Ethiopia FHIR Implementation Guide - HIV Treatment & Care Services
1.0.0 - STU1
Ethiopia FHIR Implementation Guide - HIV Treatment & Care Services
1.0.0 - STU1
Ethiopia FHIR Implementation Guide - HIV Treatment & Care Services, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/ethiopia-hiv/ and changes regularly. See the Directory of published versions
| Official URL: http://moh.gov.et/fhir/hiv/StructureDefinition/oi-medication-statement | Version: 1.0.0 | |||
| Active as of 2024-09-10 | Computable Name: OIMedicationStatement | |||
Records the medication history for a patient suffering from OI's.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from GenericMedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement |
GenericMedicationStatement | |||
  medication[x] |
1..1 | Reference(Medication - Represents Medication For Opportunistic Infections) | What medication was taken | |
 reasonReference |
S | 0..1 | Reference(Observation - Cotrimoxazole Preventive Therapy | Observation - Fluconazole Preventive Therapy) | Used for indicating the reason for point in time prescriptions in the context of an encounter. |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement |
0..* | GenericMedicationStatement | 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. |
| medication[x] |
Σ | 1..1 | Reference(Medication - Represents Medication For Opportunistic Infections) | What medication was taken |
| subject |
Σ | 1..1 | Reference(Patient) | Who is/was taking the medication |
| context |
Σ | 1..1 | Reference(Encounter - Initiated By The Facility Providing the Service) | Encounter / Episode associated with MedicationStatement |
  effective[x] |
Σ | 1..1 | The date/time or interval when the medication is/was/will be taken | |
 effectiveDateTime |
dateTime | |||
 effectivePeriod |
Period | |||
| reasonReference |
S | 0..1 | Reference(Observation - Cotrimoxazole Preventive Therapy | Observation - Fluconazole Preventive Therapy) | Used for indicating the reason for point in time prescriptions in the context of an encounter. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | GenericMedicationStatement | 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 | |||||
| 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 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. | ||||
| medication[x] |
Σ | 1..1 | Reference(Medication - Represents Medication For Opportunistic Infections) | What medication was taken | ||||
| subject |
Σ | 1..1 | Reference(Patient) | Who is/was taking the medication | ||||
| context |
Σ | 1..1 | Reference(Encounter - Initiated By The Facility Providing the Service) | Encounter / Episode associated with MedicationStatement | ||||
| effective[x] |
Σ | 1..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| 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 for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being 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 | |||||
| coding |
0..* | StrictCoding | A reference to a code defined by a terminology system | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference |
S | 0..1 | Reference(Observation - Cotrimoxazole Preventive Therapy | Observation - Fluconazole Preventive Therapy) | Used for indicating the reason for point in time prescriptions in the context of an encounter. | ||||
| note |
0..* | Annotation | Further information about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesfrom the FHIR Standard | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryfrom the FHIR Standard | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 GenericMedicationStatement
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Differential View
This structure is derived from GenericMedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement |
GenericMedicationStatement | |||
| medication[x] |
1..1 | Reference(Medication - Represents Medication For Opportunistic Infections) | What medication was taken | |
| reasonReference |
S | 0..1 | Reference(Observation - Cotrimoxazole Preventive Therapy | Observation - Fluconazole Preventive Therapy) | Used for indicating the reason for point in time prescriptions in the context of an encounter. |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement |
0..* | GenericMedicationStatement | 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. |
| medication[x] |
Σ | 1..1 | Reference(Medication - Represents Medication For Opportunistic Infections) | What medication was taken |
| subject |
Σ | 1..1 | Reference(Patient) | Who is/was taking the medication |
| context |
Σ | 1..1 | Reference(Encounter - Initiated By The Facility Providing the Service) | Encounter / Episode associated with MedicationStatement |
| effective[x] |
Σ | 1..1 | The date/time or interval when the medication is/was/will be taken | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| reasonReference |
S | 0..1 | Reference(Observation - Cotrimoxazole Preventive Therapy | Observation - Fluconazole Preventive Therapy) | Used for indicating the reason for point in time prescriptions in the context of an encounter. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | GenericMedicationStatement | 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 | |||||
| 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 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. | ||||
| medication[x] |
Σ | 1..1 | Reference(Medication - Represents Medication For Opportunistic Infections) | What medication was taken | ||||
| subject |
Σ | 1..1 | Reference(Patient) | Who is/was taking the medication | ||||
| context |
Σ | 1..1 | Reference(Encounter - Initiated By The Facility Providing the Service) | Encounter / Episode associated with MedicationStatement | ||||
| effective[x] |
Σ | 1..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| 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 for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being 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 | |||||
| coding |
0..* | StrictCoding | A reference to a code defined by a terminology system | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference |
S | 0..1 | Reference(Observation - Cotrimoxazole Preventive Therapy | Observation - Fluconazole Preventive Therapy) | Used for indicating the reason for point in time prescriptions in the context of an encounter. | ||||
| note |
0..* | Annotation | Further information about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesfrom the FHIR Standard | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryfrom the FHIR Standard | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 GenericMedicationStatement
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron