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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1	http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core	Values Differ
copyright		Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).	Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date	2024-06-19T10:50:07-05:00	2026-10-23T17:28:46+00:00	Values Differ
description	This profile represents the constraints applied to the MedicationStatement resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication statement is represented in the patient summary as an instance of a MedicationStatement resource constrained by this profile.	This profile constrains the MedicationStatement resource in the scope of the European Patient Summary.	Values Differ
experimental		false	Added the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction / jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction / jurisdiction[1]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	MedicationStatementIPS	MedicationStatementEuEps	Values Differ
publisher	HL7 International / Patient Care	HL7 Europe	Values Differ
purpose	This profile constrains the representation of a medication statement related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.		Removed the item 'This profile constrains the representation of a medication statement related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.'
status	active	draft	Values Differ
title	MedicationStatement (IPS)	MedicationStatement (EPS)	Values Differ
type	MedicationStatement
url	http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips	http://hl7.eu/fhir/eps/StructureDefinition/medicationStatement-eu-eps	Values Differ
version	2.0.1	1.0.0-ci-build	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationStatement		0..*	MedicationStatement(4.0.1)	Record of medication being taken by a patient		0..*	MedicationStatementEuCore	Record of medication being taken by a patient This profile also imposes the profile MedicationStatement (IPS)
MedicationStatement.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationStatement.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationStatement.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationStatement.language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the statement Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
MedicationStatement.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
MedicationStatement.contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
MedicationStatement.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
MedicationStatement.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationStatement.identifier	Σ This element is included in summaries.	0..*	Identifier	External identifier	Σ This element is included in summaries.	0..*	Identifier	Medication Statement Identifier
MedicationStatement.basedOn	Σ This element is included in summaries.	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order	Σ This element is included in summaries.	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
MedicationStatement.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
MedicationStatement.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	State of the medication Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.
MedicationStatement.statusReason		0..*	CodeableConcept	Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: ?? (example): A coded concept indicating the reason for the status of the statement.
MedicationStatement.category	Σ This element is included in summaries.	0..1	CodeableConcept	Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.	Σ This element is included in summaries.	0..1	CodeableConcept	Type of intended use Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose ?? Preferred	Example/preferred bindings differ at MedicationStatement.category using binding from MedicationStatementIPS
MedicationStatement.medication[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	?? , Reference(Medication (IPS)(2.0.1))	What medication was taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ This element is included in summaries.	1..1	?? , Reference(Medication (EU core))	What medication was taken Binding: ?? (example)	Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at MedicationStatement.medication[x] using binding from MedicationStatementIPS
MedicationStatement.subject	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	Reference(Patient (IPS)(2.0.1))	Who is/was taking the medication Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ This element is included in summaries.	1..1	Reference(Patient (EPS))	Who is/was taking the medication	Elements differ in definition for mustSupport: 'true' vs 'false'
MedicationStatement.subject.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
MedicationStatement.subject.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.subject.reference	SO This element has obligations and must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL	Elements differ in definition for mustSupport: 'true' vs 'false'
MedicationStatement.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationStatement.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationStatement.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationStatement.context	Σ This element is included in summaries.	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement	Σ This element is included in summaries.	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
MedicationStatement.Slices for effective[x]	SO This element has obligations and must be supported. Σ This element is included in summaries.	1..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them	Σ This element is included in summaries.	1..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$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	Elements differ in definition for mustSupport: 'true' vs 'false'
MedicationStatement.dateAsserted	Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted?	Σ This element is included in summaries.	0..1	dateTime	When the statement was asserted?
MedicationStatement.informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
MedicationStatement.derivedFrom		0..*	Reference(Resource)	Additional supporting information		0..*	Reference(Resource)	The reference to the source of the statement
MedicationStatement.reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken.		0..*	CodeableConcept	Coded reason for use Binding: ?? (example): A coded concept identifying why the medication is being taken.
MedicationStatement.reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
MedicationStatement.note		0..*	Annotation	Further information about the statement		0..*	Annotation	Further information about the statement
MedicationStatement.note.id						0..1	string	Unique id for inter-element referencing	Added this element
MedicationStatement.note.Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
MedicationStatement.note.author[x]					Σ This element is included in summaries.	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation	Added this element
MedicationStatement.note.time					Σ This element is included in summaries.	0..1	dateTime	When the annotation was made	Added this element
MedicationStatement.note.text					Σ This element is included in summaries.	1..1	markdown	Textual note about the statement	Added this element
MedicationStatement.dosage	SO This element has obligations and must be supported.	0..*	Dosage	Details of how medication is/was taken or should be taken Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)		0..*	Dosage	Details of how medication is/was taken or should be taken.	Elements differ in definition for mustSupport: 'true' vs 'false'
MedicationStatement.dosage.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
MedicationStatement.dosage.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationStatement.dosage.sequence	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions
MedicationStatement.dosage.text	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ This element is included in summaries.	0..1	string	Free text dosage instructions e.g. SIG	Elements differ in definition for mustSupport: 'true' vs 'false'
MedicationStatement.dosage.additionalInstruction	Σ This element is included in summaries.	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ This element is included in summaries.	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
MedicationStatement.dosage.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions
MedicationStatement.dosage.timing	SO This element has obligations and must be supported. Σ This element is included in summaries.	0..1	Timing	When medication should be administered Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ This element is included in summaries.	0..1	Timing	When medication should be administered	Elements differ in definition for mustSupport: 'true' vs 'false'
MedicationStatement.dosage.asNeeded[x]	Σ This element is included in summaries.	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.	Σ This element is included in summaries.	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
MedicationStatement.dosage.site	Σ This element is included in summaries.	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ This element is included in summaries.	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
MedicationStatement.dosage.route	Σ This element is included in summaries.	0..1	CodeableConcept	How drug should enter body Binding: ?? (preferred): SNOMED Route Terms Additional Bindings Purpose ?? candidate	Σ This element is included in summaries.	0..1	CodeableConcept	Route of administration Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
MedicationStatement.dosage.method	Σ This element is included in summaries.	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ This element is included in summaries.	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
MedicationStatement.dosage.doseAndRate	Σ This element is included in summaries.	0..*	Element	Amount of medication administered	Σ This element is included in summaries.	0..*	Element	Amount of medication administered
MedicationStatement.dosage.doseAndRate.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
MedicationStatement.dosage.doseAndRate.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationStatement.dosage.doseAndRate.type	Σ This element is included in summaries.	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Σ This element is included in summaries.	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
MedicationStatement.dosage.doseAndRate.dose[x]	Σ This element is included in summaries.	0..1	Range, ??	Amount of medication per dose	Σ This element is included in summaries.	0..1	Range, ??	Amount of medication per dose
MedicationStatement.dosage.doseAndRate.rate[x]	Σ This element is included in summaries.	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ This element is included in summaries.	0..1	Ratio, Range, ??	Amount of medication per unit of time
MedicationStatement.dosage.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time
MedicationStatement.dosage.maxDosePerAdministration	Σ This element is included in summaries.	0..1	??	Upper limit on medication per administration	Σ This element is included in summaries. C	0..1	??	Upper limit on medication per administration
MedicationStatement.dosage.maxDosePerLifetime	Σ This element is included in summaries.	0..1	??	Upper limit on medication per lifetime of the patient	Σ This element is included in summaries. C	0..1	??	Upper limit on medication per lifetime of the patient
Documentation for this format