HL7 Europe Patient Summary
0.0.1-ci - ci-build
150
HL7 Europe Patient Summary
0.0.1-ci - 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 0.0.1-ci 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: 0.0.1-ci | |||
| Draft as of 2025-10-24 | Computable Name: MedicationStatementEuEps | |||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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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..* | MedicationStatementIPS(2.0.0) | Record of medication being taken by a patient | |||||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| status |
?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||||
 category |
Σ | 0..1 | CodeableConcept | Type of medication statement. 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] |
SOΣ | 1..1 | What medication was taken Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
| |||||||||||||
 medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||||||
  medicationReference |
Reference(Medication (EPS)) | |||||||||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
 Slices for effective[x] |
SOΣ | 1..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]:effectiveDateTime |
SOΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription 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 this medication | |||||||||||||
 dosage |
SO | 0..* | Dosage | How medication is/was taken or should be taken
| ||||||||||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||||||
| timing |
SOΣ | 0..1 | Timing | When medication should be administered
| ||||||||||||
| route |
Σ | 0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (preferred): SNOMED Route Terms
| ||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.category | Base | preferred | Medication usage category codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | preferred | 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. |
| MedicationStatement.dosage.route | Base | preferred | 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 | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from MedicationStatementIPS
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementIPS(2.0.0) | Record of medication being taken by a patient | |
 category |
0..1 | CodeableConcept | Type of medication statement. | |
| medication[x] |
1..1 | What medication was taken | ||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||
| medicationReference |
Reference(Medication (EPS)) | |||
| subject |
1..1 | Reference(Patient (EPS)) | Who is/was taking the medication | |
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription | |
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports this medication | |
| dosage |
0..* | Dosage | How medication is/was taken or should be taken | |
| route |
0..1 | CodeableConcept | Route of administration | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementIPS(2.0.0) | 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.
| |||||||||||||
| 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 | |||||||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| identifier |
Σ | 0..* | Identifier | External 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 | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of medication statement. 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] |
SOΣ | 1..1 | What medication was taken Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
| |||||||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||||||
| medicationReference |
Reference(Medication (EPS)) | |||||||||||||||
| subject |
SOΣ | 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 |
SOΣC | 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] |
SOΣ | 1..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]:effectiveDateTime |
SOΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||||||
| dateAsserted |
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 | |||||||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription 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 this medication | |||||||||||||
| note |
0..* | Annotation | Further information about the statement | |||||||||||||
| dosage |
SO | 0..* | Dosage | 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 |
SOΣ | 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 |
SOΣ | 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 (preferred): SNOMED Route Terms
| ||||||||||||
| 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 | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| 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 | preferred | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.doseAndRate.type | Base | example | DoseAndRateType | 📍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 MedicationStatementIPS
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementIPS(2.0.0) | Record of medication being taken by a patient | |||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| status |
?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of medication statement. 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] |
SOΣ | 1..1 | What medication was taken Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
| |||||||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||||||
| medicationReference |
Reference(Medication (EPS)) | |||||||||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (EPS)) | Who is/was taking the medication
| ||||||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
| Slices for effective[x] |
SOΣ | 1..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]:effectiveDateTime |
SOΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription 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 this medication | |||||||||||||
| dosage |
SO | 0..* | Dosage | How medication is/was taken or should be taken
| ||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||||||||
| timing |
SOΣ | 0..1 | Timing | When medication should be administered
| ||||||||||||
| route |
Σ | 0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (preferred): SNOMED Route Terms
| ||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.category | Base | preferred | Medication usage category codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | preferred | 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. |
| MedicationStatement.dosage.route | Base | preferred | 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 | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from MedicationStatementIPS
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementIPS(2.0.0) | Record of medication being taken by a patient | |
| category |
0..1 | CodeableConcept | Type of medication statement. | |
| medication[x] |
1..1 | What medication was taken | ||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||
| medicationReference |
Reference(Medication (EPS)) | |||
| subject |
1..1 | Reference(Patient (EPS)) | Who is/was taking the medication | |
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription | |
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports this medication | |
| dosage |
0..* | Dosage | How medication is/was taken or should be taken | |
| route |
0..1 | CodeableConcept | Route of administration | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatementIPS(2.0.0) | 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.
| |||||||||||||
| 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 | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| identifier |
Σ | 0..* | Identifier | External 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 | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||||||||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of medication statement. 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] |
SOΣ | 1..1 | What medication was taken Binding: Medications - IPS (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
| |||||||||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||||||||||||||
| medicationReference |
Reference(Medication (EPS)) | |||||||||||||||
| subject |
SOΣ | 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 |
SOΣC | 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] |
SOΣ | 1..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]:effectiveDateTime |
SOΣ | 0..1 | dateTime | The date/time or interval when the medication is/was/will be taken
| ||||||||||||
| dateAsserted |
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 | |||||||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription 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 this medication | |||||||||||||
| note |
0..* | Annotation | Further information about the statement | |||||||||||||
| dosage |
SO | 0..* | Dosage | 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 |
SOΣ | 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 |
SOΣ | 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 (preferred): SNOMED Route Terms
| ||||||||||||
| 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 | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| 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 | preferred | Medications - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.dosage.doseAndRate.type | Base | example | DoseAndRateType | 📍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 MedicationStatementIPS
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.eps#0.0.1-ci based on FHIR 4.0.1. Generated 2025-10-24
