Lithuanian Lifestyle Implementation Guide
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Lithuanian Lifestyle Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-lifestyle/ and changes regularly. See the Directory of published versions

Resource Profile: Medication Statement for screening programs

Official URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/medication-statement-lt-lifestyle Version: 0.0.1
Computable Name: MedicationStatementLtLifestyle

A simplified profile for MedicationStatement focusing on essential elements.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(5.0.0) Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... medication SΣ 1..1 CodeableReference(Medication) What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... concept SΣ 1..1 CodeableConcept Reference to a concept (by class)
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who is/was taking the medication
... dosage S 1..1 Dosage Details of how medication is/was taken or should be taken
.... Slices for extension Content/Rules for all slices
..... extension:medicationTiming S 0..1 string Medication Timing Extension for LT Lifestyle
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/medication-timing-ext-lt-lifestyle
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... doseAndRate Σ 0..* Element Amount of medication administered, to be administered or typical amount to be administered
..... Slices for dose[x] Σ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... code SΣC 0..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required MedicationStatement Status Codes 📍5.0.0 FHIR Std.
MedicationStatement.​medication Base example SNOMED CT Medication Codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationStatement.implicitRules, MedicationStatement.modifierExtension, MedicationStatement.status, MedicationStatement.medication, MedicationStatement.medication.concept, MedicationStatement.medication.concept.text, MedicationStatement.subject, MedicationStatement.dosage, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension, MedicationStatement.dosage.doseAndRate, MedicationStatement.dosage.doseAndRate.dose[x], MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.modifierExtension, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(5.0.0) Record of medication being taken by a patient
... status S 1..1 code recorded | entered-in-error | draft
... medication S 1..1 CodeableReference(Medication) What medication was taken
.... concept S 1..1 CodeableConcept Reference to a concept (by class)
..... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(PatientLt(0.3.0)) Who is/was taking the medication
.... Slices for extension Content/Rules for all slices
..... extension:medicationTiming S 0..1 string Medication Timing Extension for LT Lifestyle
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/medication-timing-ext-lt-lifestyle
.... doseAndRate
..... Slices for dose[x] 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
....... value S 1..1 decimal Numerical value (with implicit precision)
....... code S 0..1 code Coded form of the unit

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(5.0.0) 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
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External identifier
... partOf 0..* Reference(Procedure | MedicationStatement) Part of referenced event
... status ?!SΣ 1..1 code recorded | entered-in-error | draft
Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
... category Σ 0..* CodeableConcept Type of medication statement
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
... medication SΣ 1..1 CodeableReference(Medication) What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... concept SΣ 1..1 CodeableConcept Reference to a concept (by class)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who is/was taking the medication
... encounter Σ 0..1 Reference(Encounter) Encounter 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
.... effectiveTiming Timing
... dateAsserted Σ 0..1 dateTime When the usage was asserted?
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason 0..* CodeableReference(Condition | Observation | DiagnosticReport) Reason for why the medication is being/was taken
Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... note 0..* Annotation Further information about the usage
... relatedClinicalInformation 0..* Reference(Observation | Condition) Link to information relevant to the usage of a medication
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... dosage S 1..1 Dosage Details of how medication is/was taken or should be taken
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:medicationTiming S 0..1 string Medication Timing Extension for LT Lifestyle
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/medication-timing-ext-lt-lifestyle
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 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: 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 ΣC 0..1 boolean Take "as needed"
.... asNeededFor ΣC 0..* CodeableConcept 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.
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (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, to be administered or typical amount to be 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
Constraints: ext-1
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (2.0.0) (example): The kind of dose or rate specified.
..... Slices for dose[x] Σ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code SΣC 0..1 code Coded form of the unit
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(5.0.0) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(5.0.0) Upper limit on medication per lifetime of the patient
... adherence Σ 0..1 BackboneElement Indicates whether the medication is or is not being consumed or administered
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept Type of adherence
Binding: MedicationStatementAdherenceCodes (example)
.... reason 0..1 CodeableConcept Details of the reason for the current use of the medication
Binding: SNOMEDCTDrugTherapyStatusCodes (example)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required All Languages 📍5.0.0 FHIR Std.
MedicationStatement.​status Base required MedicationStatement Status Codes 📍5.0.0 FHIR Std.
MedicationStatement.​category Base example medicationRequest Administration Location Codes 📍5.0.0 FHIR Std.
MedicationStatement.​medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationStatement.​reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.asNeededFor Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📍2.0.0 THO v7.1
MedicationStatement.​adherence.code Base example MedicationStatement Adherence Codes 📍5.0.0 FHIR Std.
MedicationStatement.​adherence.reason Base example SNOMED CT Drug Therapy Status codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationStatement.meta, MedicationStatement.implicitRules, MedicationStatement.language, MedicationStatement.text, MedicationStatement.extension, MedicationStatement.modifierExtension, MedicationStatement.identifier, MedicationStatement.partOf, MedicationStatement.status, MedicationStatement.category, MedicationStatement.medication, MedicationStatement.medication.extension, MedicationStatement.medication.concept, MedicationStatement.medication.concept.extension, MedicationStatement.medication.concept.coding, MedicationStatement.medication.concept.text, MedicationStatement.medication.reference, MedicationStatement.subject, MedicationStatement.encounter, MedicationStatement.effective[x], MedicationStatement.dateAsserted, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reason, MedicationStatement.note, MedicationStatement.relatedClinicalInformation, MedicationStatement.renderedDosageInstruction, MedicationStatement.dosage, MedicationStatement.dosage.extension, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension, MedicationStatement.dosage.sequence, MedicationStatement.dosage.text, MedicationStatement.dosage.additionalInstruction, MedicationStatement.dosage.patientInstruction, MedicationStatement.dosage.timing, MedicationStatement.dosage.asNeeded, MedicationStatement.dosage.asNeededFor, MedicationStatement.dosage.site, MedicationStatement.dosage.route, MedicationStatement.dosage.method, MedicationStatement.dosage.doseAndRate, MedicationStatement.dosage.doseAndRate.extension, MedicationStatement.dosage.doseAndRate.type, MedicationStatement.dosage.doseAndRate.dose[x], MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.extension, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code, MedicationStatement.dosage.doseAndRate.rate[x], MedicationStatement.dosage.maxDosePerPeriod, MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime, MedicationStatement.adherence, MedicationStatement.adherence.extension, MedicationStatement.adherence.modifierExtension, MedicationStatement.adherence.code, MedicationStatement.adherence.reason All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.extension, MedicationStatement.modifierExtension, MedicationStatement.medication.extension, MedicationStatement.medication.concept.extension, MedicationStatement.dosage.extension, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension, MedicationStatement.dosage.doseAndRate.extension, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.extension, MedicationStatement.adherence.extension, MedicationStatement.adherence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.dose[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(5.0.0) Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... medication SΣ 1..1 CodeableReference(Medication) What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... concept SΣ 1..1 CodeableConcept Reference to a concept (by class)
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who is/was taking the medication
... dosage S 1..1 Dosage Details of how medication is/was taken or should be taken
.... Slices for extension Content/Rules for all slices
..... extension:medicationTiming S 0..1 string Medication Timing Extension for LT Lifestyle
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/medication-timing-ext-lt-lifestyle
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... doseAndRate Σ 0..* Element Amount of medication administered, to be administered or typical amount to be administered
..... Slices for dose[x] Σ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... code SΣC 0..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required MedicationStatement Status Codes 📍5.0.0 FHIR Std.
MedicationStatement.​medication Base example SNOMED CT Medication Codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationStatement.implicitRules, MedicationStatement.modifierExtension, MedicationStatement.status, MedicationStatement.medication, MedicationStatement.medication.concept, MedicationStatement.medication.concept.text, MedicationStatement.subject, MedicationStatement.dosage, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension, MedicationStatement.dosage.doseAndRate, MedicationStatement.dosage.doseAndRate.dose[x], MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.modifierExtension, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(5.0.0) Record of medication being taken by a patient
... status S 1..1 code recorded | entered-in-error | draft
... medication S 1..1 CodeableReference(Medication) What medication was taken
.... concept S 1..1 CodeableConcept Reference to a concept (by class)
..... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(PatientLt(0.3.0)) Who is/was taking the medication
.... Slices for extension Content/Rules for all slices
..... extension:medicationTiming S 0..1 string Medication Timing Extension for LT Lifestyle
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/medication-timing-ext-lt-lifestyle
.... doseAndRate
..... Slices for dose[x] 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
....... value S 1..1 decimal Numerical value (with implicit precision)
....... code S 0..1 code Coded form of the unit

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement(5.0.0) 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
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External identifier
... partOf 0..* Reference(Procedure | MedicationStatement) Part of referenced event
... status ?!SΣ 1..1 code recorded | entered-in-error | draft
Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
... category Σ 0..* CodeableConcept Type of medication statement
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
... medication SΣ 1..1 CodeableReference(Medication) What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... concept SΣ 1..1 CodeableConcept Reference to a concept (by class)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) Who is/was taking the medication
... encounter Σ 0..1 Reference(Encounter) Encounter 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
.... effectiveTiming Timing
... dateAsserted Σ 0..1 dateTime When the usage was asserted?
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason 0..* CodeableReference(Condition | Observation | DiagnosticReport) Reason for why the medication is being/was taken
Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken.
... note 0..* Annotation Further information about the usage
... relatedClinicalInformation 0..* Reference(Observation | Condition) Link to information relevant to the usage of a medication
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... dosage S 1..1 Dosage Details of how medication is/was taken or should be taken
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:medicationTiming S 0..1 string Medication Timing Extension for LT Lifestyle
URL: https://hl7.lt/fhir/lifestyle/StructureDefinition/medication-timing-ext-lt-lifestyle
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 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: 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 ΣC 0..1 boolean Take "as needed"
.... asNeededFor ΣC 0..* CodeableConcept 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.
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (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, to be administered or typical amount to be 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
Constraints: ext-1
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (2.0.0) (example): The kind of dose or rate specified.
..... Slices for dose[x] Σ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity(5.0.0) Amount of medication per dose
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code SΣC 0..1 code Coded form of the unit
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(5.0.0) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(5.0.0) Upper limit on medication per lifetime of the patient
... adherence Σ 0..1 BackboneElement Indicates whether the medication is or is not being consumed or administered
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept Type of adherence
Binding: MedicationStatementAdherenceCodes (example)
.... reason 0..1 CodeableConcept Details of the reason for the current use of the medication
Binding: SNOMEDCTDrugTherapyStatusCodes (example)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base required All Languages 📍5.0.0 FHIR Std.
MedicationStatement.​status Base required MedicationStatement Status Codes 📍5.0.0 FHIR Std.
MedicationStatement.​category Base example medicationRequest Administration Location Codes 📍5.0.0 FHIR Std.
MedicationStatement.​medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationStatement.​reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.asNeededFor Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.method Base example SNOMED CT Administration Method Codes 📍5.0.0 FHIR Std.
MedicationStatement.​dosage.doseAndRate.type Base example DoseAndRateType 📍2.0.0 THO v7.1
MedicationStatement.​adherence.code Base example MedicationStatement Adherence Codes 📍5.0.0 FHIR Std.
MedicationStatement.​adherence.reason Base example SNOMED CT Drug Therapy Status codes 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 MedicationStatement.meta, MedicationStatement.implicitRules, MedicationStatement.language, MedicationStatement.text, MedicationStatement.extension, MedicationStatement.modifierExtension, MedicationStatement.identifier, MedicationStatement.partOf, MedicationStatement.status, MedicationStatement.category, MedicationStatement.medication, MedicationStatement.medication.extension, MedicationStatement.medication.concept, MedicationStatement.medication.concept.extension, MedicationStatement.medication.concept.coding, MedicationStatement.medication.concept.text, MedicationStatement.medication.reference, MedicationStatement.subject, MedicationStatement.encounter, MedicationStatement.effective[x], MedicationStatement.dateAsserted, MedicationStatement.informationSource, MedicationStatement.derivedFrom, MedicationStatement.reason, MedicationStatement.note, MedicationStatement.relatedClinicalInformation, MedicationStatement.renderedDosageInstruction, MedicationStatement.dosage, MedicationStatement.dosage.extension, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension, MedicationStatement.dosage.sequence, MedicationStatement.dosage.text, MedicationStatement.dosage.additionalInstruction, MedicationStatement.dosage.patientInstruction, MedicationStatement.dosage.timing, MedicationStatement.dosage.asNeeded, MedicationStatement.dosage.asNeededFor, MedicationStatement.dosage.site, MedicationStatement.dosage.route, MedicationStatement.dosage.method, MedicationStatement.dosage.doseAndRate, MedicationStatement.dosage.doseAndRate.extension, MedicationStatement.dosage.doseAndRate.type, MedicationStatement.dosage.doseAndRate.dose[x], MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.extension, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code, MedicationStatement.dosage.doseAndRate.rate[x], MedicationStatement.dosage.maxDosePerPeriod, MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime, MedicationStatement.adherence, MedicationStatement.adherence.extension, MedicationStatement.adherence.modifierExtension, MedicationStatement.adherence.code, MedicationStatement.adherence.reason All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationStatement.extension, MedicationStatement.modifierExtension, MedicationStatement.medication.extension, MedicationStatement.medication.concept.extension, MedicationStatement.dosage.extension, MedicationStatement.dosage.extension:medicationTiming, MedicationStatement.dosage.modifierExtension, MedicationStatement.dosage.doseAndRate.extension, MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.extension, MedicationStatement.adherence.extension, MedicationStatement.adherence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.dose[x]

 

Other representations of profile: CSV, Excel, Schematron