Standardized Medication Profile (SMP) FHIR IG
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Standardized Medication Profile (SMP) FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/smp-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Standardized Medication Profile - MedicationStatement

Official URL: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medicationstatement Version: 1.0.0
Standards status: Trial-use Maturity Level: 1 Computable Name: SMPMedicationStatement

The description of a medication or drug that a patient is taking or prescribed. Or a medication or drug that a patient did take or was prescribed in the past. MedicationStatement can be created from a number of sources and may be anecdotal which can be useful in the recording of non-prescription, over-the-counter items. MedicationRequest and MedicationAdministration are a formal record of medications prescribed and given.

This profile supports the capture of medication adherence information within the MedicationStatement resource. Implementers SHOULD pre-adopt the FHIR MedicationStatement adherence extension as proposed for future FHIR releases.

  • The adherence extension SHOULD be included in MedicationStatement resources when information about a patient's adherence to a medication regimen is available.
  • The extension enables documentation of adherence status (e.g., 'taking as prescribed', 'not taking as prescribed') and, where applicable, the reason for non-adherence.
  • Systems SHOULD support the extension to facilitate interoperability and the exchange of clinically significant adherence data.
  • MedicationStatement.status remains the required R4 medication-use state and SHALL NOT be replaced by the adherence extension.
  • The adherence extension qualifies whether the medication use, non-use, hold, or stop aligns with the applicable instructions for the same period represented by MedicationStatement.effective[x].
  • Implementers SHOULD avoid contradictory status/adherence combinations, such as status = active with adherence = not-taking, status = not-taken with adherence = taking-as-directed, or status = entered-in-error with any adherence value.
  • Recommended reconciliation guidance: active may be paired with taking, taking-as-directed, taking-not-as-directed, or unknown; completed may be paired with historical taking-* adherence; not-taken with not-taking; on-hold with on-hold, on-hold-as-directed, or on-hold-not-as-directed; stopped with stopped, stopped-as-directed, or stopped-not-as-directed; intended should normally omit adherence unless adherence is explicitly unknown; entered-in-error should omit adherence.

The focal resource within the MedicationList profile of List

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adherence S 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
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason S 0..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] S 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
... partOf Σ 0..* Reference(US Core MedicationDispense Profile(8.0.1) | Standardized Medication Profile - MedicationAdministration) Part of referenced event
... status ?!Σ 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.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Standardized Medication Profile - Medication)
... subject Σ 1..1 Reference(US Core Patient Profile(8.0.1)) Who is/was taking the medication
... Slices for effective[x] SΣ 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]:effectiveDateTime SΣ 0..1 dateTime The date/time or interval when the medication is/was/will be taken
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(US Core Patient Profile(8.0.1) | US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1) | US Core RelatedPerson Profile(8.0.1)) Person or organization that provided the information about the taking of this medication
... note 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken

doco 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 SNOMED CT Medication 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()

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement MedicationStatement
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adherence S 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
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
....... extension 0..0 Extension
....... value[x] S 1..1 CodeableConcept Type of adherence
...... extension:reason S 0..1 Extension Extension
....... extension 0..0 Extension
....... value[x] S 0..1 CodeableConcept Details of the reason for the current use of the medication
... basedOn 0..* Reference(US Core MedicationRequest Profile(8.0.1)) Fulfils plan, proposal or order
... partOf 0..* Reference(US Core MedicationDispense Profile(8.0.1) | Standardized Medication Profile - MedicationAdministration) Part of referenced event
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Standardized Medication Profile - Medication)
... subject 1..1 Reference(US Core Patient Profile(8.0.1)) Who is/was taking the medication
... Slices for effective[x] S 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 0..1 dateTime The date/time or interval when the medication is/was/will be taken
.... effective[x]:effectivePeriod S 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted S 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(US Core Patient Profile(8.0.1) | US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1) | US Core RelatedPerson Profile(8.0.1)) Person or organization that provided the information about the taking of this medication
... note 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
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 S 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
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason S 0..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] S 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 0..* Identifier External identifier
... basedOn Σ 0..* Reference(US Core MedicationRequest Profile(8.0.1)) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(US Core MedicationDispense Profile(8.0.1) | Standardized Medication Profile - MedicationAdministration) Part of referenced event
... status ?!Σ 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.
... 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.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Standardized Medication Profile - Medication)
... subject Σ 1..1 Reference(US Core Patient Profile(8.0.1)) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... Slices for effective[x] SΣ 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]:effectiveDateTime SΣ 0..1 dateTime The date/time or interval when the medication is/was/will be taken
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(US Core Patient Profile(8.0.1) | US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1) | US Core RelatedPerson Profile(8.0.1)) 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 S 0..* Dosage Details of how medication is/was taken or should be taken

doco 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 SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adherence S 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
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason S 0..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] S 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
... partOf Σ 0..* Reference(US Core MedicationDispense Profile(8.0.1) | Standardized Medication Profile - MedicationAdministration) Part of referenced event
... status ?!Σ 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.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Standardized Medication Profile - Medication)
... subject Σ 1..1 Reference(US Core Patient Profile(8.0.1)) Who is/was taking the medication
... Slices for effective[x] SΣ 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]:effectiveDateTime SΣ 0..1 dateTime The date/time or interval when the medication is/was/will be taken
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(US Core Patient Profile(8.0.1) | US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1) | US Core RelatedPerson Profile(8.0.1)) Person or organization that provided the information about the taking of this medication
... note 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken

doco 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 SNOMED CT Medication 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()

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement MedicationStatement
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:adherence S 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
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
....... extension 0..0 Extension
....... value[x] S 1..1 CodeableConcept Type of adherence
...... extension:reason S 0..1 Extension Extension
....... extension 0..0 Extension
....... value[x] S 0..1 CodeableConcept Details of the reason for the current use of the medication
... basedOn 0..* Reference(US Core MedicationRequest Profile(8.0.1)) Fulfils plan, proposal or order
... partOf 0..* Reference(US Core MedicationDispense Profile(8.0.1) | Standardized Medication Profile - MedicationAdministration) Part of referenced event
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Standardized Medication Profile - Medication)
... subject 1..1 Reference(US Core Patient Profile(8.0.1)) Who is/was taking the medication
... Slices for effective[x] S 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 0..1 dateTime The date/time or interval when the medication is/was/will be taken
.... effective[x]:effectivePeriod S 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted S 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(US Core Patient Profile(8.0.1) | US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1) | US Core RelatedPerson Profile(8.0.1)) Person or organization that provided the information about the taking of this medication
... note 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
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 S 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
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] S 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason S 0..1 Extension Extension
Constraints: ext-1
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "reason"
....... value[x] S 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 0..* Identifier External identifier
... basedOn Σ 0..* Reference(US Core MedicationRequest Profile(8.0.1)) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(US Core MedicationDispense Profile(8.0.1) | Standardized Medication Profile - MedicationAdministration) Part of referenced event
... status ?!Σ 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.
... 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.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Standardized Medication Profile - Medication)
... subject Σ 1..1 Reference(US Core Patient Profile(8.0.1)) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... Slices for effective[x] SΣ 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]:effectiveDateTime SΣ 0..1 dateTime The date/time or interval when the medication is/was/will be taken
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(US Core Patient Profile(8.0.1) | US Core Practitioner Profile(8.0.1) | US Core PractitionerRole Profile(8.0.1) | US Core RelatedPerson Profile(8.0.1)) 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 S 0..* Dosage Details of how medication is/was taken or should be taken

doco 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 SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
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()

 

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