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: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile constrains the MedicationStatement resource in the scope 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 |
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(CodeableConceptIPS) | |||
  medicationReference |
Reference(Medication (EU core)) | |||
| subject |
1..1 | Reference(Patient (EPS)) | Who is/was taking the medication | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
 Slices for effective[x] |
1..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. | |
| 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 |
| 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 | This profile also imposes the profile MedicationStatement (IPS) | ||
| Slices for extension |
Content/Rules for all slices | |||
| extension:adherence |
0..1 | R5 MedicationStatement.adherence | R5: Indicates whether the medication is or is not being consumed or administered (new) | |
 Slices for extension |
Content/Rules for all slices | |||
| extension:code |
1..1 | Extension | Type of adherence | |
| medication[x] |
1..1 | What medication was taken | ||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||
| medicationReference |
Reference(Medication (EU core)) | |||
| subject |
1..1 | Reference(Patient (EPS)) | Who is/was taking the medication | |
 reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| effective[x] |
1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken | |
| dosage |
||||
| 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 |
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(CodeableConceptIPS) | |||||||
| medicationReference |
Reference(Medication (EU core)) | |||||||
| subject |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||
| Slices for effective[x] |
1..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. | |||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
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 |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | When medication should be administered | |||||
| asNeeded[x] |
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 |
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 |
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 |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
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 |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| 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()
|
| sqty-1 | error | MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
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 |
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(CodeableConceptIPS) | |||
| medicationReference |
Reference(Medication (EU core)) | |||
| subject |
1..1 | Reference(Patient (EPS)) | Who is/was taking the medication | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for effective[x] |
1..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. | |
| 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 |
| 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 | This profile also imposes the profile MedicationStatement (IPS) | ||
| Slices for extension |
Content/Rules for all slices | |||
| extension:adherence |
0..1 | R5 MedicationStatement.adherence | R5: Indicates whether the medication is or is not being consumed or administered (new) | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:code |
1..1 | Extension | Type of adherence | |
| medication[x] |
1..1 | What medication was taken | ||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptIPS) | |||
| medicationReference |
Reference(Medication (EU core)) | |||
| subject |
1..1 | Reference(Patient (EPS)) | Who is/was taking the medication | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| effective[x] |
1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken | |
| dosage |
||||
| 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 |
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(CodeableConceptIPS) | |||||||
| medicationReference |
Reference(Medication (EU core)) | |||||||
| subject |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||
| Slices for effective[x] |
1..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. | |||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
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 |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | When medication should be administered | |||||
| asNeeded[x] |
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 |
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 |
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 |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
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 |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| 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()
|
| sqty-1 | error | MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
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 2026-10-16
