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
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• XML
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• TTL

Resource Profile: EETISMedicationStatementFoodSupplement

Ravimiskeemi rida toidulisandile. Medication Statement for (patient reported) food supplements.

Usage:

• Refer to this Resource Profile: ExtensionEETISGroupedItems
• Examples for this Resource Profile: MedicationStatement/MedicationStatementFoodSupplementRaud

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:extensionEETISCancelledStatusReason		0..1	CodeableConcept	Reason for cancelling the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason Binding: ER_Annulleerimise põhjendused (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ExtensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ExtensionEETISGroupedItems		0..*	(Complex)	Used when there is a need to group several items that contain data about the same line of medication prescribed to the patient. URL: https://fhir.ee/StructureDefinition/ee-tis-grouped-items ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
partOf		0..*	Reference(EETISMedicationStatement)	Part of referenced event ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	A code representing the status of recording the medication statement. recorded = KINNITATUD; draft = KINNITAMATA Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement. ele-1: All FHIR elements must have a @value or children
Slices for category	Σ	0..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. ele-1: All FHIR elements must have a @value or children
category:courseOfTherapyType	Σ	0..1	CodeableConcept	What type of medication course is Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | ele-1: All FHIR elements must have a @value or children
medication	Σ	1..1	CodeableReference(Medication | EETISMedicationEPC)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
effective[x]	Σ	0..1	Period	Time period when the treatment line begins and ends ele-1: All FHIR elements must have a @value or children
informationSource		0..*	Reference(EETISPractitioner | EETISPractitionerRole)	Initial author of the MedicationStatement. The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest. ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta. ele-1: All FHIR elements must have a @value or children
author[x]	Σ	0..1		Individual responsible for the annotation ele-1: All FHIR elements must have a @value or children
authorReference			Reference(EETISPractitionerRole | EETISPractitioner)
authorString			string
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
dosage		0..*	EETISDosage	Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	0..1	string	Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children Max Length:1000
patientInstruction	Σ	0..1	string	Comments or remarks about the food supplements that patient reports. ele-1: All FHIR elements must have a @value or children
asNeededFor	ΣC	0..1	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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 from the FHIR Standard
MedicationStatement.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**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()

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISCancelledStatusReason		0..1	CodeableConcept	Reason for cancelling the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason Binding: ER_Annulleerimise põhjendused (preferred)
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:ExtensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
extension:ExtensionEETISGroupedItems		0..*	(Complex)	Used when there is a need to group several items that contain data about the same line of medication prescribed to the patient. URL: https://fhir.ee/StructureDefinition/ee-tis-grouped-items
partOf		0..*	Reference(EETISMedicationStatement)	Part of referenced event
status		1..1	code	A code representing the status of recording the medication statement. recorded = KINNITATUD; draft = KINNITAMATA
Slices for category		0..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this
category:courseOfTherapyType		0..1	CodeableConcept	What type of medication course is Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne |
medication		1..1	CodeableReference(Medication | EETISMedicationEPC)	What medication was taken
reference
display		0..1	string	Patient reported food supplement in free form text. This is in use until there is no integration with food supplement database jvis.agri.ee
subject		1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
encounter		0..0
effective[x]		0..1	Period	Time period when the treatment line begins and ends
informationSource		0..*	Reference(EETISPractitioner | EETISPractitionerRole)	Initial author of the MedicationStatement. The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(EETISPractitionerRole | EETISPractitioner)
authorString			string
relatedClinicalInformation		0..0
dosage		0..*	EETISDosage	Details of how medication is/was taken or should be taken
patientInstruction		0..1	string	Comments or remarks about the food supplements that patient reports.
adherence		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISCancelledStatusReason		0..1	CodeableConcept	Reason for cancelling the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason Binding: ER_Annulleerimise põhjendused (preferred)
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:ExtensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
extension:ExtensionEETISGroupedItems		0..*	(Complex)	Used when there is a need to group several items that contain data about the same line of medication prescribed to the patient. URL: https://fhir.ee/StructureDefinition/ee-tis-grouped-items
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
partOf		0..*	Reference(EETISMedicationStatement)	Part of referenced event
status	?!Σ	1..1	code	A code representing the status of recording the medication statement. recorded = KINNITATUD; draft = KINNITAMATA Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for category	Σ	0..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
category:courseOfTherapyType	Σ	0..1	CodeableConcept	What type of medication course is Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne |
medication	Σ	1..1	CodeableReference(Medication | EETISMedicationEPC)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Patient reported food supplement in free form text. This is in use until there is no integration with food supplement database jvis.agri.ee
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
effective[x]	Σ	0..1	Period	Time period when the treatment line begins and ends
dateAsserted	Σ	0..1	dateTime	When the usage was asserted?
informationSource		0..*	Reference(EETISPractitioner | EETISPractitionerRole)	Initial author of the MedicationStatement. The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.
derivedFrom		0..*	Reference(Resource)	Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Reason for why the medication is being/was taken Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken.
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(EETISPractitionerRole | EETISPractitioner)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosage		0..*	EETISDosage	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	Σ	0..1	string	Free text dosage instructions e.g. SIG Max Length:1000
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	Comments or remarks about the food supplements that patient reports.
timing	Σ	0..1	Timing	When medication should be administered
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
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur. tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits. Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	ΣC	0..1	positiveInt	Number of times to repeat
countMax	ΣC	0..1	positiveInt	Maximum number of times to repeat
duration	ΣC	0..1	decimal	How long when it happens
durationMax	ΣC	0..1	decimal	How long when it happens (Max)
durationUnit	ΣC	0..1	code	The units of time for the duration. Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Indicates the number of repetitions that should occur within a period. I.e. Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	ΣC	0..1	decimal	The duration to which the frequency applies. I.e. Event occurs frequency times per period
periodMax	ΣC	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	ΣC	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	If one or more days of week is provided, then the action happens only on the specified day(s). Binding: DaysOfWeek (required)
timeOfDay	ΣC	0..*	time	Specified time of day for action to take place.
when	ΣC	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real-world event relating to the schedule.
offset	ΣC	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	C | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..1	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 from the FHIR Standard
MedicationStatement.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.medication.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reason	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationStatement.dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence from the FHIR Standard
MedicationStatement.adherence.reason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**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()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationStatement

