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

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Resource Profile: EETISMedicationStatement

Ravimiskeemi rida. One or more Medication Statements form patient's Medication Scheme.

Usages:

• Use this Profile: EETISMedicationOverview
• Refer to this Profile: ExtensionEETISAffectedMedicationStatements, EETISComposition, ExtensionEETISGroupedItems, EETISMedicationList... Show 4 more, EETISMedicationStatementFoodSupplement, EETISMedicationStatementOTC, EETISMedicationStatement and EETISReimbursementTask
• Examples for this Profile: MedicationStatement/MedicationStatement-complex-dosaging, MedicationStatement/MedicationStatement-metformin-grouped-items, MedicationStatement/MedicationStatement-metformin-historyView, MedicationStatement/MedicationStatement-metformin and MedicationStatement/MedicationStatementAlprazolam

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISPrescriptionValidityTime		0..1	dateTime	Validity end date of the prescription(s) in one MedicationStatement. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
extension:extensionEETISMedicationRemainder		0..1	(Complex)	Medication left on prescription calculated in days. URL: https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
extension:extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extension:extensionEETISDispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
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:extensionEETISReimbursementRate		0..1	(Complex)	Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extension:extensionEETISUnauthorizedProductRequest		0..1	(Complex)	Müügiloata ravimi taotlus. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extension:extensionEETISSubstitution		0..1	(Complex)	Reason for not allowing the substitution of medication. URL: https://fhir.ee/StructureDefinition/ee-tis-substitution
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:extensionEETISPrescriptionIntent		0..*	code	Extension URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-intent Binding: MedicationRequestIntent (preferred)
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	Identifier is prescription number (ee RETSEPTINUMBER), if the MedicationStatement is generated from RETSEPTIKESKUS prescriptions. In history view identifier system must be used in order to group medications eg. in same dose form etc.
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Binding Description: : Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/#retseptikeskus-retsept when prescriptions are generated from Retseptikeskus. Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiskeemi-rea-ajajoone-grupp as system when grouping medication statements in history view. Example General: http://www.acme.com/identifiers/patient
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	3..*	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	1..*	CodeableConcept	What type of medication course is. RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | Binding: ER_Ravikuuritüüp (required)
category:statementOriginCategory	Σ	0..*	CodeableConcept	Category defining the origin of MedicationStatement. USED ONLY when medication scheme line is based on patient's statement. Binding: Ravimi andmete tüüp (required)
category:prescriptionCategory	Σ	1..*	CodeableConcept	​Whether the prescription is for regular medication, narcotics or medical device.RETSEPTI LIIK. LOEND. tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: https://fhir.ee/ValueSet/retsepti-liik (required)
category:repeatCategory	Σ	1..*	CodeableConcept	Whether the prescription is one-time prescription or multiple.RETSEPTI KORDSUS. LOEND. 1-kordne | 2-kordne | 3-kordne | 6-kordne Binding: ER_Retsepti kordsus (required)
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
effective[x]	Σ	1..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.
