CH EMED (R4)
2.1.0 - STU 3 Ballot
CH EMED (R4)
2.1.0 - STU 3 Ballot
This page is part of the CH EMED (R4) (v2.1.0: STU 3) based on FHIR R4. . 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-treatmentplan | Version: 2.1.0 | |||
| Active as of 2022-07-07 | Computable Name: CHEMEDMedicationStatementTreatmentPlan | |||
Copyright/Legal: CC-BY-SA-4.0 |
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Definition of the medication statement for the Medication Treatment Plan document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDMedicationStatement
This structure is derived from CHEMEDMedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (Medication Treatment Plan document) | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  ch-emed-ext-substitution | 0..1 | CodeableConcept | Substitution URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement | I | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (Medication Treatment Plan document) | ||||
 id | Σ | 0..1 | string | 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..1 | Resource | Medication inline resource | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ch-emed-ext-substitution | 0..1 | CodeableConcept | Substitution URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
 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 | ||||
| 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. Fixed Value: completed | ||||
| 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 | Σ | 1..1 | Reference(CH EMED Medication) | 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 | ΣI | 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 | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode | 0..1 | 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 | Σ | 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..1 | Annotation | Annotation | |||||
 Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
  dosage:nonstructured | 0..1 | CHEMEDDosageNonStructured | Free text dosage instructions | |||||
| dosage:structurednormal | 0..1 | CHEMEDDosageStructuredNormal | Structured Normal Dosing | |||||
| dosage:structuredsplit | 0..* | CHEMEDDosageStructuredSplit | Structured Split Dosing | |||||
| Documentation for this format | ||||||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | I | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (Medication Treatment Plan document) |
| Documentation for this format | ||||
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 (Medication Treatment Plan document) | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ch-emed-ext-substitution | 0..1 | CodeableConcept | Substitution URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement | I | 0..* | CHEMEDMedicationStatement | CH EMED MedicationStatement (Medication Treatment Plan document) | ||||
| id | Σ | 0..1 | string | 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..1 | Resource | Medication inline resource | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| ch-emed-ext-substitution | 0..1 | CodeableConcept | Substitution URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
| 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 | ||||
| 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. Fixed Value: completed | ||||
| 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 | Σ | 1..1 | Reference(CH EMED Medication) | 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 | ΣI | 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 | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode | 0..1 | 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 | Σ | 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..1 | Annotation | Annotation | |||||
| Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
| dosage:nonstructured | 0..1 | CHEMEDDosageNonStructured | Free text dosage instructions | |||||
| dosage:structurednormal | 0..1 | CHEMEDDosageStructuredNormal | Structured Normal Dosing | |||||
| dosage:structuredsplit | 0..* | CHEMEDDosageStructuredSplit | Structured Split Dosing | |||||
| Documentation for this format | ||||||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| MedicationStatement.language | preferred | CommonLanguages Max Binding: AllLanguages |
| MedicationStatement.identifier.use | required | IdentifierUse |
| MedicationStatement.identifier.type | extensible | Identifier Type Codes |
| MedicationStatement.status | required | Fixed Value: completed |
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes |
| MedicationStatement.category | preferred | Medication usage category codes |
| MedicationStatement.subject.type | extensible | ResourceType |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |
| Id | Grade | Path | Details | Requirements |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Best Practice | MedicationStatement | A resource should have narrative for robust management : text.`div`.exists() | |
| ch-dosage-1 | error | MedicationStatement | If dosing is structured it must be normal or split dosing : dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-normal')).count()=0 or dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split')).count()=0 | |
| ch-dosage-4 | error | MedicationStatement | Provide dosage structured or unstructured, combination is not allowed (provide structured dosage if possible) : dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-nonstructured')).count()=0 or (dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-normal')).count()=0 and dosage.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-structured-split')).count()=0) | |
| ele-1 | error | MedicationStatement.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | MedicationStatement.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | MedicationStatement.extension:substitution | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | MedicationStatement.extension:substitution | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | MedicationStatement.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | MedicationStatement.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | MedicationStatement.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.identifier.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | MedicationStatement.identifier.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | MedicationStatement.identifier.use | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.identifier.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.identifier.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.identifier.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.identifier.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.identifier.assigner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.medication[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.medication[x]:medicationReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.subject.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | MedicationStatement.subject.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | MedicationStatement.subject.reference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.subject.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.subject.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.subject.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.context | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.effective[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.dateAsserted | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.informationSource | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.derivedFrom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.reasonCode.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | MedicationStatement.reasonCode.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | MedicationStatement.reasonCode.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.reasonCode.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.dosage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.dosage:nonstructured | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.dosage:structurednormal | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | MedicationStatement.dosage:structuredsplit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |