Kenya eClaims Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya eClaims Implementation Guide, published by Digital Health Agency (DHA), Kenya. 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/IntelliSOFT-Consulting/Kenya-eClaims-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: eClaims Medication Statement Profile

Official URL: https://fhir.dha.go.ke/ig/eclaims/StructureDefinition/ke-eclaims-medicationstatement Version: 0.1.0
Draft as of 2026-08-07 Computable Name: EClaimsMedicationStatement

This profile defines constraints on the MedicationStatement resource for use within the Kenya eClaims Implementation Guide. It records information about a medication being taken by a patient.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External identifier
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Medication Status Reason ValueSet (required)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... medication[x] SΣ 1..1 CodeableConcept What medication was taken
Binding: Generic Products ValueSet (required)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(eClaims Patient Profile) Who is/was taking the medication
... Slices for effective[x] SΣ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
... reasonCode S 1..1 CodeableConcept Reason for why the medication is being/was taken
Binding: Condition Codes ValueSet (required)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 1..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required Medication Status Reason ValueSet 📦0.1.0 This IG
MedicationStatement.​medication[x] Base required Generic Products ValueSet 📦0.1.0 This IG
MedicationStatement.​reasonCode Base required Condition Codes ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... identifier S 0..* Identifier External identifier
... basedOn S 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... status S 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... medication[x] S 1..1 CodeableConcept What medication was taken
Binding: Generic Products ValueSet (required)
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(eClaims Patient Profile) Who is/was taking the medication
... Slices for effective[x] S 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effective[x]:effectivePeriod S 0..1 Period The date/time or interval when the medication is/was/will be taken
..... start S 1..1 dateTime Starting time with inclusive boundary
... reasonCode S 1..1 CodeableConcept Reason for why the medication is being/was taken
Binding: Condition Codes ValueSet (required)
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... reasonReference S 1..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required Medication Status Reason ValueSet 📦0.1.0 This IG
MedicationStatement.​medication[x] Base required Generic Products ValueSet 📦0.1.0 This IG
MedicationStatement.​reasonCode Base required Condition Codes ValueSet 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External identifier
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Medication Status Reason ValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... 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] SΣ 1..1 CodeableConcept What medication was taken
Binding: Generic Products ValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(eClaims Patient Profile) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... Slices for effective[x] SΣ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... dateAsserted 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
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode S 1..1 CodeableConcept Reason for why the medication is being/was taken
Binding: Condition Codes ValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 1..* 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 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required Medication Status Reason ValueSet 📦0.1.0 This IG
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base required Generic Products ValueSet 📦0.1.0 This IG
MedicationStatement.​reasonCode Base required Condition Codes ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from MedicationStatement

Summary

Mandatory: 10 elements(5 nested mandatory elements)
Must-Support: 26 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External identifier
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Medication Status Reason ValueSet (required)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... medication[x] SΣ 1..1 CodeableConcept What medication was taken
Binding: Generic Products ValueSet (required)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(eClaims Patient Profile) Who is/was taking the medication
... Slices for effective[x] SΣ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
... reasonCode S 1..1 CodeableConcept Reason for why the medication is being/was taken
Binding: Condition Codes ValueSet (required)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 1..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required Medication Status Reason ValueSet 📦0.1.0 This IG
MedicationStatement.​medication[x] Base required Generic Products ValueSet 📦0.1.0 This IG
MedicationStatement.​reasonCode Base required Condition Codes ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... identifier S 0..* Identifier External identifier
... basedOn S 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... status S 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... medication[x] S 1..1 CodeableConcept What medication was taken
Binding: Generic Products ValueSet (required)
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(eClaims Patient Profile) Who is/was taking the medication
... Slices for effective[x] S 0..1 dateTime, Period The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effective[x]:effectivePeriod S 0..1 Period The date/time or interval when the medication is/was/will be taken
..... start S 1..1 dateTime Starting time with inclusive boundary
... reasonCode S 1..1 CodeableConcept Reason for why the medication is being/was taken
Binding: Condition Codes ValueSet (required)
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... reasonReference S 1..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required Medication Status Reason ValueSet 📦0.1.0 This IG
MedicationStatement.​medication[x] Base required Generic Products ValueSet 📦0.1.0 This IG
MedicationStatement.​reasonCode Base required Condition Codes ValueSet 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External identifier
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Medication Status Reason ValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... 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] SΣ 1..1 CodeableConcept What medication was taken
Binding: Generic Products ValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(eClaims Patient Profile) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... Slices for effective[x] SΣ 0..1 The date/time or interval when the medication is/was/will be taken
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... dateAsserted 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
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode S 1..1 CodeableConcept Reason for why the medication is being/was taken
Binding: Condition Codes ValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 1..* 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 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base required Medication Status Reason ValueSet 📦0.1.0 This IG
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base required Generic Products ValueSet 📦0.1.0 This IG
MedicationStatement.​reasonCode Base required Condition Codes ValueSet 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from MedicationStatement

Summary

Mandatory: 10 elements(5 nested mandatory elements)
Must-Support: 26 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron