| Left: | Medication Statement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips) | 
| Right: | MedicationStatement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips) | 
| Error | StructureDefinition.version | Values for version differ: '2.0.0-ballot' vs '2.0.0' | 
| Information | StructureDefinition.title | Values for title differ: 'Medication Statement (IPS)' vs 'MedicationStatement (IPS)' | 
| Information | StructureDefinition.definition | Values for definition differ: 'Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.' vs 'Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability, it is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.' | 
| Information | StructureDefinition.short | Values for short differ: 'Concept - reference to a terminology or just text' vs 'How drug should enter body' | 
| Information | StructureDefinition.definition | Values for definition differ: 'A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.' vs 'How drug should enter body.' | 
| Information | MedicationStatement.dosage.route | Example/preferred bindings differ at MedicationStatement.dosage.route using binding from MedicationStatementIPS | 
| Name | Value | Comments | |
|---|---|---|---|
|  abstract | false | ||
|  baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationStatement | ||
|  copyright | |||
|  date | 2024-06-19T10:50:07-05:00 | ||
|  description | This profile represents the constraints applied to the MedicationStatement resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication statement is represented in the patient summary as an instance of a MedicationStatement resource constrained by this profile. | ||
|  experimental | |||
|  fhirVersion | 4.0.1 | ||
|  jurisdiction | |||
|   jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
|  kind | resource | ||
|  name | MedicationStatementIPS | ||
|  publisher | HL7 International / Patient Care | ||
|  purpose | This profile constrains the representation of a medication statement related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International. | ||
|  status | active | ||
|  title | Medication Statement (IPS) | MedicationStatement (IPS) | 
 | 
|  type | MedicationStatement | ||
|  url | http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips | ||
|  version | 2.0.0-ballot | 2.0.0 | 
 | 
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | 0..* | MedicationStatement | Record of medication being taken by a patient | |||||||||||
|    id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
|    language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
 | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
 | |||||||||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 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 | 0..* | Resource | Contained, inline Resources | |||||||||||
|    extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
|    identifier | Σ | 0..* | Identifier | External identifier | Σ | 0..* | Identifier | External identifier | |||||||||
|    basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||||||
|    partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | 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: ?? (required): A coded concept indicating the current status of a MedicationStatement. | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement. | |||||||||
|    statusReason | 0..* | CodeableConcept | Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement. | 0..* | CodeableConcept | Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement. | |||||||||||
|    category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||||||
|    medication[x] | SΣ | 1..1 | ??, Reference(Medication (IPS)) | What medication was taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication | SOΣ | 1..1 | ??, Reference(Medication (IPS)) | What medication was taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication 
 | |||||||||
|    subject | SΣ | 1..1 | Reference(Patient (IPS)) | Who is/was taking the medication | SOΣ | 1..1 | Reference(Patient (IPS)) | Who is/was taking  the medication 
 | |||||||||
|     id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|     Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
|     reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL 
 | |||||||||
|     type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
|     identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
|     display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource | |||||||||
|    context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||||||
|    effective[x] | SΣ | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken | SOΣ | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this 
 | |||||||||
|     id | 0..1 | string | Unique id for inter-element referencing | 
 | |||||||||||||
|     Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 
 | |||||||||||||
|    dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | 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 | 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 | 0..* | Reference(Resource) | Additional supporting information | |||||||||||
|    reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken. | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: ?? (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 | 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 | 0..* | Annotation | Further information about the statement | |||||||||||
|    dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken | SO | 0..* | Dosage | Details of how medication is/was taken or should be taken 
 | |||||||||
|     id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|     Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
|     sequence | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions | |||||||||
|     text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG 
 | |||||||||
|     additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||||||
|     patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions | |||||||||
|     timing | SΣ | 0..1 | Timing | When medication should be administered | SOΣ | 0..1 | Timing | When medication should be administered 
 | |||||||||
|     asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||||||
|     site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||
|     route | 0..1 | ?? | Concept - reference to a terminology or just  text Binding: ?? (preferred): EDQM Standards Terms | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred): SNOMED Route Terms 
 | 
 | |||||||||
|     method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | |||||||||
|     doseAndRate | Σ | 0..* | Element | Amount of medication administered | Σ | 0..* | Element | Amount of medication administered | |||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|      Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
|      type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | |||||||||
|      dose[x] | Σ | 0..1 | Range, ?? | Amount of medication per dose | Σ | 0..1 | Range, ?? | Amount of medication per dose | |||||||||
|      rate[x] | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | |||||||||
|     maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||
|     maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..1 | ?? | Upper limit on medication per administration | |||||||||
|     maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | |||||||||
|  Documentation for this format | |||||||||||||||||