derivedFrom		0..*	Reference(EETISPrescription) {r}	Prescriptions created elsewhere than in TJT. Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Diagnose for medication. ICD-10 codes from Estonian Prescription Centre. Reimbursement of medication depends on which ICD-10 code is used. Binding: RHK-10 (preferred)
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
author[x]	Σ	1..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosage		0..*	EETISDosage	Indicates how the medication is/was or should be taken by the patient.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Free text dosage instructions e.g. SIG Max Length:1000
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.identifier.system
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|5.0.0 From the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp https://fhir.ee/ValueSet/ravikuuri-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:statementOriginCategory	required	RavimiAndmeteTyyp https://fhir.ee/ValueSet/ravimi-andmete-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:prescriptionCategory	required	​https://fhir.ee/ValueSet/retsepti-liik https://fhir.ee/ValueSet/retsepti-liik
MedicationStatement.category:repeatCategory	required	RetseptiKordsus https://fhir.ee/ValueSet/retsepti-kordsus From https://term.tehik.ee/fhir
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|5.0.0 From the FHIR Standard
MedicationStatement.reason	preferred	(a valid code from https://fhir.ee/CodeSystem/rhk10) https://fhir.ee/ValueSet/rhk10 From https://term.tehik.ee/fhir
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes|5.0.0 From the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason|5.0.0 From the FHIR Standard
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence|5.0.0 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    Filter: Bindings Constraints Obligations
MedicationStatement			MedicationStatement
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISPrescriptionValidityTime		0..1	dateTime	Validity end date of the prescription(s) in one MedicationStatement. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
extension:extensionEETISMedicationRemainder		0..1	(Complex)	Medication left on prescription calculated in days. URL: https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
extension:extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extension:extensionEETISDispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
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:extensionEETISReimbursementRate		0..1	(Complex)	Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extension:extensionEETISUnauthorizedProductRequest		0..1	(Complex)	Müügiloata ravimi taotlus. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extension:extensionEETISSubstitution		0..1	(Complex)	Reason for not allowing the substitution of medication. URL: https://fhir.ee/StructureDefinition/ee-tis-substitution
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:extensionEETISPrescriptionIntent		0..*	code	Extension URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-intent Binding: MedicationRequestIntent (preferred)
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
identifier		0..*	Identifier	Identifier is prescription number (ee RETSEPTINUMBER), if the MedicationStatement is generated from RETSEPTIKESKUS prescriptions. In history view identifier system must be used in order to group medications eg. in same dose form etc.
system		0..1	uri	The namespace for the identifier value Binding Description: : Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/#retseptikeskus-retsept when prescriptions are generated from Retseptikeskus. Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiskeemi-rea-ajajoone-grupp as system when grouping medication statements in history view.
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		3..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this
category:courseOfTherapyType		1..*	CodeableConcept	What type of medication course is. RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | Binding: ER_Ravikuuritüüp (required)
category:statementOriginCategory		0..*	CodeableConcept	Category defining the origin of MedicationStatement. USED ONLY when medication scheme line is based on patient's statement. Binding: Ravimi andmete tüüp (required)
category:prescriptionCategory		1..*	CodeableConcept	​Whether the prescription is for regular medication, narcotics or medical device.RETSEPTI LIIK. LOEND. tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: https://fhir.ee/ValueSet/retsepti-liik (required)
category:repeatCategory		1..*	CodeableConcept	Whether the prescription is one-time prescription or multiple.RETSEPTI KORDSUS. LOEND. 1-kordne | 2-kordne | 3-kordne | 6-kordne Binding: ER_Retsepti kordsus (required)
medication		1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal)	What medication was taken
subject		1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
encounter		0..0
effective[x]		1..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.
derivedFrom		0..*	Reference(EETISPrescription) {r}	Prescriptions created elsewhere than in TJT. Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Diagnose for medication. ICD-10 codes from Estonian Prescription Centre. Reimbursement of medication depends on which ICD-10 code is used. Binding: RHK-10 (preferred)
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
author[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation
relatedClinicalInformation		0..0
dosage		0..*	EETISDosage	Indicates how the medication is/was or should be taken by the patient.
additionalInstruction		0..*	CodeableConcept	Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
maxDosePerAdministration
unit		0..0
adherence		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.system
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp https://fhir.ee/ValueSet/ravikuuri-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:statementOriginCategory	required	RavimiAndmeteTyyp https://fhir.ee/ValueSet/ravimi-andmete-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:prescriptionCategory	required	​https://fhir.ee/ValueSet/retsepti-liik https://fhir.ee/ValueSet/retsepti-liik
MedicationStatement.category:repeatCategory	required	RetseptiKordsus https://fhir.ee/ValueSet/retsepti-kordsus From https://term.tehik.ee/fhir
MedicationStatement.reason	preferred	(a valid code from https://fhir.ee/CodeSystem/rhk10) https://fhir.ee/ValueSet/rhk10 From https://term.tehik.ee/fhir

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISPrescriptionValidityTime		0..1	dateTime	Validity end date of the prescription(s) in one MedicationStatement. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
extension:extensionEETISMedicationRemainder		0..1	(Complex)	Medication left on prescription calculated in days. URL: https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
extension:extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extension:extensionEETISDispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
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:extensionEETISReimbursementRate		0..1	(Complex)	Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extension:extensionEETISUnauthorizedProductRequest		0..1	(Complex)	Müügiloata ravimi taotlus. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extension:extensionEETISSubstitution		0..1	(Complex)	Reason for not allowing the substitution of medication. URL: https://fhir.ee/StructureDefinition/ee-tis-substitution
