FHIR Implementation Guide for ABDM
6.5.0 - active
FHIR Implementation Guide for ABDM
6.5.0 - active
This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) 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: https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationStatement | Version: 6.5.0 | |||
| Draft as of 2020-08-31 | Computable Name: MedicationStatement | |||
The MedicationStatement resource can be used to record a patient’s medication information. It is used to record the information about the medications consumed by the patient in the past, present, or future.
The MedicationStatement resource can be used to record a patient’s medication prescription or order. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch medications associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 basedOn |
Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order ele-1: All FHIR elements must have a @value or children |
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | Procedure | Observation | MedicationStatement) | Part of referenced event ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 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. ele-1: All FHIR elements must have a @value or children |
  medication[x] |
SΣ | 1..1 | CodeableConcept | What medication was taken Binding: Medicine Codes (example) ele-1: All FHIR elements must have a @value or children |
 coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
 display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who is/was taking the medication ele-1: All FHIR elements must have a @value or children |
| context |
Σ | 0..1 | Reference(EpisodeOfCare | Encounter) | Encounter / Episode associated with MedicationStatement ele-1: All FHIR elements must have a @value or children |
| informationSource |
0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Person or organization that provided the information about the taking of this medication ele-1: All FHIR elements must have a @value or children | |
| reasonCode |
S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging) | Condition or observation that supports why the medication is being/was taken ele-1: All FHIR elements must have a @value or children | |
 dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| route |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route Of Administration (example) ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| doseAndRate |
Σ | 0..* | Element | Amount of medication administered ele-1: All FHIR elements must have a @value or children |
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | |
| MedicationStatement.medication[x] | example | MedicineCodeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-medicine-codesfrom this IG | |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | |
| MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | |
| MedicationStatement.dosage.route | example | RouteOfAdministrationhttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-route-of-administrationfrom this IG | |
| MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | |
| MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard |
| 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 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
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement |
MedicationStatement | |||
| basedOn |
0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | Procedure | Observation | MedicationStatement) | Part of referenced event | |
 status |
S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
| medication[x] |
S | 1..1 | CodeableConcept | What medication was taken Binding: Medicine Codes (example) |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
S | 1..1 | Reference(Group | Patient) | Who is/was taking the medication |
| context |
0..1 | Reference(EpisodeOfCare | Encounter) | Encounter / Episode associated with MedicationStatement | |
| informationSource |
0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Person or organization that provided the information about the taking of this medication | |
| reasonCode |
S | 0..* | CodeableConcept | Reason for why the medication is being/was taken |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging) | Condition or observation that supports why the medication is being/was taken | |
| dosage |
||||
| additionalInstruction |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| site |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Route Of Administration (example) | |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| method |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| doseAndRate |
||||
| type |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.medication[x] | example | MedicineCodeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-medicine-codesfrom this IG | |
| MedicationStatement.dosage.route | example | RouteOfAdministrationhttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-route-of-administrationfrom this IG |
| 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): A human language.
| |||||
| 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 | Procedure | Observation | MedicationStatement) | Part of referenced event | ||||
| status |
?!SΣ | 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. | ||||
| medication[x] |
SΣ | 1..1 | CodeableConcept | What medication was taken Binding: Medicine Codes (example) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who is/was taking the medication | ||||
| context |
Σ | 0..1 | Reference(EpisodeOfCare | Encounter) | Encounter / Episode associated with MedicationStatement | ||||
 effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| dateAsserted |
Σ | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource |
0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode |
S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging) | Condition or observation that supports why the medication is being/was taken | |||||
| note |
0..* | Annotation | Further information about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | 0..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 (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
| timing |
Σ | 0..1 | Timing | When medication should be administered | ||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| route |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route Of Administration (example) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is 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 | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| 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): The kind of dose or rate specified. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| MedicationStatement.status | required | Medication Status Codeshttp://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.medication[x] | example | MedicineCodeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-medicine-codesfrom this IG | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | ||||
| MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationStatement.dosage.route | example | RouteOfAdministrationhttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-route-of-administrationfrom this IG | ||||
| MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard |
| 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 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: 0 element(21 nested mandatory elements)
Must-Support: 18 elements
Fixed: 7 elements
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| basedOn |
Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order ele-1: All FHIR elements must have a @value or children |
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | Procedure | Observation | MedicationStatement) | Part of referenced event ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 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. ele-1: All FHIR elements must have a @value or children |
| medication[x] |
SΣ | 1..1 | CodeableConcept | What medication was taken Binding: Medicine Codes (example) ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who is/was taking the medication ele-1: All FHIR elements must have a @value or children |
| context |
Σ | 0..1 | Reference(EpisodeOfCare | Encounter) | Encounter / Episode associated with MedicationStatement ele-1: All FHIR elements must have a @value or children |
| informationSource |
0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Person or organization that provided the information about the taking of this medication ele-1: All FHIR elements must have a @value or children | |
| reasonCode |
S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging) | Condition or observation that supports why the medication is being/was taken ele-1: All FHIR elements must have a @value or children | |
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| route |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route Of Administration (example) ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| doseAndRate |
Σ | 0..* | Element | Amount of medication administered ele-1: All FHIR elements must have a @value or children |
| type |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| display |
Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children |
| text |
SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1from the FHIR Standard | |
| MedicationStatement.medication[x] | example | MedicineCodeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-medicine-codesfrom this IG | |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | |
| MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | |
| MedicationStatement.dosage.route | example | RouteOfAdministrationhttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-route-of-administrationfrom this IG | |
| MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | |
| MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard |
| 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 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() |
Differential View
This structure is derived from MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement |
MedicationStatement | |||
| basedOn |
0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | Procedure | Observation | MedicationStatement) | Part of referenced event | |
| status |
S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
| medication[x] |
S | 1..1 | CodeableConcept | What medication was taken Binding: Medicine Codes (example) |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
S | 1..1 | Reference(Group | Patient) | Who is/was taking the medication |
| context |
0..1 | Reference(EpisodeOfCare | Encounter) | Encounter / Episode associated with MedicationStatement | |
| informationSource |
0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Person or organization that provided the information about the taking of this medication | |
| reasonCode |
S | 0..* | CodeableConcept | Reason for why the medication is being/was taken |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging) | Condition or observation that supports why the medication is being/was taken | |
| dosage |
||||
| additionalInstruction |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| site |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| route |
0..1 | CodeableConcept | How drug should enter body Binding: Route Of Administration (example) | |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| method |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| doseAndRate |
||||
| type |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| display |
1..1 | string | Representation defined by the system | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationStatement.medication[x] | example | MedicineCodeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-medicine-codesfrom this IG | |
| MedicationStatement.dosage.route | example | RouteOfAdministrationhttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-route-of-administrationfrom this IG |
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): A human language.
| |||||
| 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 | Procedure | Observation | MedicationStatement) | Part of referenced event | ||||
| status |
?!SΣ | 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. | ||||
| medication[x] |
SΣ | 1..1 | CodeableConcept | What medication was taken Binding: Medicine Codes (example) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Group | Patient) | Who is/was taking the medication | ||||
| context |
Σ | 0..1 | Reference(EpisodeOfCare | Encounter) | Encounter / Episode associated with MedicationStatement | ||||
| effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| dateAsserted |
Σ | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource |
0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode |
S | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReportLab | DiagnosticReportImaging) | Condition or observation that supports why the medication is being/was taken | |||||
| note |
0..* | Annotation | Further information about the statement | |||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 | 0..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 (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
| timing |
Σ | 0..1 | Timing | When medication should be administered | ||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| route |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: Route Of Administration (example) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is 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 | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| 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): The kind of dose or rate specified. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationStatement.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| MedicationStatement.status | required | Medication Status Codeshttp://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.medication[x] | example | MedicineCodeshttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-medicine-codesfrom this IG | ||||
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | ||||
| MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationStatement.dosage.route | example | RouteOfAdministrationhttps://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-route-of-administrationfrom this IG | ||||
| MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard |
| 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 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: 0 element(21 nested mandatory elements)
Must-Support: 18 elements
Fixed: 7 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron