NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. 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/PROJ-PHILHEALTH-EA-NHDR/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

Resource Profile: PH MedicationStatement

Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-MedicationStatement Version: 0.1.0
Standards status: Draft Computable Name: PH_MedicationStatement

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

A record of a medication that is being consumed by a patient.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extEncounter 0..* Reference(PH Encounter) {r} Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtEncounter
... status ?!Σ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(PH Medication)
... informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status
From the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard
MedicationStatement.reasonCoderequiredICD10VS
https://nhdr.gov.ph/fhir/ValueSet/ICD10VS
From this IG

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules 0..0
... language 0..0
... text 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extEncounter 0..* Reference(PH Encounter) {r} Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtEncounter
... modifierExtension 0..0
... basedOn 0..0
... partOf 0..0
... status 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... category 0..0
... medication[x] 1..1 What medication was taken
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(PH Medication)
... subject 1..1 Reference(PH Patient) Who is/was taking the medication
... context 0..0
... effective[x] 0..0
... dateAsserted 0..0
... informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..0
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
... reasonReference 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status
From the FHIR Standard
MedicationStatement.reasonCoderequiredICD10VS
https://nhdr.gov.ph/fhir/ValueSet/ICD10VS
From 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extEncounter 0..* Reference(PH Encounter) {r} Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtEncounter
... status ?!Σ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(PH Medication)
... subject Σ 1..1 Reference(PH Patient) Who is/was taking the medication
... informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
... 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

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status
From the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
From the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard
MedicationStatement.reasonCoderequiredICD10VS
https://nhdr.gov.ph/fhir/ValueSet/ICD10VS
From this IG

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extEncounter 0..* Reference(PH Encounter) {r} Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtEncounter
... status ?!Σ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(PH Medication)
... informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status
From the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard
MedicationStatement.reasonCoderequiredICD10VS
https://nhdr.gov.ph/fhir/ValueSet/ICD10VS
From this IG

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules 0..0
... language 0..0
... text 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extEncounter 0..* Reference(PH Encounter) {r} Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtEncounter
... modifierExtension 0..0
... basedOn 0..0
... partOf 0..0
... status 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... category 0..0
... medication[x] 1..1 What medication was taken
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(PH Medication)
... subject 1..1 Reference(PH Patient) Who is/was taking the medication
... context 0..0
... effective[x] 0..0
... dateAsserted 0..0
... informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..0
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
... reasonReference 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status
From the FHIR Standard
MedicationStatement.reasonCoderequiredICD10VS
https://nhdr.gov.ph/fhir/ValueSet/ICD10VS
From 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:extEncounter 0..* Reference(PH Encounter) {r} Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/ExtEncounter
... status ?!Σ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(PH Medication)
... subject Σ 1..1 Reference(PH Patient) Who is/was taking the medication
... informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
... 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

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status
From the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
From the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
From the FHIR Standard
MedicationStatement.reasonCoderequiredICD10VS
https://nhdr.gov.ph/fhir/ValueSet/ICD10VS
From this IG

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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

 

Other representations of profile: CSV, Excel, Schematron