NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

Resource Profile: PH MedicationStatement

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

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

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

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
MedicationStatement.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationStatement.status This element is a modifier element. This element is included in summaries. 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
MedicationStatement.medication[x] This element is included in summaries. 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept CodeableConcept
MedicationStatement.medication[x].medicationReference Reference(PH Medication)
MedicationStatement.subject This element is included in summaries. 1..1 Reference(PH Patient) Who is/was taking the medication
MedicationStatement.informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
MedicationStatement.reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
MedicationStatement.meta
MedicationStatement.meta.Slices for extension Content/Rules for all slices
MedicationStatement.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationStatement.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationStatement.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
MedicationStatement.implicitRules 0..0 A set of rules under which this content was created
MedicationStatement.language 0..0 Language of the resource content
MedicationStatement.contained 0..0 Contained, inline Resources
MedicationStatement.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationStatement.modifierExtension 0..0 Extension
MedicationStatement.basedOn 0..0 Fulfils plan, proposal or order
MedicationStatement.partOf 0..0 Part of referenced event
MedicationStatement.status 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
MedicationStatement.category 0..0 Type of medication usage
MedicationStatement.medication[x] 1..1 What medication was taken
MedicationStatement.medication[x].medicationCodeableConcept CodeableConcept
MedicationStatement.medication[x].medicationReference Reference(PH Medication)
MedicationStatement.subject 1..1 Reference(PH Patient) Who is/was taking the medication
MedicationStatement.context 0..0 Encounter / Episode associated with MedicationStatement
MedicationStatement.effective[x] 0..0 The date/time or interval when the medication is/was/will be taken
MedicationStatement.dateAsserted 0..0 When the statement was asserted?
MedicationStatement.informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
MedicationStatement.derivedFrom 0..0 Additional supporting information
MedicationStatement.reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
MedicationStatement.reasonReference 0..0 Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base required ICD-10 Codes 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
MedicationStatement.id This element is included in summaries. 0..1 id Logical id of this artifact
MedicationStatement.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationStatement.meta.id 0..1 string Unique id for inter-element referencing
MedicationStatement.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationStatement.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationStatement.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationStatement.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
MedicationStatement.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
MedicationStatement.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
MedicationStatement.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
MedicationStatement.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationStatement.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationStatement.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationStatement.identifier This element is included in summaries. 0..* Identifier External identifier
MedicationStatement.status This element is a modifier element. This element is included in summaries. 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
MedicationStatement.statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
MedicationStatement.medication[x] This element is included in summaries. 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept CodeableConcept
MedicationStatement.medication[x].medicationReference Reference(PH Medication)
MedicationStatement.subject This element is included in summaries. 1..1 Reference(PH Patient) Who is/was taking the medication
MedicationStatement.informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
MedicationStatement.reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
MedicationStatement.note 0..* Annotation Further information about the statement
MedicationStatement.dosage 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
MedicationStatement.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationStatement.status This element is a modifier element. This element is included in summaries. 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
MedicationStatement.medication[x] This element is included in summaries. 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept CodeableConcept
MedicationStatement.medication[x].medicationReference Reference(PH Medication)
MedicationStatement.subject This element is included in summaries. 1..1 Reference(PH Patient) Who is/was taking the medication
MedicationStatement.informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
MedicationStatement.reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
MedicationStatement.meta
MedicationStatement.meta.Slices for extension Content/Rules for all slices
MedicationStatement.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationStatement.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationStatement.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
MedicationStatement.implicitRules 0..0 A set of rules under which this content was created
MedicationStatement.language 0..0 Language of the resource content
MedicationStatement.text 0..0 Text summary of the resource, for human interpretation
MedicationStatement.contained 0..0 Contained, inline Resources
MedicationStatement.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationStatement.modifierExtension 0..0 Extension
MedicationStatement.basedOn 0..0 Fulfils plan, proposal or order
MedicationStatement.partOf 0..0 Part of referenced event
MedicationStatement.status 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
MedicationStatement.category 0..0 Type of medication usage
MedicationStatement.medication[x] 1..1 What medication was taken
MedicationStatement.medication[x].medicationCodeableConcept CodeableConcept
MedicationStatement.medication[x].medicationReference Reference(PH Medication)
MedicationStatement.subject 1..1 Reference(PH Patient) Who is/was taking the medication
MedicationStatement.context 0..0 Encounter / Episode associated with MedicationStatement
MedicationStatement.effective[x] 0..0 The date/time or interval when the medication is/was/will be taken
MedicationStatement.dateAsserted 0..0 When the statement was asserted?
MedicationStatement.informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
MedicationStatement.derivedFrom 0..0 Additional supporting information
MedicationStatement.reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
MedicationStatement.reasonReference 0..0 Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base required ICD-10 Codes 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
MedicationStatement.id This element is included in summaries. 0..1 id Logical id of this artifact
MedicationStatement.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationStatement.meta.id 0..1 string Unique id for inter-element referencing
MedicationStatement.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationStatement.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationStatement.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationStatement.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
MedicationStatement.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
MedicationStatement.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
MedicationStatement.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
MedicationStatement.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationStatement.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationStatement.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationStatement.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationStatement.identifier This element is included in summaries. 0..* Identifier External identifier
MedicationStatement.status This element is a modifier element. This element is included in summaries. 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required)
MedicationStatement.statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
MedicationStatement.medication[x] This element is included in summaries. 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
MedicationStatement.medication[x].medicationCodeableConcept CodeableConcept
MedicationStatement.medication[x].medicationReference Reference(PH Medication)
MedicationStatement.subject This element is included in summaries. 1..1 Reference(PH Patient) Who is/was taking the medication
MedicationStatement.informationSource 0..1 Reference(PH Patient | PH Practitioner | PH PractitionerRole | PH RelatedPerson | PH Organization) Person or organization that provided the information about the taking of this medication
MedicationStatement.reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: ICD-10 Codes (required)
MedicationStatement.note 0..* Annotation Further information about the statement
MedicationStatement.dosage 0..* Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationStatement.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📦4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-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()

 

Other representations of profile: CSV, Excel, Schematron