HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base/ and changes regularly. See the Directory of published versions

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

Resource Profile: MedicationStatement (EU core)

This profile sets minimum expectations for the MedicationStatement resource common to most of the use cases. This profile is adapted from the MPD work.

Usages:

• Examples for this Profile: MedicationStatement/example-medicationstatement-eucore

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..1	(Complex)	Indicates whether the medication is or is not being consumed or administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
url		1..1	uri	"code"
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
url		1..1	uri	"reason"
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement Identifier
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	Σ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
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.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..1	(Complex)	Indicates whether the medication is or is not being consumed or administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Slices for extension				Content/Rules for all slices
extension:code		1..1	Extension	Type of adherence.
value[x]		0..0		Value of extension
identifier		0..*	Identifier	Medication Statement Identifier
status		1..1	code	State of the medication
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication
category		0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]		1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject		1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
Slices for effective[x]		0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod		0..1	Period	Period when the medication is/was or should be used.
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Coded reason for use
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..1	(Complex)	Indicates whether the medication is or is not being consumed or administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"code"
value[x]		0..1	CodeableConcept	Type of adherence Binding: R5_medication_statement_adherence_for_R4 (0.0.1-snapshot-2) (example)
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Details of the reason for the current use of the medication Binding: R5_reason_medication_status_codes_for_R4 (0.0.1-snapshot-2) (example)
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement Identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	Σ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version VS for R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
MedicationStatement.​extension:adherence.​extension:reason.value[x]	Base	example	Cross-version VS for R5.SNOMEDCTDrugTherapyStatusCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
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.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

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

Summary

Prohibited: 1 element

Structures

This structure refers to these other structures:

• Medication (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]

Maturity: 1

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..1	(Complex)	Indicates whether the medication is or is not being consumed or administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
url		1..1	uri	"code"
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
url		1..1	uri	"reason"
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement Identifier
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	Σ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
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.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..1	(Complex)	Indicates whether the medication is or is not being consumed or administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Slices for extension				Content/Rules for all slices
extension:code		1..1	Extension	Type of adherence.
value[x]		0..0		Value of extension
identifier		0..*	Identifier	Medication Statement Identifier
status		1..1	code	State of the medication
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication
category		0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]		1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject		1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
Slices for effective[x]		0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod		0..1	Period	Period when the medication is/was or should be used.
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Coded reason for use
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..1	(Complex)	Indicates whether the medication is or is not being consumed or administered URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"code"
value[x]		0..1	CodeableConcept	Type of adherence Binding: R5_medication_statement_adherence_for_R4 (0.0.1-snapshot-2) (example)
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Details of the reason for the current use of the medication Binding: R5_reason_medication_status_codes_for_R4 (0.0.1-snapshot-2) (example)
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement Identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	Σ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version VS for R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
MedicationStatement.​extension:adherence.​extension:reason.value[x]	Base	example	Cross-version VS for R5.SNOMEDCTDrugTherapyStatusCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
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.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.

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

Summary

Prohibited: 1 element

Structures

This structure refers to these other structures:

• Medication (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]

Maturity: 1

Other representations of profile: CSV, Excel, Schematron