Profile Comparison between http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd vs http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement	Values Differ
copyright
date	2022-12-04T19:34:20+00:00	2023-05-09T16:50:27+00:00	Values Differ
description	A profile on MedicationStatement that indicates the minimum set of attributes for use in research studies.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001
kind	resource
name	MedicationStatementRwd
publisher	HL7 International - Biomedical Research & Regulation Work Group
purpose
status	active
title
type	MedicationStatement
url	http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd
version	1.0.0-ballot	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
MedicationStatement		0..*	MedicationStatementIPS	Record of medication being taken by a patient		0..*	IPAMedicationStatement	Record of medication being taken by a patient
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.	Elements differ in comments: 'In the scope of the IPS the entered-in-error concept is not allowed.' vs 'MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.' Elements differ in definition for mustSupport: 'false' vs 'true'
statusReason		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.	S	0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.	Elements differ in definition for mustSupport: 'false' vs 'true'
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.	Σ	0..1	CodeableConcept	Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(Medication (IPS)), ??	What medication was taken Binding: ?? (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication	SΣ	1..1	CodeableConcept, Reference(IPA-Medication)	What medication was taken Binding: ?? (example): A coded concept identifying the substance or product being taken.	Elements differ in definition: 'Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.' vs 'Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.' Example/preferred bindings differ at MedicationStatement.medication[x] using binding from MedicationStatementRwd Elements differ in binding.description: 'SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication' vs 'A coded concept identifying the substance or product being taken.'
subject	SΣ	1..1	Reference(Patient (IPS))	Who is/was taking the medication	SΣ	1..1	Reference(IPA-Patient)	Who is/was taking the medication
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
context	SΣ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement	SΣ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	SΣ	1..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken	SΣ	0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken	Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication	S	0..1	Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson)	Person or organization that provided the information about the taking of this medication	Elements differ in definition for mustSupport: 'false' vs 'true' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitioner], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitionerrole], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
Slices for derivedFrom	S	1..*	Reference(Resource)	Additional supporting information Slice: Unordered, Open by type:$this	S	1..*	Reference(Resource)	Additional supporting information Slice: Unordered, Open by type:$this
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken.		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: ?? (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		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		0..*	Annotation	Further information about the statement
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken	S	0..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (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	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered	Σ	0..1	Timing	When medication should be administered	Elements differ in definition for mustSupport: 'true' vs 'false'
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (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.	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (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.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route		0..1	??	Concept - reference to a terminology or just text Binding: ?? (preferred): EDQM Standards Terms	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	Elements differ in short: 'Concept - reference to a terminology or just text' vs 'How drug should enter body' Elements differ in definition: 'A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.' vs 'How drug should enter body.' Example/preferred bindings differ at MedicationStatement.dosage.route using binding from MedicationStatementRwd Elements differ in binding.description: 'EDQM Standards Terms' vs '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: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x]	Σ	0..1	Range, ??	Amount of medication per dose	Σ	0..1	Range, ??	Amount of medication per dose
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
Documentation for this format