Cumuluz Translate Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: XIB MedicationStatement

XIB medication statement target profile based on EU Base MedicationStatement.

Usages:

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

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Naam	Markeringen	Kard.	Type	Omschrijving & constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementEuCore	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices voor extension				Content/regels voor alle slices
extension:adherence		0..1	(Complex)	R5: Indicates whether the medication is or is not being consumed or administered (new) Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
Slices voor extension		1..*	Extension	Extension Slice: Zonder volgorde, Open op value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
extension:reason		0..1	Extension	R5: Details of the reason for the current use of the medication (new) Constraints: ext-1
url		1..1	uri	"reason"
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
extension:usageDuration	S	0..1	Duration	XIB Medication Use Duration Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
extension:taken	S	0..1	code	XIB MedicationStatement Taken Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
extension:asAgreedIndicator	S	0..1	boolean	XIB Medication Use As Agreed Indicator Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
extension:prescriber	S	0..1	Reference()	XIB Medication Use Prescriber Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
extension:medicationTreatment	S	0..1	Identifier	XIB Medication Treatment Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
extension:medicationStatementDetails	S	0..1	(Complex)	XIB Medication Statement Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	SΣ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	SΣ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
Slices voor effective[x]	SΣ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Zonder volgorde, Gesloten op type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken.
Slices voor extension				Content/regels voor alle slices
extension:dosageDetails		0..1	(Complex)	XIB Medication Dosage Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentatie voor dit formaat

Terminologiebindings

Pad	Status	Gebruik	ValueSet	Versie	Source
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	⏿2.0.0	tx.hl7europe.eu

Constrains

Id	Grade	Pad(en)	Omschrijving	Expressie
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	MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.extension:usageDuration, MedicationStatement.extension:taken, MedicationStatement.extension:asAgreedIndicator, MedicationStatement.extension:prescriber, MedicationStatement.extension:medicationTreatment, MedicationStatement.extension:medicationStatementDetails, MedicationStatement.modifierExtension, MedicationStatement.dosage.extension:dosageDetails, MedicationStatement.dosage.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationStatementEuCore

Naam	Markeringen	Kard.	Type	Omschrijving & constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementEuCore	Record of medication being taken by a patient
Slices voor extension				Content/regels voor alle slices
extension:usageDuration	S	0..1	Duration	XIB Medication Use Duration Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
extension:taken	S	0..1	code	XIB MedicationStatement Taken Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
extension:asAgreedIndicator	S	0..1	boolean	XIB Medication Use As Agreed Indicator Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
extension:prescriber	S	0..1	Reference()	XIB Medication Use Prescriber Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
extension:medicationTreatment	S	0..1	Identifier	XIB Medication Treatment Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
extension:medicationStatementDetails	S	0..1	(Complex)	XIB Medication Statement Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
status	S	1..1	code	State of the medication
medication[x]	S	1..1	CodeableConcept, Reference(Medication (EU core))	What medication was taken
subject	S	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
effective[x]	S	0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken.
Slices voor extension				Content/regels voor alle slices
extension:dosageDetails		0..1	(Complex)	XIB Medication Dosage Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails
Documentatie voor dit formaat

Naam	Markeringen	Kard.	Type	Omschrijving & constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementEuCore	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 statement Binding: CommonLanguages (preferred): A human language. Additionele bindings Doel AllLanguages Max binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices voor extension		0..*	Extension	Extension Slice: Zonder volgorde, Open op value:url
extension:adherence		0..1	(Complex)	R5: Indicates whether the medication is or is not being consumed or administered (new) Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices voor extension		1..*	Extension	Extension Slice: Zonder volgorde, Open op value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url Constraints: ext-1
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
extension:reason		0..1	Extension	R5: Details of the reason for the current use of the medication (new) Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url Constraints: ext-1
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Details of the reason for the current use of the medication
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
extension:usageDuration	S	0..1	Duration	XIB Medication Use Duration Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
extension:taken	S	0..1	code	XIB MedicationStatement Taken Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
extension:asAgreedIndicator	S	0..1	boolean	XIB Medication Use As Agreed Indicator Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
extension:prescriber	S	0..1	Reference()	XIB Medication Use Prescriber Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
extension:medicationTreatment	S	0..1	Identifier	XIB Medication Treatment Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
extension:medicationStatementDetails	S	0..1	(Complex)	XIB Medication Statement Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement 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	?!SΣ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additionele bindings Doel Medication Intended Use Voorkeur
medication[x]	SΣ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	SΣ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices voor effective[x]	SΣ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Zonder volgorde, Gesloten op type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	The reference to the source of the statement
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Textual note about the statement
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken.
id		0..1	string	Unique id for inter-element referencing
Slices voor extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url
extension:dosageDetails		0..1	(Complex)	XIB Medication Dosage Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails
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".
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.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
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: Zonder volgorde, Open op value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
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(4.0.1)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
Documentatie voor dit formaat

Terminologiebindings

Pad	Status	Gebruik	ValueSet	Versie	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constrains

Id	Grade	Pad(en)	Omschrijving	Expressie
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 MedicationStatementEuCore

Samenvatting

Moet-ondersteunen: 11 elements

Extensies

Deze structuur verwijst naar deze extensies:

• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails

Key Elements View

Naam	Markeringen	Kard.	Type	Omschrijving & constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementEuCore	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices voor extension				Content/regels voor alle slices
extension:adherence		0..1	(Complex)	R5: Indicates whether the medication is or is not being consumed or administered (new) Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
Slices voor extension		1..*	Extension	Extension Slice: Zonder volgorde, Open op value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
extension:reason		0..1	Extension	R5: Details of the reason for the current use of the medication (new) Constraints: ext-1
url		1..1	uri	"reason"
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
extension:usageDuration	S	0..1	Duration	XIB Medication Use Duration Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
extension:taken	S	0..1	code	XIB MedicationStatement Taken Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
extension:asAgreedIndicator	S	0..1	boolean	XIB Medication Use As Agreed Indicator Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
extension:prescriber	S	0..1	Reference()	XIB Medication Use Prescriber Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
extension:medicationTreatment	S	0..1	Identifier	XIB Medication Treatment Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
extension:medicationStatementDetails	S	0..1	(Complex)	XIB Medication Statement Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	SΣ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	SΣ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
Slices voor effective[x]	SΣ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Zonder volgorde, Gesloten op type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken.
Slices voor extension				Content/regels voor alle slices
extension:dosageDetails		0..1	(Complex)	XIB Medication Dosage Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentatie voor dit formaat

Terminologiebindings

Pad	Status	Gebruik	ValueSet	Versie	Source
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	⏿2.0.0	tx.hl7europe.eu

Constrains

Id	Grade	Pad(en)	Omschrijving	Expressie
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	MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.extension:usageDuration, MedicationStatement.extension:taken, MedicationStatement.extension:asAgreedIndicator, MedicationStatement.extension:prescriber, MedicationStatement.extension:medicationTreatment, MedicationStatement.extension:medicationStatementDetails, MedicationStatement.modifierExtension, MedicationStatement.dosage.extension:dosageDetails, MedicationStatement.dosage.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatementEuCore

Naam	Markeringen	Kard.	Type	Omschrijving & constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementEuCore	Record of medication being taken by a patient
Slices voor extension				Content/regels voor alle slices
extension:usageDuration	S	0..1	Duration	XIB Medication Use Duration Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
extension:taken	S	0..1	code	XIB MedicationStatement Taken Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
extension:asAgreedIndicator	S	0..1	boolean	XIB Medication Use As Agreed Indicator Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
extension:prescriber	S	0..1	Reference()	XIB Medication Use Prescriber Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
extension:medicationTreatment	S	0..1	Identifier	XIB Medication Treatment Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
extension:medicationStatementDetails	S	0..1	(Complex)	XIB Medication Statement Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
status	S	1..1	code	State of the medication
medication[x]	S	1..1	CodeableConcept, Reference(Medication (EU core))	What medication was taken
subject	S	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
effective[x]	S	0..1	dateTime, Period	The date/time or interval when the medication is/was/will be taken
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken.
Slices voor extension				Content/regels voor alle slices
extension:dosageDetails		0..1	(Complex)	XIB Medication Dosage Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails
Documentatie voor dit formaat

Snapshot View

Naam	Markeringen	Kard.	Type	Omschrijving & constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementEuCore	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 statement Binding: CommonLanguages (preferred): A human language. Additionele bindings Doel AllLanguages Max binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices voor extension		0..*	Extension	Extension Slice: Zonder volgorde, Open op value:url
extension:adherence		0..1	(Complex)	R5: Indicates whether the medication is or is not being consumed or administered (new) Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices voor extension		1..*	Extension	Extension Slice: Zonder volgorde, Open op value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url Constraints: ext-1
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Type of adherence Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
extension:reason		0..1	Extension	R5: Details of the reason for the current use of the medication (new) Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url Constraints: ext-1
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Details of the reason for the current use of the medication
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
extension:usageDuration	S	0..1	Duration	XIB Medication Use Duration Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
extension:taken	S	0..1	code	XIB MedicationStatement Taken Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
extension:asAgreedIndicator	S	0..1	boolean	XIB Medication Use As Agreed Indicator Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
extension:prescriber	S	0..1	Reference()	XIB Medication Use Prescriber Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
extension:medicationTreatment	S	0..1	Identifier	XIB Medication Treatment Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
extension:medicationStatementDetails	S	0..1	(Complex)	XIB Medication Statement Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement 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	?!SΣ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additionele bindings Doel Medication Intended Use Voorkeur
medication[x]	SΣ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (EU core))
subject	SΣ	1..1	Reference(Patient (EU core) | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices voor effective[x]	SΣ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Zonder volgorde, Gesloten op type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	The reference to the source of the statement
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Textual note about the statement
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken.
id		0..1	string	Unique id for inter-element referencing
Slices voor extension		0..*	Extension	Additional content defined by implementations Slice: Zonder volgorde, Open op value:url
extension:dosageDetails		0..1	(Complex)	XIB Medication Dosage Details Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails
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".
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.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
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: Zonder volgorde, Open op value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
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(4.0.1)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
Documentatie voor dit formaat

Terminologiebindings

Pad	Status	Gebruik	ValueSet	Versie	Source
MedicationStatement.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.1.0	Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	example	SNOMED CT Drug Therapy Status codes	📍4.0.1	FHIR Std.
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	⏿2.0.0	tx.hl7europe.eu
MedicationStatement.​reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.route	Base	example	SNOMED CT Route Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constrains

Id	Grade	Pad(en)	Omschrijving	Expressie
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 MedicationStatementEuCore

Samenvatting

Moet-ondersteunen: 11 elements

Extensies

Deze structuur verwijst naar deze extensies:

• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseDuration
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementTaken
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUseAsAgreedIndicator
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationUsePrescriber
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationTreatment
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationStatementDetails
• https://fhir.cumuluz.org/xib/StructureDefinition/xib-MedicationDosageDetails

Other representations of profile: CSV, Excel, Schematron