CH EMR (R4)
1.0.0-ballot - ballot
CH EMR (R4)
1.0.0-ballot - ballot
CH EMR (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emr/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-medicationstatement | Version: 1.0.0-ballot | ||||
| Active as of 2026-10-23 | Computable Name: ChEmrMedicationStatement | ||||
Copyright/Legal: CC0-1.0 |
|||||
Medication Statement for the Swiss Emergency Record. Captures a medication the patient is taking with a treatment reason, a dose quantity, and a dosing schedule expressed using the CH EMED dosage pattern.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationStatement |
0..* | ChIpsMedicationStatement | CH IPS MedicationStatement 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:substitution |
0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
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. | |||||||||
| Slices for medication[x] |
1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||
  medicationCodeableConcept |
CodeableConcept | |||||||||||
 medicationReference |
Reference(CH IPS Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(CH IPS Medication) {b} | What medication was taken | |||||||||
| subject |
1..1 | Reference(CH IPS Patient) | Who is/was taking the medication | |||||||||
| reasonCode |
C | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. Constraints: ch-emr-reasoncode-content
| ||||||||
| reasonReference |
0..* | Reference(CH IPS Condition) {b} | Condition or observation that supports why the medication is being/was taken
| |||||||||
 Slices for dosage |
0..* | CHCoreDosage(7.0.0-ballot)  |
Details of how medication is/was taken or should be taken Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
 dosage:baseEntry |
C | 0..1 | CHEMEDDosage | Details of how medication is/was taken or should be taken Constraints: ch-dosage-4 | ||||||||
| dosage:additionalEntry |
0..* | CHEMEDDosageSplit | Details of how medication is/was taken or should be taken | |||||||||
| Documentation for this format | ||||||||||||
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for extension |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
 Slices for dosage |
|
|
| Documentation for this format | ||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are REQUIRED |
sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
|
| ch-emr-reasoncode-content | error | MedicationStatement.reasonCode | A reasonCode must carry at least text or one coding. |
text.exists() or coding.exists()
|
| 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 ChIpsMedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | ChIpsMedicationStatement | CH IPS MedicationStatement This profile also imposes the profile MedicationStatement (IPS) | |||||||||
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(CH IPS Medication) | What medication was taken Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |||||||||
| medication[x]:medicationReference |
0..1 | Reference(CH IPS Medication) {b} | What medication was taken | |||||||||
 reasonCode |
C | 0..* | CodeableConcept | Reason for why the medication is being/was taken Constraints: ch-emr-reasoncode-content
| ||||||||
| reasonReference |
0..* | Reference(CH IPS Condition) {b} | Condition or observation that supports why the medication is being/was taken
| |||||||||
| Slices for dosage |
0..* | CHCoreDosage(7.0.0-ballot) | Details of how medication is/was taken or should be taken Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| dosage:baseEntry |
0..1 | CHEMEDDosage | Details of how medication is/was taken or should be taken | |||||||||
| dosage:additionalEntry |
0..* | CHEMEDDosageSplit | Details of how medication is/was taken or should be taken | |||||||||
| Documentation for this format | ||||||||||||
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
| Slices for dosage |
|
|
| Documentation for this format | ||
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-reasoncode-content | error | MedicationStatement.reasonCode | A reasonCode must carry at least text or one coding. |
text.exists() or coding.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | ChIpsMedicationStatement | CH IPS MedicationStatement 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 resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:substitution |
0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External 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 | 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 |
0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||||||
| Slices for medication[x] |
1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. 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 | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(CH IPS Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(CH IPS Medication) {b} | What medication was taken | |||||||||
| subject |
1..1 | Reference(CH IPS Patient) | Who is/was taking the medication | |||||||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||||||
 effective[x] |
0..1 | The date/time or interval when the medication is/was/will be taken | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| dateAsserted |
0..1 | dateTime | When the statement was asserted? | |||||||||
| informationSource |
0..1 | Reference(CH Core Patient(7.0.0-ballot) | CH Core Practitioner(7.0.0-ballot) | CH Core PractitionerRole(7.0.0-ballot) | CH Core RelatedPerson(7.0.0-ballot) | CH Core Organization(7.0.0-ballot)) | Person or organization that provided the information about the taking of this medication | |||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||||||
| reasonCode |
C | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. Constraints: ch-emr-reasoncode-content
| ||||||||
| reasonReference |
0..* | Reference(CH IPS Condition) {b} | Condition or observation that supports why the medication is being/was taken
| |||||||||
| note |
0..* | Annotation | Further information about the statement | |||||||||
| Slices for dosage |
0..* | CHCoreDosage(7.0.0-ballot) |
Details of how medication is/was taken or should be taken Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| dosage:baseEntry |
C | 0..1 | CHEMEDDosage | Details of how medication is/was taken or should be taken Constraints: ch-dosage-4 | ||||||||
| dosage:additionalEntry |
0..* | CHEMEDDosageSplit | Details of how medication is/was taken or should be taken | |||||||||
| Documentation for this format | ||||||||||||
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for extension |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
| Slices for dosage |
|
|
| 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 | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are REQUIRED |
sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
|
| ch-emr-reasoncode-content | error | MedicationStatement.reasonCode | A reasonCode must carry at least text or one coding. |
text.exists() or coding.exists()
|
| 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()
|
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for extension |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
| Slices for dosage |
|
|
| Documentation for this format | ||
This structure is derived from ChIpsMedicationStatement
Summary
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | ChIpsMedicationStatement | CH IPS MedicationStatement 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:substitution |
0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
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. | |||||||||
| Slices for medication[x] |
1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(CH IPS Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(CH IPS Medication) {b} | What medication was taken | |||||||||
| subject |
1..1 | Reference(CH IPS Patient) | Who is/was taking the medication | |||||||||
| reasonCode |
C | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. Constraints: ch-emr-reasoncode-content
| ||||||||
| reasonReference |
0..* | Reference(CH IPS Condition) {b} | Condition or observation that supports why the medication is being/was taken
| |||||||||
| Slices for dosage |
0..* | CHCoreDosage(7.0.0-ballot) |
Details of how medication is/was taken or should be taken Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| dosage:baseEntry |
C | 0..1 | CHEMEDDosage | Details of how medication is/was taken or should be taken Constraints: ch-dosage-4 | ||||||||
| dosage:additionalEntry |
0..* | CHEMEDDosageSplit | Details of how medication is/was taken or should be taken | |||||||||
| Documentation for this format | ||||||||||||
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for extension |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
| Slices for dosage |
|
|
| Documentation for this format | ||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are REQUIRED |
sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
|
| ch-emr-reasoncode-content | error | MedicationStatement.reasonCode | A reasonCode must carry at least text or one coding. |
text.exists() or coding.exists()
|
| 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 ChIpsMedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | ChIpsMedicationStatement | CH IPS MedicationStatement This profile also imposes the profile MedicationStatement (IPS) | |||||||||
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(CH IPS Medication) | What medication was taken Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |||||||||
| medication[x]:medicationReference |
0..1 | Reference(CH IPS Medication) {b} | What medication was taken | |||||||||
| reasonCode |
C | 0..* | CodeableConcept | Reason for why the medication is being/was taken Constraints: ch-emr-reasoncode-content
| ||||||||
| reasonReference |
0..* | Reference(CH IPS Condition) {b} | Condition or observation that supports why the medication is being/was taken
| |||||||||
| Slices for dosage |
0..* | CHCoreDosage(7.0.0-ballot) | Details of how medication is/was taken or should be taken Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| dosage:baseEntry |
0..1 | CHEMEDDosage | Details of how medication is/was taken or should be taken | |||||||||
| dosage:additionalEntry |
0..* | CHEMEDDosageSplit | Details of how medication is/was taken or should be taken | |||||||||
| Documentation for this format | ||||||||||||
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
| Slices for dosage |
|
|
| Documentation for this format | ||
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-reasoncode-content | error | MedicationStatement.reasonCode | A reasonCode must carry at least text or one coding. |
text.exists() or coding.exists()
|
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | ChIpsMedicationStatement | CH IPS MedicationStatement 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 resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:substitution |
0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External 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 | 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 |
0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||||||
| Slices for medication[x] |
1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. 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 | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(CH IPS Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(CH IPS Medication) {b} | What medication was taken | |||||||||
| subject |
1..1 | Reference(CH IPS Patient) | Who is/was taking the medication | |||||||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||||||
| effective[x] |
0..1 | The date/time or interval when the medication is/was/will be taken | ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| dateAsserted |
0..1 | dateTime | When the statement was asserted? | |||||||||
| informationSource |
0..1 | Reference(CH Core Patient(7.0.0-ballot) | CH Core Practitioner(7.0.0-ballot) | CH Core PractitionerRole(7.0.0-ballot) | CH Core RelatedPerson(7.0.0-ballot) | CH Core Organization(7.0.0-ballot)) | Person or organization that provided the information about the taking of this medication | |||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||||||
| reasonCode |
C | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. Constraints: ch-emr-reasoncode-content
| ||||||||
| reasonReference |
0..* | Reference(CH IPS Condition) {b} | Condition or observation that supports why the medication is being/was taken
| |||||||||
| note |
0..* | Annotation | Further information about the statement | |||||||||
| Slices for dosage |
0..* | CHCoreDosage(7.0.0-ballot) |
Details of how medication is/was taken or should be taken Slice: Unordered, Closed by profile:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| dosage:baseEntry |
C | 0..1 | CHEMEDDosage | Details of how medication is/was taken or should be taken Constraints: ch-dosage-4 | ||||||||
| dosage:additionalEntry |
0..* | CHEMEDDosageSplit | Details of how medication is/was taken or should be taken | |||||||||
| Documentation for this format | ||||||||||||
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for extension |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
| Slices for dosage |
|
|
| 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 | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are REQUIRED |
sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
|
| ch-emr-reasoncode-content | error | MedicationStatement.reasonCode | A reasonCode must carry at least text or one coding. |
text.exists() or coding.exists()
|
| 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()
|
| Name | Creator (IPS) | Consumer (IPS) |
|---|---|---|
| MedicationStatement |
||
| Slices for extension |
||
| Slices for medication[x] |
||
| reasonCode |
|
|
| reasonReference |
|
|
| Slices for dosage |
|
|
| Documentation for this format | ||
This structure is derived from ChIpsMedicationStatement
Summary
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron