HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
HL7 Europe Patient Summary, 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/eps/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps | Version: 1.0.0-ci-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: MedicationStatementEuEps | ||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
||||
This profile constrains the MedicationStatement resource for the purpose of the European patient summary.
This profile constrains the MedicationStatement resource for the purpose of the European patient summary.
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 This profile also imposes the profile MedicationStatement (IPS) | |||||||||
  implicitRules |
?!Σ | 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) | 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 | ||||||||
| status |
?!Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||
 medication[x] |
OΣ | 1..1 | What medication was taken Binding: Medications - IPS (example)
| |||||||||
 medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||
  medicationReference |
Reference(Medication (EU core)) | |||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||
| reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
OΣ | 1..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
| |||||||||
 effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||
 effective[x]:effectivePeriod |
Σ | 0..1 | Period | Period when the medication is/was or should be used. | ||||||||
 dosage |
O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
OΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
| timing |
OΣ | 0..1 | Timing | When medication should be administered
| ||||||||
| route |
Σ | 0..1 | CodeableConcept | Route of administration 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. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.dosage.route | Base | example | SNOMED CT Route 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, MedicationStatement.dosage.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 |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (IPS) | |||||||||
| medication[x] |
O | 1..1 | What medication was taken
| |||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||
| medicationReference |
Reference(Medication (EU core)) | |||||||||||
| subject |
O | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||
 reference |
O | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| effective[x] |
O | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
| ||||||||
| Slices for effective[x] |
Content/Rules for all slices | |||||||||||
| effective[x]:effectiveDateTime |
O | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||
| dosage |
O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
| ||||||||
| text |
O | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
| timing |
O | 0..1 | Timing | When medication should be administered
| ||||||||
| route |
0..1 | CodeableConcept | Route of administration | |||||||||
| Documentation for this format | ||||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (IPS) | |||||||||
| 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.
| |||||||||
| 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.
| ||||||||
| medication[x] |
OΣ | 1..1 | What medication was taken Binding: Medications - IPS (example)
| |||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||
| medicationReference |
Reference(Medication (EU core)) | |||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||||||
| Slices for effective[x] |
OΣ | 1..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||
| 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 |
O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||||||
| text |
OΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
| additionalInstruction |
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". | ||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||||
| timing |
OΣ | 0..1 | Timing | When medication should be administered
| ||||||||
| asNeeded[x] |
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. | |||||||||
| asNeededBoolean |
boolean | |||||||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||||||
| site |
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. | ||||||||
| route |
Σ | 0..1 | CodeableConcept | Route of administration 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. | ||||||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||||||
| doseAndRate |
Σ | 0..* | Element | Amount of medication administered | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | |||||||||
| doseRange |
Range | |||||||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||||||
| rateRatio |
Ratio | |||||||||||
| rateRange |
Range | |||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration | ||||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient | ||||||||
| Documentation for this format | ||||||||||||
| 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
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (IPS) | |||||||||
| implicitRules |
?!Σ | 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) | 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 | ||||||||
| status |
?!Σ | 1..1 | code | State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||
| medication[x] |
OΣ | 1..1 | What medication was taken Binding: Medications - IPS (example)
| |||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||
| medicationReference |
Reference(Medication (EU core)) | |||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||
| reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for effective[x] |
OΣ | 1..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||
| effective[x]:effectivePeriod |
Σ | 0..1 | Period | Period when the medication is/was or should be used. | ||||||||
| dosage |
O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
OΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
| timing |
OΣ | 0..1 | Timing | When medication should be administered
| ||||||||
| route |
Σ | 0..1 | CodeableConcept | Route of administration 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. | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.dosage.route | Base | example | SNOMED CT Route 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, MedicationStatement.dosage.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 |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (IPS) | |||||||||
| medication[x] |
O | 1..1 | What medication was taken
| |||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||
| medicationReference |
Reference(Medication (EU core)) | |||||||||||
| subject |
O | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||
| reference |
O | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| effective[x] |
O | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken
| ||||||||
| Slices for effective[x] |
Content/Rules for all slices | |||||||||||
| effective[x]:effectiveDateTime |
O | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||
| dosage |
O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
| ||||||||
| text |
O | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
| timing |
O | 0..1 | Timing | When medication should be administered
| ||||||||
| route |
0..1 | CodeableConcept | Route of administration | |||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementEuCore | Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (IPS) | |||||||||
| 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.
| |||||||||
| 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.
| ||||||||
| medication[x] |
OΣ | 1..1 | What medication was taken Binding: Medications - IPS (example)
| |||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||
| medicationReference |
Reference(Medication (EU core)) | |||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||||||
| Slices for effective[x] |
OΣ | 1..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
| |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
OΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||
| 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 |
O | 0..* | Dosage | Details of how medication is/was taken or should be taken.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||||||
| text |
OΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||
| additionalInstruction |
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". | ||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||||
| timing |
OΣ | 0..1 | Timing | When medication should be administered
| ||||||||
| asNeeded[x] |
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. | |||||||||
| asNeededBoolean |
boolean | |||||||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||||||
| site |
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. | ||||||||
| route |
Σ | 0..1 | CodeableConcept | Route of administration 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. | ||||||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||||||
| doseAndRate |
Σ | 0..* | Element | Amount of medication administered | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | |||||||||
| doseRange |
Range | |||||||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||||||
| rateRatio |
Ratio | |||||||||||
| rateRange |
Range | |||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration | ||||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient | ||||||||
| Documentation for this format | ||||||||||||
| 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
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.eps#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-01-30
