Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips vs http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationStatement
copyright		Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).	Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date	2024-06-19T10:50:07-05:00	2025-12-12T08:00:08+00:00	Values Differ
description	This profile represents the constraints applied to the MedicationStatement resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication statement is represented in the patient summary as an instance of a MedicationStatement resource constrained by this profile.	This profile sets minimum expectations for the MedicationStatement resource common to most of the use cases. This profile is adapted from the MPD work.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	MedicationStatementIPS	MedicationStatementEuCore	Values Differ
publisher	HL7 International / Patient Care	HL7 Europe	Values Differ
purpose	This profile constrains the representation of a medication statement related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.		Removed the item 'This profile constrains the representation of a medication statement related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.'
status	active	draft	Values Differ
title	MedicationStatement (IPS)	MedicationStatement (EU core)	Values Differ
type	MedicationStatement
url	http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips	http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core	Values Differ
version	2.0.0	2.0.0-ci-build	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient		0..*	MedicationStatement	Record of medication being taken by a patient
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? 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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier	Σ	0..*	Identifier	Medication Statement Identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.	?!Σ	1..1	code	State of the medication Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: ?? (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.	Σ	0..1	CodeableConcept	Type of intended use Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose ?? Preferred	Example/preferred bindings differ at MedicationStatement.category using binding from MedicationStatementIPS
medication[x]	SOΣ	1..1	??, Reference(Medication (IPS))	What medication was taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ	1..1	CodeableConcept, Reference(Medication (EU core))	What medication was taken Binding: ?? (example)	Elements differ in definition for mustSupport: 'true' vs 'false'
subject	SOΣ	1..1	Reference(Patient (IPS))	Who is/was taking the medication Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	SOΣ	1..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ	0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication		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		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken.		0..*	CodeableConcept	Coded reason for use Binding: ?? (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		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		0..*	Annotation	Further information about the statement
dosage	SO	0..*	Dosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)		0..*	Dosage	Details of how medication is/was taken or should be taken.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized					Removed this element
sequence	Σ	0..1	integer	The order of the dosage instructions					Removed this element
text	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)					Removed this element
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".					Removed this element
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions					Removed this element
timing	SOΣ	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)					Removed this element
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (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.					Removed this element
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.					Removed this element
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (preferred): SNOMED Route Terms Additional Bindings Purpose ?? candidate					Removed this element
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.					Removed this element
doseAndRate	Σ	0..*	Element	Amount of medication administered					Removed this element
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time					Removed this element
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration					Removed this element
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient					Removed this element
Documentation for this format