CH EMED EPR
1.0.0 - trial-use
CH EMED EPR
1.0.0 - trial-use
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. For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationstatement-list | Version: 1.0.0 | |||
| Draft as of 2024-01-26 | Computable Name: CHEMEDEPRMedicationStatementList | |||
Copyright/Legal: CC0-1.0 |
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Definition of the medication statement for the medication list document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDMedicationStatementList
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement | CHEMEDMedicationStatementList | |||
  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 | 1..* | Extension | Extension | |
 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 | |
| extension:parentDocument | 1..1 | CHEMEDExtTreatmentPlan | CH EMED Extension | |
| extension:authorDocument | 0..1 | Author | Extension | |
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.extension:substitution.value[x]:valueCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | CHEMEDMedicationStatementList | CH EMED MedicationStatement (LIST) | |
| contained | 1..* | Resource | Contained, inline Resources | |
| Slices for extension | 1..* | 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:$this | |
 value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
 coding | Σ | 1..* | Coding | Code defined by a terminology system |
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| 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 |
| 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 | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationStatement.extension:substitution.value[x]:valueCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
| MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationStatement.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| MedicationStatement.status | required | Pattern: activehttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | |
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesfrom the FHIR Standard | |
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryfrom the FHIR Standard | |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom 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()) | |
| 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..* | CHEMEDMedicationStatementList | CH EMED MedicationStatement (LIST) | |||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 1..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 1..* | 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:$this | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |||||
| 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 | ||||
| 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 | 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. 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MedicationStatement.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| MedicationStatement.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationStatement.extension:substitution.value[x]:valueCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationStatement.extension:authorDocument.value[x]:valueReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationStatement.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationStatement.status | required | Pattern: activehttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesfrom the FHIR Standard | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryfrom the FHIR Standard | ||||
| MedicationStatement.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationStatement.informationSource.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom 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()) | |
| 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 CHEMEDMedicationStatementList
Summary
Mandatory: 2 elements (2 nested mandatory elements)
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from CHEMEDMedicationStatementList
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | CHEMEDMedicationStatementList | |||
| 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 | 1..* | Extension | Extension | |
| 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 | |
| extension:parentDocument | 1..1 | CHEMEDExtTreatmentPlan | CH EMED Extension | |
| extension:authorDocument | 0..1 | Author | Extension | |
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.extension:substitution.value[x]:valueCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | CHEMEDMedicationStatementList | CH EMED MedicationStatement (LIST) | |
| contained | 1..* | Resource | Contained, inline Resources | |
| Slices for extension | 1..* | 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:$this | |
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
| coding | Σ | 1..* | Coding | Code defined by a terminology system |
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| 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 |
| 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 | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationStatement.extension:substitution.value[x]:valueCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
| MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationStatement.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| MedicationStatement.status | required | Pattern: activehttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | |
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesfrom the FHIR Standard | |
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryfrom the FHIR Standard | |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom 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()) | |
| 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..* | CHEMEDMedicationStatementList | CH EMED MedicationStatement (LIST) | |||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 1..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 1..* | 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:$this | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 1..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |||||
| 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 | ||||
| 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 | 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. 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MedicationStatement.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| MedicationStatement.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| MedicationStatement.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationStatement.extension:substitution.value[x]:valueCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationStatement.extension:authorDocument.value[x]:valueReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationStatement.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationStatement.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationStatement.status | required | Pattern: activehttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codesfrom the FHIR Standard | ||||
| MedicationStatement.category | preferred | Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-categoryfrom the FHIR Standard | ||||
| MedicationStatement.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationStatement.informationSource.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom 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()) | |
| 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 CHEMEDMedicationStatementList
Summary
Mandatory: 2 elements (2 nested mandatory elements)
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron