Healthy Route Implementation Guide, published by Savannah Informatics. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/healthy-route-ig/ and changes regularly. See the Directory of published versions
Resource Profile: Healthy Route Reported Medicine
| Official URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-medication-statement | Version: 0.1.0 | |||
| Draft as of 2026-10-11 | Computable Name: HRMedicationStatement | |||
One medicine the participant reports taking at the time of the visit.
The hypertension flag reads the medication list for current antihypertensive treatment, so the medicine must be coded against a catalogue whose entries carry a therapeutic class. Free text would leave the flag unanswerable.
Usages:
- Examples for this Profile: MedicationStatement/ExampleMedicineAmlodipine
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement. | |
 medication |
1..1 | CodeableReference(Medication) | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |
  concept |
1..1 | CodeableConcept | The catalogue entry | |
| subject |
1..1 | Reference(Healthy Route Patient) | Who is/was taking the medication | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Encounter associated with MedicationStatement | |
| dateAsserted |
1..1 | dateTime | When the usage was asserted? | |
| reason |
0..* | CodeableReference(Healthy Route Reported Condition | Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report) | What the participant takes it for, in their words Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |
| note |
0..* | Annotation | Further information about the usage | |
 dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| timing |
0..1 | Timing | When medication should be administered | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | How often Binding: Medicine Frequency Value Set (extensible) | |
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Medicine Route Value Set (extensible) | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | MedicationStatement Status Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.medication | Base | example | SNOMED CT Medication Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.code | Base | extensible | Medicine Frequency Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.route | Base | extensible | Medicine Route Value Set | 📦0.1.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
 status |
1..1 | code | recorded | entered-in-error | draft | |
| medication |
1..1 | CodeableReference(Medication) | What medication was taken | |
| concept |
1..1 | CodeableConcept | The catalogue entry | |
| subject |
1..1 | Reference(Healthy Route Patient) | Who is/was taking the medication | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Encounter associated with MedicationStatement | |
| dateAsserted |
1..1 | dateTime | When the usage was asserted? | |
| reason |
0..* | CodeableReference(Healthy Route Reported Condition | Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report) | What the participant takes it for, in their words | |
| note |
0..* | Annotation | Further information about the usage | |
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |
| timing |
0..1 | Timing | When medication should be administered | |
| code |
0..1 | CodeableConcept | How often Binding: Medicine Frequency Value Set (extensible) | |
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Medicine Route Value Set (extensible) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.dosage.timing.code | Base | extensible | Medicine Frequency Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.route | Base | extensible | Medicine Route Value Set | 📦0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |||||
| 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: AllLanguages (required): IETF language tag for 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External identifier | |||||
| partOf |
0..* | Reference(Procedure | MedicationStatement) | Part of referenced event | |||||
| status |
1..1 | code | recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement. | |||||
| category |
0..* | CodeableConcept | Type of medication statement Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||
| medication |
1..1 | CodeableReference(Medication) | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| concept |
1..1 | CodeableConcept | The catalogue entry | |||||
| reference |
0..1 | Reference() | Reference to a resource (by instance) | |||||
| subject |
1..1 | Reference(Healthy Route Patient) | Who is/was taking the medication | |||||
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Encounter associated with MedicationStatement | |||||
 effective[x] |
0..1 | The date/time or interval when the medication is/was/will be taken | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| dateAsserted |
1..1 | dateTime | When the usage was asserted? | |||||
| informationSource |
0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Link to information used to derive the MedicationStatement | |||||
| reason |
0..* | CodeableReference(Healthy Route Reported Condition | Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report) | What the participant takes it for, in their words Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |||||
| note |
0..* | Annotation | Further information about the usage | |||||
| relatedClinicalInformation |
0..* | Reference(Observation | Condition) | Link to information relevant to the usage of a medication | |||||
| renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | When medication should be administered | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| event |
0..* | dateTime | When the event occurs | |||||
| repeat |
C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| bounds[x] |
0..1 | Length/Range of lengths, or (Start and/or end) limits | ||||||
| boundsDuration |
Duration | |||||||
| boundsRange |
Range | |||||||
| boundsPeriod |
Period | |||||||
| count |
C | 0..1 | positiveInt | Number of times to repeat | ||||
| countMax |
C | 0..1 | positiveInt | Maximum number of times to repeat | ||||
| duration |
C | 0..1 | decimal | How long when it happens | ||||
| durationMax |
C | 0..1 | decimal | How long when it happens (Max) | ||||
| durationUnit |
C | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| frequency |
0..1 | positiveInt | Indicates the number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | |||||
| frequencyMax |
0..1 | positiveInt | Event occurs up to frequencyMax times per period | |||||
| period |
C | 0..1 | decimal | The duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
| periodMax |
C | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
| periodUnit |
C | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| dayOfWeek |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | |||||
| timeOfDay |
C | 0..* | time | Time of day for action | ||||
| when |
C | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real-world event relating to the schedule. | ||||
| offset |
C | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
| code |
0..1 | CodeableConcept | How often Binding: Medicine Frequency Value Set (extensible) | |||||
| asNeeded |
C | 0..1 | boolean | Take "as needed" | ||||
| asNeededFor |
C | 0..* | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Medicine Route Value Set (extensible) | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | Element | Amount of medication administered, to be administered or typical amount to be administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..* | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(5.0.0) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(5.0.0) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| adherence |
0..1 | BackboneElement | Indicates whether the medication is or is not being consumed or administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Type of adherence Binding: MedicationStatementAdherenceCodes (example) | |||||
| reason |
0..1 | CodeableConcept | Details of the reason for the current use of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example) | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| MedicationStatement.status | Base | required | MedicationStatement Status Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.medication | Base | example | SNOMED CT Medication Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.dayOfWeek | Base | required | Days Of Week | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.when | Base | required | EventTiming | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.code | Base | extensible | Medicine Frequency Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.asNeededFor | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.route | Base | extensible | Medicine Route Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.doseAndRate.type | Base | example | DoseAndRateType | 📦2.0.0 | THO v7.4 |
| MedicationStatement.adherence.code | Base | example | MedicationStatement Adherence Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.adherence.reason | Base | example | SNOMED CT Drug Therapy Status codes | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from MedicationStatement
Summary
Mandatory: 5 elements
Must-Support: 13 elements
Structures
This structure refers to these other structures:
- Healthy Route Patient (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-patient)
- Healthy Route Screening Visit (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-encounter)
- Healthy Route Reported Condition (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-condition)
- Healthy Route Measurement (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-observation)
- Healthy Route Blood Pressure (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-blood-pressure)
- Healthy Route Laboratory Report (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-diagnostic-report)
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement. | |
| medication |
1..1 | CodeableReference(Medication) | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |
| concept |
1..1 | CodeableConcept | The catalogue entry | |
| subject |
1..1 | Reference(Healthy Route Patient) | Who is/was taking the medication | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Encounter associated with MedicationStatement | |
| dateAsserted |
1..1 | dateTime | When the usage was asserted? | |
| reason |
0..* | CodeableReference(Healthy Route Reported Condition | Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report) | What the participant takes it for, in their words Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |
| note |
0..* | Annotation | Further information about the usage | |
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| timing |
0..1 | Timing | When medication should be administered | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | How often Binding: Medicine Frequency Value Set (extensible) | |
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Medicine Route Value Set (extensible) | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | MedicationStatement Status Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.medication | Base | example | SNOMED CT Medication Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.code | Base | extensible | Medicine Frequency Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.route | Base | extensible | Medicine Route Value Set | 📦0.1.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
| status |
1..1 | code | recorded | entered-in-error | draft | |
| medication |
1..1 | CodeableReference(Medication) | What medication was taken | |
| concept |
1..1 | CodeableConcept | The catalogue entry | |
| subject |
1..1 | Reference(Healthy Route Patient) | Who is/was taking the medication | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Encounter associated with MedicationStatement | |
| dateAsserted |
1..1 | dateTime | When the usage was asserted? | |
| reason |
0..* | CodeableReference(Healthy Route Reported Condition | Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report) | What the participant takes it for, in their words | |
| note |
0..* | Annotation | Further information about the usage | |
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |
| timing |
0..1 | Timing | When medication should be administered | |
| code |
0..1 | CodeableConcept | How often Binding: Medicine Frequency Value Set (extensible) | |
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Medicine Route Value Set (extensible) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.dosage.timing.code | Base | extensible | Medicine Frequency Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.route | Base | extensible | Medicine Route Value Set | 📦0.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |||||
| 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: AllLanguages (required): IETF language tag for 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External identifier | |||||
| partOf |
0..* | Reference(Procedure | MedicationStatement) | Part of referenced event | |||||
| status |
1..1 | code | recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement. | |||||
| category |
0..* | CodeableConcept | Type of medication statement Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||
| medication |
1..1 | CodeableReference(Medication) | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| concept |
1..1 | CodeableConcept | The catalogue entry | |||||
| reference |
0..1 | Reference() | Reference to a resource (by instance) | |||||
| subject |
1..1 | Reference(Healthy Route Patient) | Who is/was taking the medication | |||||
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Encounter associated with MedicationStatement | |||||
| effective[x] |
0..1 | The date/time or interval when the medication is/was/will be taken | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| dateAsserted |
1..1 | dateTime | When the usage was asserted? | |||||
| informationSource |
0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Link to information used to derive the MedicationStatement | |||||
| reason |
0..* | CodeableReference(Healthy Route Reported Condition | Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report) | What the participant takes it for, in their words Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |||||
| note |
0..* | Annotation | Further information about the usage | |||||
| relatedClinicalInformation |
0..* | Reference(Observation | Condition) | Link to information relevant to the usage of a medication | |||||
| renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | When medication should be administered | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| event |
0..* | dateTime | When the event occurs | |||||
| repeat |
C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| bounds[x] |
0..1 | Length/Range of lengths, or (Start and/or end) limits | ||||||
| boundsDuration |
Duration | |||||||
| boundsRange |
Range | |||||||
| boundsPeriod |
Period | |||||||
| count |
C | 0..1 | positiveInt | Number of times to repeat | ||||
| countMax |
C | 0..1 | positiveInt | Maximum number of times to repeat | ||||
| duration |
C | 0..1 | decimal | How long when it happens | ||||
| durationMax |
C | 0..1 | decimal | How long when it happens (Max) | ||||
| durationUnit |
C | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| frequency |
0..1 | positiveInt | Indicates the number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | |||||
| frequencyMax |
0..1 | positiveInt | Event occurs up to frequencyMax times per period | |||||
| period |
C | 0..1 | decimal | The duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
| periodMax |
C | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
| periodUnit |
C | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| dayOfWeek |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | |||||
| timeOfDay |
C | 0..* | time | Time of day for action | ||||
| when |
C | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real-world event relating to the schedule. | ||||
| offset |
C | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
| code |
0..1 | CodeableConcept | How often Binding: Medicine Frequency Value Set (extensible) | |||||
| asNeeded |
C | 0..1 | boolean | Take "as needed" | ||||
| asNeededFor |
C | 0..* | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Medicine Route Value Set (extensible) | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | Element | Amount of medication administered, to be administered or typical amount to be administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..* | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(5.0.0) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(5.0.0) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| adherence |
0..1 | BackboneElement | Indicates whether the medication is or is not being consumed or administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Type of adherence Binding: MedicationStatementAdherenceCodes (example) | |||||
| reason |
0..1 | CodeableConcept | Details of the reason for the current use of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example) | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| MedicationStatement.status | Base | required | MedicationStatement Status Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.medication | Base | example | SNOMED CT Medication Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.dayOfWeek | Base | required | Days Of Week | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.repeat.when | Base | required | EventTiming | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.timing.code | Base | extensible | Medicine Frequency Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.asNeededFor | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.route | Base | extensible | Medicine Route Value Set | 📦0.1.0 | This IG |
| MedicationStatement.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.dosage.doseAndRate.type | Base | example | DoseAndRateType | 📦2.0.0 | THO v7.4 |
| MedicationStatement.adherence.code | Base | example | MedicationStatement Adherence Codes | 📍5.0.0 | FHIR Std. |
| MedicationStatement.adherence.reason | Base | example | SNOMED CT Drug Therapy Status codes | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from MedicationStatement
Summary
Mandatory: 5 elements
Must-Support: 13 elements
Structures
This structure refers to these other structures:
- Healthy Route Patient (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-patient)
- Healthy Route Screening Visit (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-encounter)
- Healthy Route Reported Condition (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-condition)
- Healthy Route Measurement (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-observation)
- Healthy Route Blood Pressure (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-blood-pressure)
- Healthy Route Laboratory Report (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-diagnostic-report)
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron