HL7 Europe Discharge Report
1.0.0-ci-build - ci-build
150
HL7 Europe Discharge Report
1.0.0-ci-build - ci-build
150
HL7 Europe Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-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/discharge-report/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/discharge-report/StructureDefinition/medicationStatement-obl-eu-dr | Version: 1.0.0-ci-build | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: MedicationStatementEuDrObligation | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
||||
This profile defines obligations for the MedicationStatement resource for the purpose of this guide, adapted from the MPD work.
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:  | ||||
|---|---|---|---|---|---|---|---|---|
  MedicationStatement |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient | |||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
  Slices for extension |
Content/Rules for all slices | |||||||
   extension:adherence |
0..1 | (Complex) | R5: Indicates whether the medication is or is not being consumed or administered (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1 | |||||
   Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
 Slices for extension |
Content/Rules for all slices | |||||||
  extension:code |
1..1 | Extension | Type of adherence. Constraints: ext-1 | |||||
 url |
1..1 | uri | "code" | |||||
  value[x] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) 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 | |||||
| status |
1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
| |||||
 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 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
 effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
 effective[x]:effectivePeriod |
0..1 | Period | Period when the medication is/was or should be used. | |||||
| 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
| |||||
| text |
1..1 | markdown | Textual note about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken.
| |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.extension:adherence.extension:code.value[x] | Base | example | Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| 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 | MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from MedicationStatementEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
MedicationStatementEuCore | |||||||
 status |
1..1 | code | State of the medication
| |||||
| medication[x] |
1..1 | CodeableConcept, Reference(Medication (EU core)) | What medication was taken
| |||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
| |||||
| effective[x] |
0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
| |||||
| reasonCode |
0..* | CodeableConcept | Coded reason for use
| |||||
| 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 | ||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the statement Binding: CommonLanguages (preferred): A human language.
| |||||
| 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) | R5: Indicates whether the medication is or is not being consumed or administered (new) 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, Open by value:url Constraints: ext-1 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| 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] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) 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 | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence" | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Medication Statement Identifier | |||||
| basedOn |
0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | |||||
| status |
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 |
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.
| |||||
| 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
| |||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||
| Slices for effective[x] |
0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectivePeriod |
0..1 | Period | Period when the medication is/was or should be used. | |||||
| dateAsserted |
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) | The reference to the source of the statement | |||||
| 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
| |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] |
0..1 | Individual responsible for the annotation | ||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
0..1 | dateTime | When the annotation was made | |||||
| text |
1..1 | markdown | Textual note about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken.
| |||||
| Documentation for this format | ||||||||
| 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 ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| 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 | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| 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 MedicationStatementEuCore
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:adherence |
0..1 | (Complex) | R5: Indicates whether the medication is or is not being consumed or administered (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1 | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:code |
1..1 | Extension | Type of adherence. Constraints: ext-1 | |||||
| url |
1..1 | uri | "code" | |||||
| value[x] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) 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 | |||||
| status |
1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
| |||||
| 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 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectivePeriod |
0..1 | Period | Period when the medication is/was or should be used. | |||||
| 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
| |||||
| text |
1..1 | markdown | Textual note about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken.
| |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.extension:adherence.extension:code.value[x] | Base | example | Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| 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 | MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from MedicationStatementEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
MedicationStatementEuCore | |||||||
| status |
1..1 | code | State of the medication
| |||||
| medication[x] |
1..1 | CodeableConcept, Reference(Medication (EU core)) | What medication was taken
| |||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
| |||||
| effective[x] |
0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
| |||||
| reasonCode |
0..* | CodeableConcept | Coded reason for use
| |||||
| 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 | ||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the statement Binding: CommonLanguages (preferred): A human language.
| |||||
| 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) | R5: Indicates whether the medication is or is not being consumed or administered (new) 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, Open by value:url Constraints: ext-1 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| 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] |
1..1 | CodeableConcept | Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example) | |||||
| extension:reason |
0..1 | Extension | R5: Details of the reason for the current use of the medication (new) 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 | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence" | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Medication Statement Identifier | |||||
| basedOn |
0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | |||||
| status |
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 |
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.
| |||||
| 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
| |||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||
| Slices for effective[x] |
0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectivePeriod |
0..1 | Period | Period when the medication is/was or should be used. | |||||
| dateAsserted |
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) | The reference to the source of the statement | |||||
| 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
| |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] |
0..1 | Individual responsible for the annotation | ||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
0..1 | dateTime | When the annotation was made | |||||
| text |
1..1 | markdown | Textual note about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken.
| |||||
| Documentation for this format | ||||||||
| 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 ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 | 📍0.1.0 | Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1 |
| 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 | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| 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 MedicationStatementEuCore
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ HL7 Europe. Package hl7.fhir.eu.discharge-report#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-10-06