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:extensionEETISPrescriptionIntent		0..*	code	Extension URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-intent Binding: MedicationRequestIntent (preferred)
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	Identifier is prescription number (ee RETSEPTINUMBER), if the MedicationStatement is generated from RETSEPTIKESKUS prescriptions. In history view identifier system must be used in order to group medications eg. in same dose form etc.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Binding Description: : Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/#retseptikeskus-retsept when prescriptions are generated from Retseptikeskus. Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiskeemi-rea-ajajoone-grupp as system when grouping medication statements in history view. Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	3..*	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	1..*	CodeableConcept	What type of medication course is. RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | Binding: ER_Ravikuuritüüp (required)
category:statementOriginCategory	Σ	0..*	CodeableConcept	Category defining the origin of MedicationStatement. USED ONLY when medication scheme line is based on patient's statement. Binding: Ravimi andmete tüüp (required)
category:prescriptionCategory	Σ	1..*	CodeableConcept	​Whether the prescription is for regular medication, narcotics or medical device.RETSEPTI LIIK. LOEND. tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: https://fhir.ee/ValueSet/retsepti-liik (required)
category:repeatCategory	Σ	1..*	CodeableConcept	Whether the prescription is one-time prescription or multiple.RETSEPTI KORDSUS. LOEND. 1-kordne | 2-kordne | 3-kordne | 6-kordne Binding: ER_Retsepti kordsus (required)
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
effective[x]	Σ	1..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(EETISPrescription) {r}	Prescriptions created elsewhere than in TJT. Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Diagnose for medication. ICD-10 codes from Estonian Prescription Centre. Reimbursement of medication depends on which ICD-10 code is used. Binding: RHK-10 (preferred)
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	1..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
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	Indicates how the medication is/was or should be taken by the patient.
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 instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
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. Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
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(5.0.0)	Upper limit on medication per administration
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
system	ΣC	0..1	uri	System that defines coded unit form
code	ΣC	0..1	code	Coded form of the unit
maxDosePerLifetime	Σ	0..1	SimpleQuantity(5.0.0)	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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type|5.0.0 From the FHIR Standard
MedicationStatement.identifier.system
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|5.0.0 From the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp https://fhir.ee/ValueSet/ravikuuri-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:statementOriginCategory	required	RavimiAndmeteTyyp https://fhir.ee/ValueSet/ravimi-andmete-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:prescriptionCategory	required	​https://fhir.ee/ValueSet/retsepti-liik https://fhir.ee/ValueSet/retsepti-liik
MedicationStatement.category:repeatCategory	required	RetseptiKordsus https://fhir.ee/ValueSet/retsepti-kordsus From https://term.tehik.ee/fhir
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|5.0.0 From the FHIR Standard
MedicationStatement.reason	preferred	(a valid code from https://fhir.ee/CodeSystem/rhk10) https://fhir.ee/ValueSet/rhk10 From https://term.tehik.ee/fhir
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes|5.0.0 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|5.0.0 From the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason|5.0.0 From the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes|5.0.0 From the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes|5.0.0 From the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes|5.0.0 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|5.0.0 From the FHIR Standard
MedicationStatement.adherence.reason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes|5.0.0 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

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 4 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)
• EETISMedicationExtemporal (https://fhir.ee/StructureDefinition/ee-tis-medication-extemporal)
• 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)
• EETISPrescription (https://fhir.ee/StructureDefinition/ee-tis-prescription)
• EETISDosage (https://fhir.ee/StructureDefinition/ee-tis-dosage)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
• https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
• https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
• https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization
• https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason
• https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
• https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
• https://fhir.ee/StructureDefinition/ee-tis-substitution
• https://fhir.ee/StructureDefinition/ee-tis-verification
• https://fhir.ee/StructureDefinition/ee-tis-prescription-intent
• 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    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISPrescriptionValidityTime		0..1	dateTime	Validity end date of the prescription(s) in one MedicationStatement. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
extension:extensionEETISMedicationRemainder		0..1	(Complex)	Medication left on prescription calculated in days. URL: https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
extension:extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extension:extensionEETISDispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
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:extensionEETISReimbursementRate		0..1	(Complex)	Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extension:extensionEETISUnauthorizedProductRequest		0..1	(Complex)	Müügiloata ravimi taotlus. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extension:extensionEETISSubstitution		0..1	(Complex)	Reason for not allowing the substitution of medication. URL: https://fhir.ee/StructureDefinition/ee-tis-substitution
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:extensionEETISPrescriptionIntent		0..*	code	Extension URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-intent Binding: MedicationRequestIntent (preferred)
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	Identifier is prescription number (ee RETSEPTINUMBER), if the MedicationStatement is generated from RETSEPTIKESKUS prescriptions. In history view identifier system must be used in order to group medications eg. in same dose form etc.
