CH EMED (R4)
5.0.0-ballot - ballot
This page is part of the CH EMED (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement-card | Version: 5.0.0-ballot | |||
Active as of 2024-05-16 | Computable Name: CHEMEDMedicationStatementCard | |||
Copyright/Legal: CC0-1.0 |
Definition of the medication statement for the medication card document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDMedicationStatement
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (CARD) | |
Slices for extension | Content/Rules for all slices | |||
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
lastConsideredDocument | 0..1 | Identifier | Identifier of the last considered document for consolidating this MedicationStatement URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document | |
Slices for medication[x] | Content/Rules for all slices | |||
medication[x]:medicationReference | S | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The "last" author of the medical decision, see also 'Guidance - Authorship' | |
reasonCode | ||||
text | S | 0..1 | string | Plain text representation of the concept |
note | 0..* | Annotation | Annotation comment | |
dosage | S | 1..* | CHCoreDosage | How the medication should be taken |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | C | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (CARD) ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
contained | 1..* | Resource | Contained, inline Resources | |
Slices for extension | Content/Rules for all slices | |||
substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
lastConsideredDocument | 0..1 | Identifier | Identifier of the last considered document for consolidating this MedicationStatement URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
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. |
Slices for medication[x] | Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this |
medication[x]:medicationReference | SΣ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
subject | Σ | 1..1 | Reference(CH Core Patient) | Patient |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? |
informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The "last" author of the medical decision, see also 'Guidance - Authorship' | |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
reasonCode | 0..* | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |
text | SΣ | 0..1 | string | Plain text representation of the concept |
note | 0..* | Annotation | Annotation comment | |
Slices for dosage | S | 1..* | CHCoreDosage | How the medication should be taken Slice: Unordered, Closed by profile:$this |
dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction ch-dosage-4: For split dosage timing event and dose/rate are required |
dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | |
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-dosage-medstat | error | MedicationStatement | If one dosage element is present, it should not have a sequence number.
If more than one dosage element is present, the base entry has the sequence number 1. : (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not()) | |
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 | C | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (CARD) ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. | ||||
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 | 1..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
lastConsideredDocument | 0..1 | Identifier | Identifier of the last considered document for consolidating this MedicationStatement URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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. | ||||
Slices for medication[x] | Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this | ||||
medication[x]:medicationReference | SΣ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | ||||
subject | Σ | 1..1 | Reference(CH Core Patient) | Patient | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (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 | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? | ||||
informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The "last" author of the medical decision, see also 'Guidance - Authorship' | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (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 | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
reasonCode | 0..* | CodeableConcept | Treatment reason 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 | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
note | 0..* | Annotation | Annotation comment | |||||
Slices for dosage | S | 1..* | CHCoreDosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | ||||
dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction ch-dosage-4: For split dosage timing event and dose/rate are required | ||||
dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
MedicationStatement.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | ||||
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard | ||||
MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard | ||||
MedicationStatement.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationStatement.informationSource.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-dosage-medstat | error | MedicationStatement | If one dosage element is present, it should not have a sequence number.
If more than one dosage element is present, the base entry has the sequence number 1. : (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not()) | |
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 CHEMEDMedicationStatement
Differential View
This structure is derived from CHEMEDMedicationStatement
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (CARD) | |
Slices for extension | Content/Rules for all slices | |||
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
lastConsideredDocument | 0..1 | Identifier | Identifier of the last considered document for consolidating this MedicationStatement URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document | |
Slices for medication[x] | Content/Rules for all slices | |||
medication[x]:medicationReference | S | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The "last" author of the medical decision, see also 'Guidance - Authorship' | |
reasonCode | ||||
text | S | 0..1 | string | Plain text representation of the concept |
note | 0..* | Annotation | Annotation comment | |
dosage | S | 1..* | CHCoreDosage | How the medication should be taken |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationStatement | C | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (CARD) ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
contained | 1..* | Resource | Contained, inline Resources | |
Slices for extension | Content/Rules for all slices | |||
substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
lastConsideredDocument | 0..1 | Identifier | Identifier of the last considered document for consolidating this MedicationStatement URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
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. |
Slices for medication[x] | Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this |
medication[x]:medicationReference | SΣ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
subject | Σ | 1..1 | Reference(CH Core Patient) | Patient |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? |
informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The "last" author of the medical decision, see also 'Guidance - Authorship' | |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
reasonCode | 0..* | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |
text | SΣ | 0..1 | string | Plain text representation of the concept |
note | 0..* | Annotation | Annotation comment | |
Slices for dosage | S | 1..* | CHCoreDosage | How the medication should be taken Slice: Unordered, Closed by profile:$this |
dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction ch-dosage-4: For split dosage timing event and dose/rate are required |
dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | |
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-dosage-medstat | error | MedicationStatement | If one dosage element is present, it should not have a sequence number.
If more than one dosage element is present, the base entry has the sequence number 1. : (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not()) | |
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 | C | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (CARD) ch-dosage-medstat: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. | ||||
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 | 1..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
treatmentPlan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | "Last" author of the original document if different from the author of the medical decision (MedicationStatement.informationSource), see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
lastConsideredDocument | 0..1 | Identifier | Identifier of the last considered document for consolidating this MedicationStatement URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-last-considered-document | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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. | ||||
Slices for medication[x] | Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this | ||||
medication[x]:medicationReference | SΣ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | ||||
subject | Σ | 1..1 | Reference(CH Core Patient) | Patient | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (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 | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? | ||||
informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The "last" author of the medical decision, see also 'Guidance - Authorship' | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (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 | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
reasonCode | 0..* | CodeableConcept | Treatment reason 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 | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
note | 0..* | Annotation | Annotation comment | |||||
Slices for dosage | S | 1..* | CHCoreDosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | ||||
dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction ch-dosage-4: For split dosage timing event and dose/rate are required | ||||
dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
MedicationStatement.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard | ||||
MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard | ||||
MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard | ||||
MedicationStatement.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationStatement.informationSource.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-dosage-4 | error | MedicationStatement.dosage:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-dosage-medstat | error | MedicationStatement | If one dosage element is present, it should not have a sequence number.
If more than one dosage element is present, the base entry has the sequence number 1. : (dosage.count() > 1 implies dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage') and sequence = 1).exists()) and (dosage.count() = 1 implies dosage.single().sequence.exists().not()) | |
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 CHEMEDMedicationStatement
Other representations of profile: CSV, Excel, Schematron