Medication Scheme Implementation Guide, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/ig-ee-medication-scheme/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: EETISMedicationList

Ravimiskeem. This profile gathers patient's medications in one list for better overview of the whole medication scheme

Usage:

• Examples for this Resource Profile: List/listMatiMeri3

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints
List		0..*	List	Medication scheme. List of patient's medication.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
consent		0..1	boolean	Consent with medication interactions. URL: https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions
status		1..1	code	current | retired | entered-in-error Fixed Value: current
mode		1..1	code	working | snapshot | changes Fixed Value: snapshot
title		0..1	string	Medication Scheme
code		0..1	CodeableConcept	Ravimiskeem Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medications
display		1..1	string	Representation defined by the system Fixed Value: Medication List
text		1..1	string	Plain text representation of the concept Fixed Value: Medication List
subject		1..1	Reference(EE MPI Patient Verified)	If all resources have the same subject(s)
encounter		0..0
source		1..1	Reference(EETISPractitioner | EETISPractitionerRole)	Who and/or what defined the list contents (aka Author)
entry
deleted		0..0
date		0..1	dateTime	When entry flag is unchanged entry date does not change. When entry flag is something else than ´unchanged´ the entry date is also changed
item		1..1	Reference(EETISMedicationStatement)	Actual entry
emptyReason		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	Medication scheme. List of patient's medication. lst-1: A list can only have an emptyReason if it is empty
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
consent		0..1	boolean	Consent with medication interactions. URL: https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Fixed Value: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
title	Σ	0..1	string	Medication Scheme Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	Ravimiskeem Binding: ExampleUseCodesForList (example): What the purpose of a list is. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medications
display		1..1	string	Representation defined by the system Fixed Value: Medication List
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		1..1	string	Plain text representation of the concept Fixed Value: Medication List
subject	Σ	1..1	Reference(EE MPI Patient Verified)	If all resources have the same subject(s)
source	Σ	1..1	Reference(EETISPractitioner | EETISPractitionerRole)	Who and/or what defined the list contents (aka Author)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.status	required	Fixed Value: current http://hl7.org/fhir/ValueSet/list-status|5.0.0 from the FHIR Standard
List.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|5.0.0 from the FHIR Standard
List.code	example	Fixed Value: "Medication List" http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	Medication scheme. List of patient's medication. lst-1: A list can only have an emptyReason if it is empty
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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
consent		0..1	boolean	Consent with medication interactions. URL: https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Fixed Value: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
title	Σ	0..1	string	Medication Scheme Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	Ravimiskeem Binding: ExampleUseCodesForList (example): What the purpose of a list is. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medications
display		1..1	string	Representation defined by the system Fixed Value: Medication List
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		1..1	string	Plain text representation of the concept Fixed Value: Medication List
subject	Σ	1..1	Reference(EE MPI Patient Verified)	If all resources have the same subject(s)
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	1..1	Reference(EETISPractitioner | EETISPractitionerRole)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	C	0..*	BackboneElement	Entries in the list This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
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
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
date		0..1	dateTime	When entry flag is unchanged entry date does not change. When entry flag is something else than ´unchanged´ the entry date is also changed
item		1..1	Reference(EETISMedicationStatement)	Actual entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
List.status	required	Fixed Value: current http://hl7.org/fhir/ValueSet/list-status|5.0.0 from the FHIR Standard
List.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|5.0.0 from the FHIR Standard
List.code	example	Fixed Value: "Medication List" http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()

This structure is derived from List

Summary

Mandatory: 2 elements
Fixed: 3 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
• EETISPractitioner (https://fhir.ee/StructureDefinition/ee-tis-practitioner)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISMedicationStatement (https://fhir.ee/StructureDefinition/ee-tis-medication-statement)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions

Differential View

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints
List		0..*	List	Medication scheme. List of patient's medication.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
consent		0..1	boolean	Consent with medication interactions. URL: https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions
status		1..1	code	current | retired | entered-in-error Fixed Value: current
mode		1..1	code	working | snapshot | changes Fixed Value: snapshot
title		0..1	string	Medication Scheme
code		0..1	CodeableConcept	Ravimiskeem Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medications
display		1..1	string	Representation defined by the system Fixed Value: Medication List
text		1..1	string	Plain text representation of the concept Fixed Value: Medication List
subject		1..1	Reference(EE MPI Patient Verified)	If all resources have the same subject(s)
encounter		0..0
source		1..1	Reference(EETISPractitioner | EETISPractitionerRole)	Who and/or what defined the list contents (aka Author)
entry
deleted		0..0
date		0..1	dateTime	When entry flag is unchanged entry date does not change. When entry flag is something else than ´unchanged´ the entry date is also changed
item		1..1	Reference(EETISMedicationStatement)	Actual entry
emptyReason		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	Medication scheme. List of patient's medication. lst-1: A list can only have an emptyReason if it is empty
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
consent		0..1	boolean	Consent with medication interactions. URL: https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Fixed Value: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
title	Σ	0..1	string	Medication Scheme Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	Ravimiskeem Binding: ExampleUseCodesForList (example): What the purpose of a list is. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medications
display		1..1	string	Representation defined by the system Fixed Value: Medication List
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		1..1	string	Plain text representation of the concept Fixed Value: Medication List
subject	Σ	1..1	Reference(EE MPI Patient Verified)	If all resources have the same subject(s)
source	Σ	1..1	Reference(EETISPractitioner | EETISPractitionerRole)	Who and/or what defined the list contents (aka Author)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.status	required	Fixed Value: current http://hl7.org/fhir/ValueSet/list-status|5.0.0 from the FHIR Standard
List.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|5.0.0 from the FHIR Standard
List.code	example	Fixed Value: "Medication List" http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	Medication scheme. List of patient's medication. lst-1: A list can only have an emptyReason if it is empty
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
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
consent		0..1	boolean	Consent with medication interactions. URL: https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Fixed Value: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
title	Σ	0..1	string	Medication Scheme Example General: Dr. Jane's Patients
code	Σ	0..1	CodeableConcept	Ravimiskeem Binding: ExampleUseCodesForList (example): What the purpose of a list is. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/list-example-use-codes
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medications
display		1..1	string	Representation defined by the system Fixed Value: Medication List
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		1..1	string	Plain text representation of the concept Fixed Value: Medication List
subject	Σ	1..1	Reference(EE MPI Patient Verified)	If all resources have the same subject(s)
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	1..1	Reference(EETISPractitioner | EETISPractitionerRole)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	C	0..*	BackboneElement	Entries in the list This repeating element order: Order has no meaning unless specifically asserted by List.orderedBy, in which case the List SHALL be interpreted as being ordered as specified by List.orderedBy.
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
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
date		0..1	dateTime	When entry flag is unchanged entry date does not change. When entry flag is something else than ´unchanged´ the entry date is also changed
item		1..1	Reference(EETISMedicationStatement)	Actual entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
List.status	required	Fixed Value: current http://hl7.org/fhir/ValueSet/list-status|5.0.0 from the FHIR Standard
List.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|5.0.0 from the FHIR Standard
List.code	example	Fixed Value: "Medication List" http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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	List	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	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()

This structure is derived from List

Summary

Mandatory: 2 elements
Fixed: 3 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
• EETISPractitioner (https://fhir.ee/StructureDefinition/ee-tis-practitioner)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISMedicationStatement (https://fhir.ee/StructureDefinition/ee-tis-medication-statement)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-consent-with-interactions

Other representations of profile: CSV, Excel, Schematron