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Binding Description: : Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/#retseptikeskus-retsept when prescriptions are generated from Retseptikeskus. Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiskeemi-rea-ajajoone-grupp as system when grouping medication statements in history view. Example General: http://www.acme.com/identifiers/patient
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	3..*	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	1..*	CodeableConcept	What type of medication course is. RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | Binding: ER_Ravikuuritüüp (required)
category:statementOriginCategory	Σ	0..*	CodeableConcept	Category defining the origin of MedicationStatement. USED ONLY when medication scheme line is based on patient's statement. Binding: Ravimi andmete tüüp (required)
category:prescriptionCategory	Σ	1..*	CodeableConcept	​Whether the prescription is for regular medication, narcotics or medical device.RETSEPTI LIIK. LOEND. tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: https://fhir.ee/ValueSet/retsepti-liik (required)
category:repeatCategory	Σ	1..*	CodeableConcept	Whether the prescription is one-time prescription or multiple.RETSEPTI KORDSUS. LOEND. 1-kordne | 2-kordne | 3-kordne | 6-kordne Binding: ER_Retsepti kordsus (required)
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
effective[x]	Σ	1..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.
derivedFrom		0..*	Reference(EETISPrescription) {r}	Prescriptions created elsewhere than in TJT. Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Diagnose for medication. ICD-10 codes from Estonian Prescription Centre. Reimbursement of medication depends on which ICD-10 code is used. Binding: RHK-10 (preferred)
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
author[x]	Σ	1..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosage		0..*	EETISDosage	Indicates how the medication is/was or should be taken by the patient.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Free text dosage instructions e.g. SIG Max Length:1000
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.identifier.system
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|5.0.0 From the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp https://fhir.ee/ValueSet/ravikuuri-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:statementOriginCategory	required	RavimiAndmeteTyyp https://fhir.ee/ValueSet/ravimi-andmete-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:prescriptionCategory	required	​https://fhir.ee/ValueSet/retsepti-liik https://fhir.ee/ValueSet/retsepti-liik
MedicationStatement.category:repeatCategory	required	RetseptiKordsus https://fhir.ee/ValueSet/retsepti-kordsus From https://term.tehik.ee/fhir
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|5.0.0 From the FHIR Standard
MedicationStatement.reason	preferred	(a valid code from https://fhir.ee/CodeSystem/rhk10) https://fhir.ee/ValueSet/rhk10 From https://term.tehik.ee/fhir
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes|5.0.0 From the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason|5.0.0 From the FHIR Standard
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence|5.0.0 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    Filter: Bindings Constraints Obligations
MedicationStatement			MedicationStatement
text		0..1	Narrative	MedicationStatement is part of Medication Scheme representing one treatmentline
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISPrescriptionValidityTime		0..1	dateTime	Validity end date of the prescription(s) in one MedicationStatement. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
extension:extensionEETISMedicationRemainder		0..1	(Complex)	Medication left on prescription calculated in days. URL: https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
extension:extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extension:extensionEETISDispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
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:extensionEETISReimbursementRate		0..1	(Complex)	Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extension:extensionEETISUnauthorizedProductRequest		0..1	(Complex)	Müügiloata ravimi taotlus. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extension:extensionEETISSubstitution		0..1	(Complex)	Reason for not allowing the substitution of medication. URL: https://fhir.ee/StructureDefinition/ee-tis-substitution
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:extensionEETISPrescriptionIntent		0..*	code	Extension URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-intent Binding: MedicationRequestIntent (preferred)
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
identifier		0..*	Identifier	Identifier is prescription number (ee RETSEPTINUMBER), if the MedicationStatement is generated from RETSEPTIKESKUS prescriptions. In history view identifier system must be used in order to group medications eg. in same dose form etc.
system		0..1	uri	The namespace for the identifier value Binding Description: : Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/#retseptikeskus-retsept when prescriptions are generated from Retseptikeskus. Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiskeemi-rea-ajajoone-grupp as system when grouping medication statements in history view.
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		3..*	CodeableConcept	Type of medication statement Slice: Unordered, Open by pattern:$this
category:courseOfTherapyType		1..*	CodeableConcept	What type of medication course is. RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | Binding: ER_Ravikuuritüüp (required)
category:statementOriginCategory		0..*	CodeableConcept	Category defining the origin of MedicationStatement. USED ONLY when medication scheme line is based on patient's statement. Binding: Ravimi andmete tüüp (required)
category:prescriptionCategory		1..*	CodeableConcept	​Whether the prescription is for regular medication, narcotics or medical device.RETSEPTI LIIK. LOEND. tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: https://fhir.ee/ValueSet/retsepti-liik (required)
category:repeatCategory		1..*	CodeableConcept	Whether the prescription is one-time prescription or multiple.RETSEPTI KORDSUS. LOEND. 1-kordne | 2-kordne | 3-kordne | 6-kordne Binding: ER_Retsepti kordsus (required)
medication		1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal)	What medication was taken
subject		1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
encounter		0..0
effective[x]		1..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.
derivedFrom		0..*	Reference(EETISPrescription) {r}	Prescriptions created elsewhere than in TJT. Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Diagnose for medication. ICD-10 codes from Estonian Prescription Centre. Reimbursement of medication depends on which ICD-10 code is used. Binding: RHK-10 (preferred)
note		0..*	Annotation	Siia saab kirjutada märkusi ravimiskeemi rea kohta.
author[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation
relatedClinicalInformation		0..0
dosage		0..*	EETISDosage	Indicates how the medication is/was or should be taken by the patient.
additionalInstruction		0..*	CodeableConcept	Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
maxDosePerAdministration
unit		0..0
adherence		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.system
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp https://fhir.ee/ValueSet/ravikuuri-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:statementOriginCategory	required	RavimiAndmeteTyyp https://fhir.ee/ValueSet/ravimi-andmete-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:prescriptionCategory	required	​https://fhir.ee/ValueSet/retsepti-liik https://fhir.ee/ValueSet/retsepti-liik
MedicationStatement.category:repeatCategory	required	RetseptiKordsus https://fhir.ee/ValueSet/retsepti-kordsus From https://term.tehik.ee/fhir
MedicationStatement.reason	preferred	(a valid code from https://fhir.ee/CodeSystem/rhk10) https://fhir.ee/ValueSet/rhk10 From https://term.tehik.ee/fhir

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:extensionEETISPrescriptionValidityTime		0..1	dateTime	Validity end date of the prescription(s) in one MedicationStatement. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
extension:extensionEETISMedicationRemainder		0..1	(Complex)	Medication left on prescription calculated in days. URL: https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
extension:extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extension:extensionEETISDispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
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:extensionEETISReimbursementRate		0..1	(Complex)	Reimbursement rate and reason of prescription medicine. Also speciality of prescriber if available. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extension:extensionEETISUnauthorizedProductRequest		0..1	(Complex)	Müügiloata ravimi taotlus. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extension:extensionEETISSubstitution		0..1	(Complex)	Reason for not allowing the substitution of medication. URL: https://fhir.ee/StructureDefinition/ee-tis-substitution
extension:extensionEETISVerification		0..*	(Complex)	Verification of medication scheme URL: https://fhir.ee/StructureDefinition/ee-tis-verification
extension:extensionEETISPrescriptionIntent		0..*	code	Extension URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-intent Binding: MedicationRequestIntent (preferred)
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	Identifier is prescription number (ee RETSEPTINUMBER), if the MedicationStatement is generated from RETSEPTIKESKUS prescriptions. In history view identifier system must be used in order to group medications eg. in same dose form etc.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Binding Description: : Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/#retseptikeskus-retsept when prescriptions are generated from Retseptikeskus. Use https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid#ravimiskeemi-rea-ajajoone-grupp as system when grouping medication statements in history view. Example General: http://www.acme.com/identifiers/patient
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	3..*	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	1..*	CodeableConcept	What type of medication course is. RAVIKUURI TÜÜP. LOEND. pidev | fikseeritud | vajadusel | muutuv | ühekordne | Binding: ER_Ravikuuritüüp (required)
category:statementOriginCategory	Σ	0..*	CodeableConcept	Category defining the origin of MedicationStatement. USED ONLY when medication scheme line is based on patient's statement. Binding: Ravimi andmete tüüp (required)
category:prescriptionCategory	Σ	1..*	CodeableConcept	​Whether the prescription is for regular medication, narcotics or medical device.RETSEPTI LIIK. LOEND. tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: https://fhir.ee/ValueSet/retsepti-liik (required)
category:repeatCategory	Σ	1..*	CodeableConcept	Whether the prescription is one-time prescription or multiple.RETSEPTI KORDSUS. LOEND. 1-kordne | 2-kordne | 3-kordne | 6-kordne Binding: ER_Retsepti kordsus (required)
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal)	What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
subject	Σ	1..1	Reference(EE MPI Patient Verified)	Who is/was taking the medication
effective[x]	Σ	1..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(EETISPrescription) {r}	Prescriptions created elsewhere than in TJT. Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Diagnose for medication. ICD-10 codes from Estonian Prescription Centre. Reimbursement of medication depends on which ICD-10 code is used. Binding: RHK-10 (preferred)
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	1..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
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	Indicates how the medication is/was or should be taken by the patient.
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 instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
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. Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
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(5.0.0)	Upper limit on medication per administration
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
system	ΣC	0..1	uri	System that defines coded unit form
code	ΣC	0..1	code	Coded form of the unit
maxDosePerLifetime	Σ	0..1	SimpleQuantity(5.0.0)	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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type|5.0.0 From the FHIR Standard
MedicationStatement.identifier.system
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|5.0.0 From the FHIR Standard
MedicationStatement.category:courseOfTherapyType	required	RavikuuriTyyp https://fhir.ee/ValueSet/ravikuuri-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:statementOriginCategory	required	RavimiAndmeteTyyp https://fhir.ee/ValueSet/ravimi-andmete-tyyp From https://term.tehik.ee/fhir
MedicationStatement.category:prescriptionCategory	required	​https://fhir.ee/ValueSet/retsepti-liik https://fhir.ee/ValueSet/retsepti-liik
MedicationStatement.category:repeatCategory	required	RetseptiKordsus https://fhir.ee/ValueSet/retsepti-kordsus From https://term.tehik.ee/fhir
MedicationStatement.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|5.0.0 From the FHIR Standard
MedicationStatement.reason	preferred	(a valid code from https://fhir.ee/CodeSystem/rhk10) https://fhir.ee/ValueSet/rhk10 From https://term.tehik.ee/fhir
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes|5.0.0 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|5.0.0 From the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason|5.0.0 From the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes|5.0.0 From the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes|5.0.0 From the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes|5.0.0 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|5.0.0 From the FHIR Standard
MedicationStatement.adherence.reason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes|5.0.0 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

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 4 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)
• EETISMedicationExtemporal (https://fhir.ee/StructureDefinition/ee-tis-medication-extemporal)
• 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)
• EETISPrescription (https://fhir.ee/StructureDefinition/ee-tis-prescription)
• EETISDosage (https://fhir.ee/StructureDefinition/ee-tis-dosage)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-prescription-validity-time
• https://fhir.ee/StructureDefinition/ee-tis-medication-remainder
• https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
• https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization
• https://fhir.ee/StructureDefinition/ee-tis-cancelled-status-reason
• https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
• https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
• https://fhir.ee/StructureDefinition/ee-tis-substitution
• https://fhir.ee/StructureDefinition/ee-tis-verification
• https://fhir.ee/StructureDefinition/ee-tis-prescription-intent
• 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