement

Official URL: http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement Version: 1.1.0
Standards status: Trial-use Computable Name: IPAMedicationStatement

Copyright/Legal: Used by permission of HL7 International all rights reserved Creative Commons License

Minimum expectations for a MedicationStatement resource when accessed via a International Patient Access API. The MedicationStatement resource represents all medications a patient is taking, be it those ordered by a clinician or reported by another organization, the patient or a caregiver.

We propose to remove MS from statusReason. Implementer feedback is encouraged.

Mandatory and Must Support Data Elements

The following data elements must always be present (in other words, mandatory resource properties where the minimum cardinality is 1) or must be supported (Must Support definition). Servers cannot restrict access to mandatory elements when authorizing an application. However, servers may choose to provide additional information or may be required to do so by national or other profiles that apply to the server's context.

Each MedicationStatement SHALL have:

  • a status
  • a medication*
  • a patient

* see guidance below

Applications must also support:

  • a status reason
  • the encounter/episode of care
  • the date/time or interval when the medication is/was/will be taken
  • person or organization that provided the information
  • the prescription Sig

Profile Specific Implementation Rules and Guidance

Medication Statement and Medication Request

While the relationship between Medication Statement and Medication Request is clear in principle, in practice, when patients report medications, these may also be implicitly treated as statements of intent about what the patient should be taking. As such, information systems may record these statements as either Medication Requests or Medication Statements, or as both. The choice between these options may be influenced by many factors including wording in legislation and regulations.

For this reason, clients implementing the International Patient Access specification SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.

As noted there is currently no consensus how a patient can access their active, historical and future (planned) medications list. Feedback is welcome on what additional guidance can be given to promote more international alignment.

Fetching Medications

The MedicationRequest and MedicationStatement resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be contained or an external resource. The server application MAY choose any one way or more than one method, but if an external reference to Medication is used, the server SHALL support the _include parameter for searching this element. The client application SHALL support all methods. For example, A server SHALL be capable of returning all medications for a patient using one of or both:

GET /MedicationStatement?patient=[id]

GET/MedicationStatement?patient=[id]&_include=MedicationStatement:medication

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... status SO 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... statusReason S 0..* CodeableConcept Reason for current status
... medication[x] SO 1..1 What medication was taken
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(IPA-Medication)
... context SO 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ObligationsActor
SHALL:populate-if-known Server
... effective[x] SO 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
... informationSource SO 0..1 Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ObligationsActor
SHALL:populate-if-known Server
... dosage SO 0..* Dosage Details of how medication is/was taken or should be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... text SO 0..1 string Free text dosage instructions e.g. SIG
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SOΣ 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.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... medication[x] SOΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(IPA-Medication)
... subject SOΣ 1..1 Reference(IPA-Patient) Who is/was taking the medication
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... context SOΣ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ObligationsActor
SHALL:populate-if-known Server
... effective[x] SOΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... effectiveDateTime dateTime
.... effectivePeriod Period
... informationSource SO 0..1 Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ObligationsActor
SHALL:populate-if-known Server
... dosage SO 0..* Dosage Details of how medication is/was taken or should be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* 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 ?!SOΣ 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.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... statusReason S 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.

... medication[x] SOΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(IPA-Medication)
... subject SOΣ 1..1 Reference(IPA-Patient) Who is/was taking the medication
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... context SOΣ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ObligationsActor
SHALL:populate-if-known Server
... effective[x] SOΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource SO 0..1 Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ObligationsActor
SHALL:populate-if-known Server
... 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 SO 0..* Dosage Details of how medication is/was taken or should be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
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.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... status SO 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... statusReason S 0..* CodeableConcept Reason for current status
... medication[x] SO 1..1 What medication was taken
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(IPA-Medication)
... context SO 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ObligationsActor
SHALL:populate-if-known Server
... effective[x] SO 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
... informationSource SO 0..1 Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ObligationsActor
SHALL:populate-if-known Server
... dosage SO 0..* Dosage Details of how medication is/was taken or should be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... text SO 0..1 string Free text dosage instructions e.g. SIG
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SOΣ 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.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... medication[x] SOΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(IPA-Medication)
... subject SOΣ 1..1 Reference(IPA-Patient) Who is/was taking the medication
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... context SOΣ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ObligationsActor
SHALL:populate-if-known Server
... effective[x] SOΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... effectiveDateTime dateTime
.... effectivePeriod Period
... informationSource SO 0..1 Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ObligationsActor
SHALL:populate-if-known Server
... dosage SO 0..* Dosage Details of how medication is/was taken or should be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* 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 ?!SOΣ 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.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... statusReason S 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.

... medication[x] SOΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(IPA-Medication)
... subject SOΣ 1..1 Reference(IPA-Patient) Who is/was taking the medication
ObligationsActor
SHALL:populate-if-known Server
SHALL:handle Client
... context SOΣ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ObligationsActor
SHALL:populate-if-known Server
... effective[x] SOΣ 0..1 The date/time or interval when the medication is/was/will be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource SO 0..1 Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ObligationsActor
SHALL:populate-if-known Server
... 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 SO 0..* Dosage Details of how medication is/was taken or should be taken
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SOΣ 0..1 string Free text dosage instructions e.g. SIG
ObligationsActor
SHALL:populate-if-known Server
SHOULD:handle Client
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
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.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron