HL7 Europe Base and Core FHIR IG
2.0.0 - trial-use 150

HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/patrick-werner/base/ and changes regularly. See the Directory of published versions

## Resource Profile: MedicationStatement (EU core)

Official URL: http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core | Version: 2.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: MedicationStatementEuCore
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile introduces essential constraints and extensions for the MedicationStatement resource that apply across multiple use cases.

Usages:

- Examples for this Profile: MedicationStatement/example-medicationstatement-eucore

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
implicitRules | ?!Σ | 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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
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
identifier | Σ | 0..* | Identifier | Medication Statement Identifier
status | ?!Σ | 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 | Σ | 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.
Additional Bindings | Purpose
Medication Intended Use | Preferred
medication[x] | Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (EU core)) |
subject | Σ | 1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
Slices for effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period when the medication is/was or should be used.
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.
dosage |  | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
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.​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 | Medications - IPS | ⏿2.0.0 | tx.hl7europe.eu
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
language |  | 0..1 | code | Language of the statement
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
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 1..1 | Extension | Type of adherence.
identifier |  | 0..* | Identifier | Medication Statement Identifier
status |  | 1..1 | code | State of the medication
statusReason |  | 0..* | CodeableConcept | Reason for the 'exception' statuses of the medication
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.
Additional Bindings | Purpose
Medication Intended Use | Preferred
medication[x] |  | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (EU core)) |
subject |  | 1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
Slices for effective[x] |  | 0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod |  | 0..1 | Period | Period when the medication is/was or should be used.
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
note |  |  |  |
text |  | 1..1 | markdown | Textual note about the statement
dosage |  | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | example | Medications - IPS | ⏿2.0.0 | tx.hl7europe.eu

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | 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 statement Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ | 0..* | Identifier | Medication Statement 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 | 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 | Σ | 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.
Additional Bindings | Purpose
Medication Intended Use | Preferred
medication[x] | Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (EU core)) |
subject | Σ | 1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
Slices for effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period when the medication is/was or should be used.
dateAsserted | Σ | 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] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Textual note about the statement
dosage |  | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
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.​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 | Medications - IPS | ⏿2.0.0 | tx.hl7europe.eu
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationStatement

Summary

Structures

This structure refers to these other structures:

- Medication (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core)
- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
- Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
- PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
- Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationStatement.effective[x]

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
implicitRules | ?!Σ | 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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
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
identifier | Σ | 0..* | Identifier | Medication Statement Identifier
status | ?!Σ | 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 | Σ | 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.
Additional Bindings | Purpose
Medication Intended Use | Preferred
medication[x] | Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (EU core)) |
subject | Σ | 1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
Slices for effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period when the medication is/was or should be used.
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.
dosage |  | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
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.​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 | Medications - IPS | ⏿2.0.0 | tx.hl7europe.eu
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
language |  | 0..1 | code | Language of the statement
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
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 1..1 | Extension | Type of adherence.
identifier |  | 0..* | Identifier | Medication Statement Identifier
status |  | 1..1 | code | State of the medication
statusReason |  | 0..* | CodeableConcept | Reason for the 'exception' statuses of the medication
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.
Additional Bindings | Purpose
Medication Intended Use | Preferred
medication[x] |  | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (EU core)) |
subject |  | 1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
Slices for effective[x] |  | 0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod |  | 0..1 | Period | Period when the medication is/was or should be used.
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
note |  |  |  |
text |  | 1..1 | markdown | Textual note about the statement
dosage |  | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📦4.0.1 | FHIR Std.
MedicationStatement.​medication[x] | Base | example | Medications - IPS | ⏿2.0.0 | tx.hl7europe.eu

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | 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 statement Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ | 0..* | Identifier | Medication Statement 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 | 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 | Σ | 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.
Additional Bindings | Purpose
Medication Intended Use | Preferred
medication[x] | Σ | 1..1 |  | What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication (EU core)) |
subject | Σ | 1..1 | Reference(Patient (EU core) | Group) | Who is/was taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
Slices for effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period when the medication is/was or should be used.
dateAsserted | Σ | 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] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Textual note about the statement
dosage |  | 0..* | Dosage | Details of how medication is/was taken or should be taken.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
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.​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 | Medications - IPS | ⏿2.0.0 | tx.hl7europe.eu
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationStatement

Summary

Structures

This structure refers to these other structures:

- Medication (EU core) (http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core)
- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
- Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
- PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
- Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationStatement.effective[x]

Maturity: 2

Other representations of profile: CSV, Excel, Schematron