Standardized Medication Profile (SMP) FHIR IG
1.0.0 - STU 1

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.

The focal resource within the MedicationList profile of List

Usage:

- Use this Resource Profile: Standardized Medication Profile - Bundle Medication List Maintenance and Standardized Medication Profile - Bundle Medication List
- Refer to this Resource Profile: Standardized Medication Profile - Medication List
- Examples for this Resource Profile: MedicationStatement/smp-medstmt-1 and MedicationStatement/smp-medstmt-2
- CapabilityStatements using this Resource Profile: SMP_Client and SMP_Server

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn | Σ | 0..* | Reference(US Core MedicationRequest Profile) | Fulfils plan, proposal or order ele-1: All FHIR elements must have a @value or children
partOf | Σ | 0..* | Reference(US Core MedicationDispense Profile | Standardized Medication Profile - MedicationAdministration) | Part of referenced event ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
medication[x] | Σ | 1..1 |  | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
informationSource |  | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Person or organization that provided the information about the taking of this medication ele-1: All FHIR elements must have a @value or children
note |  | 0..* | Annotation | Further information about the statement ele-1: All FHIR elements must have a @value or children
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  |  | MedicationStatement |
basedOn |  | 0..* | Reference(US Core MedicationRequest Profile) | Fulfils plan, proposal or order
partOf |  | 0..* | Reference(US Core MedicationDispense Profile | Standardized Medication Profile - MedicationAdministration) | Part of referenced event
medication[x] |  | 1..1 |  | What medication was taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject |  | 1..1 | Reference(US Core Patient Profile) | Who is/was taking the medication
informationSource |  | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | 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
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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(US Core MedicationRequest Profile) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(US Core MedicationDispense Profile | 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) | Who is/was taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | 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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes `http://hl7.org/fhir/ValueSet/reason-medication-status-codes` from the FHIR Standard
MedicationStatement.category | preferred | Medication usage category codes `http://hl7.org/fhir/ValueSet/medication-statement-category` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes `http://hl7.org/fhir/ValueSet/condition-code` from the FHIR Standard

This structure is derived from MedicationStatement

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

- US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)
- US Core MedicationDispense Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense)
- Standardized Medication Profile - MedicationAdministration (http://hl7.org/fhir/us/smp/StructureDefinition/smp-medicationadministration)
- Standardized Medication Profile - Medication (http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn | Σ | 0..* | Reference(US Core MedicationRequest Profile) | Fulfils plan, proposal or order ele-1: All FHIR elements must have a @value or children
partOf | Σ | 0..* | Reference(US Core MedicationDispense Profile | Standardized Medication Profile - MedicationAdministration) | Part of referenced event ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
medication[x] | Σ | 1..1 |  | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
informationSource |  | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Person or organization that provided the information about the taking of this medication ele-1: All FHIR elements must have a @value or children
note |  | 0..* | Annotation | Further information about the statement ele-1: All FHIR elements must have a @value or children
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard

Differential View

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationStatement |  |  | MedicationStatement |
basedOn |  | 0..* | Reference(US Core MedicationRequest Profile) | Fulfils plan, proposal or order
partOf |  | 0..* | Reference(US Core MedicationDispense Profile | Standardized Medication Profile - MedicationAdministration) | Part of referenced event
medication[x] |  | 1..1 |  | What medication was taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject |  | 1..1 | Reference(US Core Patient Profile) | Who is/was taking the medication
informationSource |  | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | 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
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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(US Core MedicationRequest Profile) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(US Core MedicationDispense Profile | 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) | Who is/was taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | 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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationStatement.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationStatement.status | required | Medication Status Codes `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` from the FHIR Standard
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes `http://hl7.org/fhir/ValueSet/reason-medication-status-codes` from the FHIR Standard
MedicationStatement.category | preferred | Medication usage category codes `http://hl7.org/fhir/ValueSet/medication-statement-category` from the FHIR Standard
MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes `http://hl7.org/fhir/ValueSet/condition-code` from the FHIR Standard

This structure is derived from MedicationStatement

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

- US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)
- US Core MedicationDispense Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense)
- Standardized Medication Profile - MedicationAdministration (http://hl7.org/fhir/us/smp/StructureDefinition/smp-medicationadministration)
- Standardized Medication Profile - Medication (http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron