CH EMED (R4)
4.0.0 - trial-use
CH EMED (R4)
4.0.0 - trial-use
This page is part of the CH EMED (R4) (v4.0.0: STU 4) 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
| Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationstatement | Version: 4.0.0 | |||
| Active as of 2023-12-19 | Computable Name: CHEMEDMedicationStatement | |||
Copyright/Legal: CC0-1.0 |
||||
Definition of the medication statement for the medication treatment plan document (and as basis medication statement)
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement | 0..* | MedicationStatement | CH EMED MedicationStatement (MTP and basis) | |
  contained | 1..* | Resource | Contained, inline Resources | |
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
 identifier | 1..1 | Identifier | MedicationStatement Identifier | |
 system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | |
 value | 1..1 | string | Identifier value as UUID Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | |
 Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | What medication was taken Slice: Unordered, Open by type:$this | |
 medication[x]:medicationReference | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | |
 subject | 1..1 | Reference(CH Core Patient) | Patient | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| dateAsserted | 1..1 | dateTime | When the statement was asserted? | |
| informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| reasonCode | 0..1 | CodeableConcept | Treatment reason | |
 Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
  dosage:baseEntry | 1..1 | CHEMEDDosage | Base entry of the dosage instruction | |
| dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | CH EMED MedicationStatement (MTP and basis) | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained | 1..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| status | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. |
| Slices for medication[x] | Σ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
| subject | Σ | 1..1 | Reference(CH Core Patient) | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? |
| informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |
| Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
| dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction |
| dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationStatement.identifier.use | required | IdentifierUse |
| MedicationStatement.status | required | Medication Status Codes |
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |
| 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..* | MedicationStatement | CH EMED MedicationStatement (MTP and basis) | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 1..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||
| statusReason | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||
| category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||
| Slices for medication[x] | Σ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | ||||
| subject | Σ | 1..1 | Reference(CH Core Patient) | Patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
 effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note | 0..* | Annotation | Further information about the statement | |||||
| Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
| dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction | ||||
| dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationStatement.language | preferred | CommonLanguages
| ||||
| MedicationStatement.identifier.use | required | IdentifierUse | ||||
| MedicationStatement.identifier.type | extensible | Identifier Type Codes | ||||
| MedicationStatement.status | required | Medication Status Codes | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes | ||||
| MedicationStatement.category | preferred | Medication usage category codes | ||||
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationStatement.subject.type | extensible | ResourceType | ||||
| MedicationStatement.informationSource.type | extensible | ResourceType | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |
| 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 MedicationStatement
Summary
Mandatory: 10 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | CH EMED MedicationStatement (MTP and basis) | |
| contained | 1..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| identifier | 1..1 | Identifier | MedicationStatement Identifier | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | |
| value | 1..1 | string | Identifier value as UUID Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | |
| Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | What medication was taken Slice: Unordered, Open by type:$this | |
| medication[x]:medicationReference | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | |
| subject | 1..1 | Reference(CH Core Patient) | Patient | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| dateAsserted | 1..1 | dateTime | When the statement was asserted? | |
| informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| reasonCode | 0..1 | CodeableConcept | Treatment reason | |
| Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
| dosage:baseEntry | 1..1 | CHEMEDDosage | Base entry of the dosage instruction | |
| dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | CH EMED MedicationStatement (MTP and basis) | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained | 1..* | Resource | Contained, inline Resources | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| status | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. |
| Slices for medication[x] | Σ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
| subject | Σ | 1..1 | Reference(CH Core Patient) | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? |
| informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |
| Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
| dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction |
| dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationStatement.identifier.use | required | IdentifierUse |
| MedicationStatement.status | required | Medication Status Codes |
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |
| 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..* | MedicationStatement | CH EMED MedicationStatement (MTP and basis) | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 1..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| substitution | 0..1 | CodeableConcept | Whether substitution is allowed or not URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-substitution Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 1..1 | Identifier | MedicationStatement Identifier | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | ||||
| statusReason | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||
| category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||
| Slices for medication[x] | Σ | 1..1 | What medication was taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | ||||
| subject | Σ | 1..1 | Reference(CH Core Patient) | Patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
| effective[x] | Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| dateAsserted | Σ | 1..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 1..1 | Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) | The author of the medical decision, see also 'Guidance - Authorship' | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| derivedFrom | 0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note | 0..* | Annotation | Further information about the statement | |||||
| Slices for dosage | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
| dosage:baseEntry | C | 1..1 | CHEMEDDosage | Base entry of the dosage instruction | ||||
| dosage:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationStatement.language | preferred | CommonLanguages
| ||||
| MedicationStatement.identifier.use | required | IdentifierUse | ||||
| MedicationStatement.identifier.type | extensible | Identifier Type Codes | ||||
| MedicationStatement.status | required | Medication Status Codes | ||||
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes | ||||
| MedicationStatement.category | preferred | Medication usage category codes | ||||
| MedicationStatement.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationStatement.subject.type | extensible | ResourceType | ||||
| MedicationStatement.informationSource.type | extensible | ResourceType | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |
| 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 MedicationStatement
Summary
Mandatory: 10 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron