This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: PADV Changed MedicationStatement

Definition of the changed medication statement for the pharmaceutical advice document

Usage:

• Refer to this Resource Profile: PML Observation and PADV Observation
• Examples for this Resource Profile: MedicationStatement/MedicationStatementTriatecPadv

Formal Views of Profile Content

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

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

This structure is derived from CHEMEDMedicationStatementChanged

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement			CHEMEDMedicationStatementChanged
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension:substitution		0..1	CHEMEDExtSubstitution	Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
id	D	0..1	string	✕ This element is not supported
value[x]:valueCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required)
extension	D	0..*	Extension	✕ This element is not supported
coding		1..*	Coding	Code defined by a terminology system
modifierExtension		0..0
identifier
extension	D	0..*	Extension	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
basedOn	D	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	✕ This element will be removed in PML(C) documents
status		1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Required Pattern: active
statusReason	D	0..*	CodeableConcept	✕ This element is not supported
category	D	0..1	CodeableConcept	✕ This element is not supported
medication[x]		1..1	Reference(Medication)	What medication was taken
medication[x]:medicationReference		0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication
subject		1..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element will be removed in PML(C) documents
effective[x]	D	0..1	dateTime, Period	✕ Do not use. The effective period is contained in the main dosage
derivedFrom	D	0..*	Reference(Resource)	✕ This element will be removed in PML(C) documents
reasonCode		0..1	CodeableConcept	The treatment reason(s) as text, and optionally coded
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the treatment reason(s)
reasonReference	D	0..*	Reference(Condition | Observation | DiagnosticReport)	✕ This element will be removed in PML(C) documents
note
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
author[x]	D	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	✕ The note author is ignored, as it cannot be different than the document and/or entry's author
time	D	0..1	dateTime	✕ This element is not supported
text		1..1	markdown	The annotation text content (as raw text, no markdown allowed).
dosage:baseEntry		1..1	CHEMEDEPRDosage	CH EMED Dosage (MedicationStatement / MedicationDispense)
dosage:additionalEntry		0..*	CHEMEDEPRDosageSplit	CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.extension:substitution.value[x]:valueCodeableConcept	required	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	CHEMEDMedicationStatementChanged	CH EMED MedicationStatement Changed (PADV)
contained		1..*	Resource	Contained, inline Resources
substitution		0..1	CodeableConcept	Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred)
id		0..1	string	✕ This element is not supported
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required)
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
identifier	Σ	1..1	Identifier	MedicationStatement Identifier
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported 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	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	✕ This element will be removed in PML(C) documents
partOf	Σ	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
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. Required Pattern: active
statusReason		0..*	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	✕ This element is not supported 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(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication
subject	Σ	1..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element will be removed in PML(C) documents
effective[x]	Σ	0..1		✕ Do not use. The effective period is contained in the main dosage
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 author of the medical decision, see also 'Guidance - Authorship'
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
derivedFrom		0..*	Reference(Resource)	✕ This element will be removed in PML(C) documents
reasonCode		0..1	CodeableConcept	The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
text	Σ	1..1	string	Plain text representation of the treatment reason(s)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	✕ This element will be removed in PML(C) documents
Slices for dosage		1..*	Dosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosage:baseEntry	C	1..1	CHEMEDEPRDosage	CH EMED Dosage (MedicationStatement / MedicationDispense)
dosage:additionalEntry		0..*	CHEMEDEPRDosageSplit	CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.extension:substitution.value[x]:valueCodeableConcept	required	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

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())
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		0..*	CHEMEDMedicationStatementChanged	CH EMED MedicationStatement Changed (PADV)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	✕ This element is not supported
lastUpdated	Σ	0..1	instant	✕ This element is not supported
source	Σ	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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 the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred)
id		0..1	string	✕ This element is not supported
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
identifier	Σ	1..1	Identifier	MedicationStatement Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported 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	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	✕ This element will be removed in PML(C) documents
partOf	Σ	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
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. Required Pattern: active
statusReason		0..*	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	✕ This element is not supported 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(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication
subject	Σ	1..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported 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)	✕ This element will be removed in PML(C) documents
effective[x]	Σ	0..1		✕ Do not use. The effective period is contained in the main dosage
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 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)	✕ This element will be removed in PML(C) documents
reasonCode		0..1	CodeableConcept	The treatment reason(s) as text, and optionally coded 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	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the treatment reason(s)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	✕ This element will be removed in PML(C) documents
note		0..*	Annotation	Further information about the statement
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
author[x]	Σ	0..1		✕ The note author is ignored, as it cannot be different than the document and/or entry's author
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	✕ This element is not supported
text	Σ	1..1	markdown	The annotation text content (as raw text, no markdown allowed).
Slices for dosage		1..*	Dosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosage:baseEntry	C	1..1	CHEMEDEPRDosage	CH EMED Dosage (MedicationStatement / MedicationDispense)
dosage:additionalEntry		0..*	CHEMEDEPRDosageSplit	CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationStatement.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationStatement.extension:substitution.value[x]:valueCodeableConcept	required	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

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())
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 CHEMEDMedicationStatementChanged

Summary

Mandatory: 0 element (2 nested mandatory elements)
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)
• CH EMED EPR Medication (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• Dosage (MedicationStatement / MedicationDispense) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage)
• Dosage Split (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split)

Differential View

This structure is derived from CHEMEDMedicationStatementChanged

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement			CHEMEDMedicationStatementChanged
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension:substitution		0..1	CHEMEDExtSubstitution	Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized.
id	D	0..1	string	✕ This element is not supported
value[x]:valueCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required)
extension	D	0..*	Extension	✕ This element is not supported
coding		1..*	Coding	Code defined by a terminology system
modifierExtension		0..0
identifier
extension	D	0..*	Extension	✕ This element is not supported
type	D	0..1	CodeableConcept	✕ This element is not supported
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
basedOn	D	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	✕ This element will be removed in PML(C) documents
status		1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Required Pattern: active
statusReason	D	0..*	CodeableConcept	✕ This element is not supported
category	D	0..1	CodeableConcept	✕ This element is not supported
medication[x]		1..1	Reference(Medication)	What medication was taken
medication[x]:medicationReference		0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication
subject		1..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
context	D	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element will be removed in PML(C) documents
effective[x]	D	0..1	dateTime, Period	✕ Do not use. The effective period is contained in the main dosage
derivedFrom	D	0..*	Reference(Resource)	✕ This element will be removed in PML(C) documents
reasonCode		0..1	CodeableConcept	The treatment reason(s) as text, and optionally coded
extension	D	0..*	Extension	✕ This element is not supported
text		1..1	string	Plain text representation of the treatment reason(s)
reasonReference	D	0..*	Reference(Condition | Observation | DiagnosticReport)	✕ This element will be removed in PML(C) documents
note
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
author[x]	D	0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	✕ The note author is ignored, as it cannot be different than the document and/or entry's author
time	D	0..1	dateTime	✕ This element is not supported
text		1..1	markdown	The annotation text content (as raw text, no markdown allowed).
dosage:baseEntry		1..1	CHEMEDEPRDosage	CH EMED Dosage (MedicationStatement / MedicationDispense)
dosage:additionalEntry		0..*	CHEMEDEPRDosageSplit	CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.extension:substitution.value[x]:valueCodeableConcept	required	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	CHEMEDMedicationStatementChanged	CH EMED MedicationStatement Changed (PADV)
contained		1..*	Resource	Contained, inline Resources
substitution		0..1	CodeableConcept	Whether the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred)
id		0..1	string	✕ This element is not supported
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required)
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
identifier	Σ	1..1	Identifier	MedicationStatement Identifier
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported 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	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	✕ This element will be removed in PML(C) documents
partOf	Σ	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
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. Required Pattern: active
statusReason		0..*	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	✕ This element is not supported 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(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication
subject	Σ	1..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	✕ This element will be removed in PML(C) documents
effective[x]	Σ	0..1		✕ Do not use. The effective period is contained in the main dosage
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 author of the medical decision, see also 'Guidance - Authorship'
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
derivedFrom		0..*	Reference(Resource)	✕ This element will be removed in PML(C) documents
reasonCode		0..1	CodeableConcept	The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
text	Σ	1..1	string	Plain text representation of the treatment reason(s)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	✕ This element will be removed in PML(C) documents
Slices for dosage		1..*	Dosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosage:baseEntry	C	1..1	CHEMEDEPRDosage	CH EMED Dosage (MedicationStatement / MedicationDispense)
dosage:additionalEntry		0..*	CHEMEDEPRDosageSplit	CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.extension:substitution.value[x]:valueCodeableConcept	required	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

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())
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		0..*	CHEMEDMedicationStatementChanged	CH EMED MedicationStatement Changed (PADV)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	✕ This element is not supported
lastUpdated	Σ	0..1	instant	✕ This element is not supported
source	Σ	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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 the dispenser can substitute the prescribed medicine/package by another that is deemed equivalent, for medical or logistical reasons. By default, substitution is authorized. URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred)
id		0..1	string	✕ This element is not supported
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
identifier	Σ	1..1	Identifier	MedicationStatement Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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	✕ This element is not supported 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	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element will be removed in PML(C) documents
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	✕ This element will be removed in PML(C) documents
partOf	Σ	1..1	Reference(CH EMED Observation (PADV)) {r, b}	Reference to the Observation from type 'CHANGE'
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. Required Pattern: active
statusReason		0..*	CodeableConcept	✕ This element is not supported Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	✕ This element is not supported 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(Medication)	What medication was taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication
subject	Σ	1..1	Reference(CH EMED EPR Patient) {r, b}	Patient
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported 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)	✕ This element will be removed in PML(C) documents
effective[x]	Σ	0..1		✕ Do not use. The effective period is contained in the main dosage
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 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)	✕ This element will be removed in PML(C) documents
reasonCode		0..1	CodeableConcept	The treatment reason(s) as text, and optionally coded 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	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	Plain text representation of the treatment reason(s)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	✕ This element will be removed in PML(C) documents
note		0..*	Annotation	Further information about the statement
id		0..1	string	✕ This element is not supported
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
author[x]	Σ	0..1		✕ The note author is ignored, as it cannot be different than the document and/or entry's author
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	✕ This element is not supported
text	Σ	1..1	markdown	The annotation text content (as raw text, no markdown allowed).
Slices for dosage		1..*	Dosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosage:baseEntry	C	1..1	CHEMEDEPRDosage	CH EMED Dosage (MedicationStatement / MedicationDispense)
dosage:additionalEntry		0..*	CHEMEDEPRDosageSplit	CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationStatement.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationStatement.extension:substitution.value[x]:valueCodeableConcept	required	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

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())
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 CHEMEDMedicationStatementChanged

Summary

Mandatory: 0 element (2 nested mandatory elements)
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)
• CH EMED EPR Medication (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• Dosage (MedicationStatement / MedicationDispense) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage)
• Dosage Split (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split)

Other representations of profile: CSV, Excel, Schematron