IHE Pharmacy Medication Overview
0.1.0 - ci-build International flag

IHE Pharmacy Medication Overview, published by Integrating the Healthcare Enterprise (IHE). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-meow/ and changes regularly. See the Directory of published versions

Resource Profile: Medication Treatment Line

Official URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/MedicationTreatmentLine Version: 0.1.0
Active as of 2024-06-16 Computable Name: MedicationTreatmentLine

Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property

The profile for Medication Treatment Line - a single recorded item/line of a medication treatment

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement MedicationStatement
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
... identifier S 0..* Identifier External identifier
... status S 1..1 code recorded | entered-in-error | draft
... medication S 1..1 CodeableReference(Medication) What medication was taken
... subject S 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] S 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted S 0..1 dateTime When the usage was asserted?
... informationSource S 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason S 0..* CodeableReference(Condition | Observation | DiagnosticReport) Reason for why the medication is being/was taken
... note S 0..* Annotation Further information about the usage
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... text S 0..1 string Free text dosage instructions e.g. SIG
... adherence S 0..1 BackboneElement Indicates whether the medication is or is not being consumed or administered

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
... identifier SΣ 0..* Identifier External identifier
... status ?!SΣ 1..1 code recorded | entered-in-error | draft
Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.

... category SΣ 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.

... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the usage was asserted?
... informationSource S 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason S 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 S 0..* Annotation Further information about the usage
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG
... adherence SΣ 0..1 BackboneElement Indicates whether the medication is or is not being consumed or administered
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of adherence
Binding: MedicationStatementAdherenceCodes (example)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedicationStatementStatusCodes
http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0
from the FHIR Standard
MedicationStatement.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationStatement.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.adherence.codeexampleMedicationStatementAdherenceCodes
http://hl7.org/fhir/ValueSet/medication-statement-adherence
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 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 SΣ 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.

... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... encounter Σ 0..1 Reference(Encounter) Encounter associated with MedicationStatement
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the usage was asserted?
... informationSource S 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason S 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 S 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 0..* Dosage Details of how medication is/was taken or should be 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text 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: 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
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... adherence SΣ 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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

PathConformanceValueSetURI
MedicationStatement.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
MedicationStatement.statusrequiredMedicationStatementStatusCodes
http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0
from the FHIR Standard
MedicationStatement.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationStatement.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeededForexampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureAdministrationSites
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationStatement.adherence.codeexampleMedicationStatementAdherenceCodes
http://hl7.org/fhir/ValueSet/medication-statement-adherence
from the FHIR Standard
MedicationStatement.adherence.reasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement MedicationStatement
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
... identifier S 0..* Identifier External identifier
... status S 1..1 code recorded | entered-in-error | draft
... medication S 1..1 CodeableReference(Medication) What medication was taken
... subject S 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] S 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted S 0..1 dateTime When the usage was asserted?
... informationSource S 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason S 0..* CodeableReference(Condition | Observation | DiagnosticReport) Reason for why the medication is being/was taken
... note S 0..* Annotation Further information about the usage
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... text S 0..1 string Free text dosage instructions e.g. SIG
... adherence S 0..1 BackboneElement Indicates whether the medication is or is not being consumed or administered

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
... identifier SΣ 0..* Identifier External identifier
... status ?!SΣ 1..1 code recorded | entered-in-error | draft
Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.

... category SΣ 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.

... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the usage was asserted?
... informationSource S 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason S 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 S 0..* Annotation Further information about the usage
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG
... adherence SΣ 0..1 BackboneElement Indicates whether the medication is or is not being consumed or administered
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of adherence
Binding: MedicationStatementAdherenceCodes (example)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedicationStatementStatusCodes
http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0
from the FHIR Standard
MedicationStatement.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationStatement.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.adherence.codeexampleMedicationStatementAdherenceCodes
http://hl7.org/fhir/ValueSet/medication-statement-adherence
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 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 SΣ 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.

... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... encounter Σ 0..1 Reference(Encounter) Encounter associated with MedicationStatement
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the usage was asserted?
... informationSource S 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Link to information used to derive the MedicationStatement
... reason S 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 S 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 0..* Dosage Details of how medication is/was taken or should be 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text 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: 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
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... adherence SΣ 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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

PathConformanceValueSetURI
MedicationStatement.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
MedicationStatement.statusrequiredMedicationStatementStatusCodes
http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0
from the FHIR Standard
MedicationStatement.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationStatement.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeededForexampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureAdministrationSites
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationStatement.adherence.codeexampleMedicationStatementAdherenceCodes
http://hl7.org/fhir/ValueSet/medication-statement-adherence
from the FHIR Standard
MedicationStatement.adherence.reasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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