Guia de Implementação do AnHealth - Local Development build (v0.2.0). See the Directory of published versions

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Resource Profile: MedicationStatement

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

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 MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
statusReason		0..1	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (required)
category		1..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (required)
medication[x]		1..1	Reference()	What medication was taken Binding: (unbound) (example)
effective[x]		0..1	Period	The date/time or interval when the medication is/was/will be taken
start		1..1	dateTime	Starting time with inclusive boundary
dateAsserted		1..1	dateTime	When the statement was asserted?
informationSource		1..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: BRCID10 (required)
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
text		1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (required)
patientInstruction		1..1	string	Patient or consumer oriented instructions
timing
code		0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (required)
route		0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (required)
method		0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationStatement.statusReason	required	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	required	Medication usage category codes
MedicationStatement.medication[x]	example
MedicationStatement.reasonCode	required	BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)
MedicationStatement.dosage.additionalInstruction	required	SNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.timing.code	required	TimingAbbreviation
MedicationStatement.dosage.route	required	SNOMEDCTRouteCodes
MedicationStatement.dosage.method	required	SNOMEDCTAdministrationMethodCodes

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: MedicationStatement Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..1	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (required)
category	Σ	1..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (required)
medication[x]	Σ	1..1	Reference()	What medication was taken
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
effective[x]	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
dateAsserted	Σ	1..1	dateTime	When the statement was asserted?
informationSource		1..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: BRCID10 (required)
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (required)
patientInstruction	Σ	1..1	string	Patient or consumer oriented instructions
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (required)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.status	required	MedicationStatement Status Codes
MedicationStatement.statusReason	required	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	required	Medication usage category codes
MedicationStatement.reasonCode	required	BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)
MedicationStatement.dosage.additionalInstruction	required	SNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.route	required	SNOMEDCTRouteCodes
MedicationStatement.dosage.method	required	SNOMEDCTAdministrationMethodCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where(((id.exists() and ('#'+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(uri) = '#').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	Record of medication being taken by a patient
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): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
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: MedicationStatement Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..1	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (required)
category	Σ	1..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (required)
medication[x]	Σ	1..1	Reference()	What medication was taken
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	Σ	1..1	dateTime	When the statement was asserted?
informationSource		1..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: BRCID10 (required)
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
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (required)
patientInstruction	Σ	1..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required)
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required)
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required)
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (required)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (required)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (required)
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example)
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	MedicationStatement Status Codes
MedicationStatement.statusReason	required	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	required	Medication usage category codes
MedicationStatement.reasonCode	required	BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)
MedicationStatement.dosage.additionalInstruction	required	SNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.timing.repeat.durationUnit	required	UnitsOfTime
MedicationStatement.dosage.timing.repeat.periodUnit	required	UnitsOfTime
MedicationStatement.dosage.timing.repeat.dayOfWeek	required	DaysOfWeek
MedicationStatement.dosage.timing.repeat.when	required	EventTiming
MedicationStatement.dosage.timing.code	required	TimingAbbreviation
MedicationStatement.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationStatement.dosage.route	required	SNOMEDCTRouteCodes
MedicationStatement.dosage.method	required	SNOMEDCTAdministrationMethodCodes
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-r4b	warning	MedicationStatement.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationStatement

Summary

Mandatory: 6 elements (1 nested mandatory element)

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
statusReason		0..1	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (required)
category		1..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (required)
medication[x]		1..1	Reference()	What medication was taken Binding: (unbound) (example)
effective[x]		0..1	Period	The date/time or interval when the medication is/was/will be taken
start		1..1	dateTime	Starting time with inclusive boundary
dateAsserted		1..1	dateTime	When the statement was asserted?
informationSource		1..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: BRCID10 (required)
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
text		1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction		0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (required)
patientInstruction		1..1	string	Patient or consumer oriented instructions
timing
code		0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (required)
route		0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (required)
method		0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationStatement.statusReason	required	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	required	Medication usage category codes
MedicationStatement.medication[x]	example
MedicationStatement.reasonCode	required	BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)
MedicationStatement.dosage.additionalInstruction	required	SNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.timing.code	required	TimingAbbreviation
MedicationStatement.dosage.route	required	SNOMEDCTRouteCodes
MedicationStatement.dosage.method	required	SNOMEDCTAdministrationMethodCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: MedicationStatement Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..1	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (required)
category	Σ	1..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (required)
medication[x]	Σ	1..1	Reference()	What medication was taken
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
effective[x]	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
dateAsserted	Σ	1..1	dateTime	When the statement was asserted?
informationSource		1..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: BRCID10 (required)
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (required)
patientInstruction	Σ	1..1	string	Patient or consumer oriented instructions
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (required)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.status	required	MedicationStatement Status Codes
MedicationStatement.statusReason	required	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	required	Medication usage category codes
MedicationStatement.reasonCode	required	BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)
MedicationStatement.dosage.additionalInstruction	required	SNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.route	required	SNOMEDCTRouteCodes
MedicationStatement.dosage.method	required	SNOMEDCTAdministrationMethodCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where(((id.exists() and ('#'+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(uri) = '#').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	Record of medication being taken by a patient
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): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
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: MedicationStatement Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..1	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (required)
category	Σ	1..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (required)
medication[x]	Σ	1..1	Reference()	What medication was taken
subject	Σ	1..1	Reference(Patient | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
dateAsserted	Σ	1..1	dateTime	When the statement was asserted?
informationSource		1..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: BRCID10 (required)
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
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	1..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (required)
patientInstruction	Σ	1..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required)
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required)
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required)
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (required)
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (required)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (required)
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example)
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	MedicationStatement Status Codes
MedicationStatement.statusReason	required	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	required	Medication usage category codes
MedicationStatement.reasonCode	required	BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)
MedicationStatement.dosage.additionalInstruction	required	SNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.timing.repeat.durationUnit	required	UnitsOfTime
MedicationStatement.dosage.timing.repeat.periodUnit	required	UnitsOfTime
MedicationStatement.dosage.timing.repeat.dayOfWeek	required	DaysOfWeek
MedicationStatement.dosage.timing.repeat.when	required	EventTiming
MedicationStatement.dosage.timing.code	required	TimingAbbreviation
MedicationStatement.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationStatement.dosage.route	required	SNOMEDCTRouteCodes
MedicationStatement.dosage.method	required	SNOMEDCTAdministrationMethodCodes
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-r4b	warning	MedicationStatement.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationStatement

Summary

Mandatory: 6 elements (1 nested mandatory element)

Other representations of profile: CSV, Excel, Schematron