Finnish Implementation Guide for SMART App Launch
            
            2.0.0-ci - ci-build
  
            
          
Finnish Implementation Guide for SMART App Launch, published by HL7 Finland ry. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-fi/finnish-smart/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-medication-statement | Version: 2.0.0-ci | |||
| Draft as of 2025-09-14 | Computable Name: FiSMARTMedicationStatement | |||
This is the Finnish patient facing profile for the MedicationStatement resource.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement (1.1.0)  | |
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | 
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.  | 
![]() ![]()  | 
S | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.  | 
![]() ![]()  | 
SΣ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.  | |
![]() ![]() ![]()  | 
CodeableConcept | |||
![]() ![]() ![]()  | 
Reference(IPA-Medication(1.1.0)) | |||
![]() ![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Patient Medication) | What medication was taken | 
![]() ![]()  | 
SΣ | 1..1 | Reference(FI Base Patient) | Who is/was taking the medication | 
![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | 
![]() ![]()  | 
SΣ | 0..1 | The date/time or interval when the medication is/was/will be taken | |
![]() ![]() ![]()  | 
dateTime | |||
![]() ![]() ![]()  | 
Period | |||
![]() ![]()  | 
S | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) | Person or organization that provided the information about the taking of this medication | 
![]() ![]()  | 
S | 0..* | Dosage | Details of how medication is/was taken or should be taken | 
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]()  | 
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | 
  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1From the FHIR Standard  | |
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesFrom the FHIR Standard  | |
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesFrom the FHIR Standard  | 
| 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().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 FiBaseMedicationStatement
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement (1.1.0)  | |
  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||
|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement (1.1.0)  | |||||
![]() ![]()  | 
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]()  | 
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]()  | 
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
  | |||||
![]() ![]()  | 
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements  | |||||
![]() ![]()  | 
0..* | Resource | Contained, inline Resources | |||||
![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]()  | 
Σ | 0..* | Identifier | External identifier | ||||
![]() ![]()  | 
Σ | 0..* | Reference(FI Base MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
![]() ![]()  | 
Σ | 0..* | Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) | Part of referenced event | ||||
![]() ![]()  | 
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.  | ||||
![]() ![]()  | 
S | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.  | ||||
![]() ![]()  | 
Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.  | ||||
![]() ![]()  | 
SΣ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.  | |||||
![]() ![]() ![]()  | 
CodeableConcept | |||||||
![]() ![]() ![]()  | 
Reference(IPA-Medication(1.1.0)) | |||||||
![]() ![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Patient Medication) | What medication was taken | ||||
![]() ![]()  | 
SΣ | 1..1 | Reference(FI Base Patient) | Who is/was taking the medication | ||||
![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
![]() ![]()  | 
SΣ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
![]() ![]() ![]()  | 
dateTime | |||||||
![]() ![]() ![]()  | 
Period | |||||||
![]() ![]()  | 
Σ | 0..1 | dateTime | When the statement was asserted? | ||||
![]() ![]()  | 
S | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) | Person or organization that provided the information about the taking of this medication | ||||
![]() ![]()  | 
0..* | Reference(Resource) | Additional supporting information | |||||
![]() ![]()  | 
0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.  | |||||
![]() ![]()  | 
0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
![]() ![]()  | 
0..* | Annotation | Further information about the statement | |||||
![]() ![]()  | 
S | 0..* | Dosage | Details of how medication is/was taken or should be taken | ||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | integer | The order of the dosage instructions | ||||
![]() ![]() ![]()  | 
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".  | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | Timing | When medication should be administered | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | 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.  | |||||
![]() ![]() ![]() ![]()  | 
boolean | |||||||
![]() ![]() ![]() ![]()  | 
CodeableConcept | |||||||
![]() ![]() ![]()  | 
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.  | ||||
![]() ![]() ![]()  | 
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.  | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.  | ||||
![]() ![]() ![]()  | 
Σ | 0..* | Element | Amount of medication administered | ||||
![]() ![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||
![]() ![]() ![]() ![]()  | 
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.  | ||||
![]() ![]() ![]() ![]()  | 
Σ | 0..1 | Amount of medication per dose | |||||
![]() ![]() ![]() ![]() ![]()  | 
Range | |||||||
![]() ![]() ![]() ![]() ![]()  | 
Quantity(SimpleQuantity) | |||||||
![]() ![]() ![]() ![]()  | 
Σ | 0..1 | Amount of medication per unit of time | |||||
![]() ![]() ![]() ![]() ![]()  | 
Ratio | |||||||
![]() ![]() ![]() ![]() ![]()  | 
Range | |||||||
![]() ![]() ![]() ![]() ![]()  | 
Quantity(SimpleQuantity) | |||||||
![]() ![]() ![]()  | 
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
  Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard 
  | ||||
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1From the FHIR Standard  | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesFrom the FHIR Standard  | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryFrom the FHIR Standard  | ||||
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesFrom the FHIR Standard  | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typeFrom the FHIR Standard  | 
| 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().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 FiBaseMedicationStatement
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement (1.1.0)  | |
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | 
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.  | 
![]() ![]()  | 
S | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.  | 
![]() ![]()  | 
SΣ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.  | |
![]() ![]() ![]()  | 
CodeableConcept | |||
![]() ![]() ![]()  | 
Reference(IPA-Medication(1.1.0)) | |||
![]() ![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Patient Medication) | What medication was taken | 
![]() ![]()  | 
SΣ | 1..1 | Reference(FI Base Patient) | Who is/was taking the medication | 
![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | 
![]() ![]()  | 
SΣ | 0..1 | The date/time or interval when the medication is/was/will be taken | |
![]() ![]() ![]()  | 
dateTime | |||
![]() ![]() ![]()  | 
Period | |||
![]() ![]()  | 
S | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) | Person or organization that provided the information about the taking of this medication | 
![]() ![]()  | 
S | 0..* | Dosage | Details of how medication is/was taken or should be taken | 
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]()  | 
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | 
  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1From the FHIR Standard  | |
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesFrom the FHIR Standard  | |
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesFrom the FHIR Standard  | 
| 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().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 FiBaseMedicationStatement
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement (1.1.0)  | |
  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | ||||
|---|---|---|---|---|---|---|---|---|
![]()  | 
0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement (1.1.0)  | |||||
![]() ![]()  | 
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]()  | 
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]()  | 
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]()  | 
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
  | |||||
![]() ![]()  | 
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements  | |||||
![]() ![]()  | 
0..* | Resource | Contained, inline Resources | |||||
![]() ![]()  | 
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]()  | 
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]()  | 
Σ | 0..* | Identifier | External identifier | ||||
![]() ![]()  | 
Σ | 0..* | Reference(FI Base MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
![]() ![]()  | 
Σ | 0..* | Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) | Part of referenced event | ||||
![]() ![]()  | 
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.  | ||||
![]() ![]()  | 
S | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.  | ||||
![]() ![]()  | 
Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.  | ||||
![]() ![]()  | 
SΣ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.  | |||||
![]() ![]() ![]()  | 
CodeableConcept | |||||||
![]() ![]() ![]()  | 
Reference(IPA-Medication(1.1.0)) | |||||||
![]() ![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Patient Medication) | What medication was taken | ||||
![]() ![]()  | 
SΣ | 1..1 | Reference(FI Base Patient) | Who is/was taking the medication | ||||
![]() ![]()  | 
SΣ | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
![]() ![]()  | 
SΣ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
![]() ![]() ![]()  | 
dateTime | |||||||
![]() ![]() ![]()  | 
Period | |||||||
![]() ![]()  | 
Σ | 0..1 | dateTime | When the statement was asserted? | ||||
![]() ![]()  | 
S | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) | Person or organization that provided the information about the taking of this medication | ||||
![]() ![]()  | 
0..* | Reference(Resource) | Additional supporting information | |||||
![]() ![]()  | 
0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.  | |||||
![]() ![]()  | 
0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
![]() ![]()  | 
0..* | Annotation | Further information about the statement | |||||
![]() ![]()  | 
S | 0..* | Dosage | Details of how medication is/was taken or should be taken | ||||
![]() ![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]()  | 
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||
![]() ![]() ![]()  | 
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | integer | The order of the dosage instructions | ||||
![]() ![]() ![]()  | 
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
![]() ![]() ![]()  | 
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".  | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | Timing | When medication should be administered | ||||
![]() ![]() ![]()  | 
Σ | 0..1 | 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.  | |||||
![]() ![]() ![]() ![]()  | 
boolean | |||||||
![]() ![]() ![]() ![]()  | 
CodeableConcept | |||||||
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Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.  | ||||
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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.  | ||||
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Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.  | ||||
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Σ | 0..* | Element | Amount of medication administered | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||
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Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.  | ||||
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Σ | 0..1 | Amount of medication per dose | |||||
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Range | |||||||
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Quantity(SimpleQuantity) | |||||||
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Σ | 0..1 | Amount of medication per unit of time | |||||
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Ratio | |||||||
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Range | |||||||
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Quantity(SimpleQuantity) | |||||||
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Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
  Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard 
  | ||||
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1From the FHIR Standard  | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesFrom the FHIR Standard  | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryFrom the FHIR Standard  | ||||
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesFrom the FHIR Standard  | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard  | ||||
| MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typeFrom the FHIR Standard  | 
| 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().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 FiBaseMedicationStatement
Other representations of profile: CSV, Excel, Schematron