Summary

Prohibited: 3 elements

Structures

This structure refers to these other structures:

• EETISMedicationStatement (https://fhir.ee/StructureDefinition/ee-tis-medication-statement)
• EETISMedicationEPC (https://fhir.ee/StructureDefinition/ee-tis-medication-epc)
• 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)
• EETISDosage (https://fhir.ee/StructureDefinition/ee-tis-dosage)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason
• https://fhir.ee/StructureDefinition/ee-tis-verification
• https://fhir.ee/StructureDefinition/ee-tis-prescription-change
• https://fhir.ee/StructureDefinition/ee-tis-grouped-items

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.category

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:extensionEETISCancelledStatusReason		0..1	CodeableConcept	Reason for cancelling the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason Binding: ER_Annulleerimise põhjendused (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ExtensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:ExtensionEETISGroupedItems		0..*	(Complex)	Used when there is a need to group several items that contain data about the same line of medication prescribed to the patient. URL: https://fhir.ee/StructureDefinition/ee-tis-grouped-items ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
partOf		0..*	Reference(EETISMedicationStatement)	Part of referenced event ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	A code representing the status of recording the medication statement. recorded = KINNITATUD; draft = KINNITAMATA Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement. ele-1: All FHIR elements must have a @value or children
Slices for category	Σ	0..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. ele-1: All FHIR elements must have a @value or children
category:courseOfTherapyType	Σ	0..1	CodeableConcept	What type of medication course is Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | ele-1: All FHIR elements must have a @value or children
medication	Σ	1..1	CodeableReference(Medication | EETISMedicationEPC)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
effective[x]	Σ	0..1	Period	Time period when the treatment line begins and ends ele-1: All FHIR elements must have a @value or children
informationSource		0..*	Reference(EETISPractitioner | EETISPractitionerRole)	Initial author of the MedicationStatement. The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest. ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta. ele-1: All FHIR elements must have a @value or children
author[x]	Σ	0..1		Individual responsible for the annotation ele-1: All FHIR elements must have a @value or children
authorReference			Reference(EETISPractitionerRole | EETISPractitioner)
authorString			string
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
dosage		0..*	EETISDosage	Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	0..1	string	Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children Max Length:1000
patientInstruction	Σ	0..1	string	Comments or remarks about the food supplements that patient reports. ele-1: All FHIR elements must have a @value or children
asNeededFor	ΣC	0..1	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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 from the FHIR Standard
MedicationStatement.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**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()

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISCancelledStatusReason		0..1	CodeableConcept	Reason for cancelling the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason Binding: ER_Annulleerimise põhjendused (preferred)
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:ExtensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
extension:ExtensionEETISGroupedItems		0..*	(Complex)	Used when there is a need to group several items that contain data about the same line of medication prescribed to the patient. URL: https://fhir.ee/StructureDefinition/ee-tis-grouped-items
partOf		0..*	Reference(EETISMedicationStatement)	Part of referenced event
status		1..1	code	A code representing the status of recording the medication statement. recorded = KINNITATUD; draft = KINNITAMATA
Slices for category		0..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this
category:courseOfTherapyType		0..1	CodeableConcept	What type of medication course is Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne |
medication		1..1	CodeableReference(Medication | EETISMedicationEPC)	What medication was taken
reference
display		0..1	string	Patient reported food supplement in free form text. This is in use until there is no integration with food supplement database jvis.agri.ee
subject		1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
encounter		0..0
effective[x]		0..1	Period	Time period when the treatment line begins and ends
informationSource		0..*	Reference(EETISPractitioner | EETISPractitionerRole)	Initial author of the MedicationStatement. The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(EETISPractitionerRole | EETISPractitioner)
authorString			string
relatedClinicalInformation		0..0
dosage		0..*	EETISDosage	Details of how medication is/was taken or should be taken
patientInstruction		0..1	string	Comments or remarks about the food supplements that patient reports.
adherence		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISCancelledStatusReason		0..1	CodeableConcept	Reason for cancelling the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason Binding: ER_Annulleerimise põhjendused (preferred)
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:ExtensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
extension:ExtensionEETISGroupedItems		0..*	(Complex)	Used when there is a need to group several items that contain data about the same line of medication prescribed to the patient. URL: https://fhir.ee/StructureDefinition/ee-tis-grouped-items
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
partOf		0..*	Reference(EETISMedicationStatement)	Part of referenced event
status	?!Σ	1..1	code	A code representing the status of recording the medication statement. recorded = KINNITATUD; draft = KINNITAMATA Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for category	Σ	0..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
category:courseOfTherapyType	Σ	0..1	CodeableConcept	What type of medication course is Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne |
medication	Σ	1..1	CodeableReference(Medication | EETISMedicationEPC)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Patient reported food supplement in free form text. This is in use until there is no integration with food supplement database jvis.agri.ee
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
effective[x]	Σ	0..1	Period	Time period when the treatment line begins and ends
dateAsserted	Σ	0..1	dateTime	When the usage was asserted?
informationSource		0..*	Reference(EETISPractitioner | EETISPractitionerRole)	Initial author of the MedicationStatement. The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.
derivedFrom		0..*	Reference(Resource)	Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Reason for why the medication is being/was taken Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken.
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(EETISPractitionerRole | EETISPractitioner)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosage		0..*	EETISDosage	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	Σ	0..1	string	Free text dosage instructions e.g. SIG Max Length:1000
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	Comments or remarks about the food supplements that patient reports.
timing	Σ	0..1	Timing	When medication should be administered
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
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur. tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits. Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	ΣC	0..1	positiveInt	Number of times to repeat
countMax	ΣC	0..1	positiveInt	Maximum number of times to repeat
duration	ΣC	0..1	decimal	How long when it happens
durationMax	ΣC	0..1	decimal	How long when it happens (Max)
durationUnit	ΣC	0..1	code	The units of time for the duration. Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Indicates the number of repetitions that should occur within a period. I.e. Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	ΣC	0..1	decimal	The duration to which the frequency applies. I.e. Event occurs frequency times per period
periodMax	ΣC	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	ΣC	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	If one or more days of week is provided, then the action happens only on the specified day(s). Binding: DaysOfWeek (required)
timeOfDay	ΣC	0..*	time	Specified time of day for action to take place.
when	ΣC	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real-world event relating to the schedule.
offset	ΣC	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	C | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..1	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 from the FHIR Standard
MedicationStatement.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.medication.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reason	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationStatement.dosage.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|5.0.0 from the FHIR Standard
MedicationStatement.dosage.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence from the FHIR Standard
MedicationStatement.adherence.reason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**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()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationStatement

Summary

Prohibited: 3 elements

Structures

This structure refers to these other structures:

• EETISMedicationStatement (https://fhir.ee/StructureDefinition/ee-tis-medication-statement)
• EETISMedicationEPC (https://fhir.ee/StructureDefinition/ee-tis-medication-epc)
• 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)
• EETISDosage (https://fhir.ee/StructureDefinition/ee-tis-dosage)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason
• https://fhir.ee/StructureDefinition/ee-tis-verification
• https://fhir.ee/StructureDefinition/ee-tis-prescription-change
• https://fhir.ee/StructureDefinition/ee-tis-grouped-items

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.category

Other representations of profile: CSV, Excel, Schematron