MEDICATIONSCHEMA\TreatmentLine

Belgium Medication Schema
1.0.0 - STU1 Belgium

Belgium Medication Schema, published by My Organization. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/hl7-be/kmehrms and changes regularly. See the Directory of published versions

Resource Profile: TreatmentLine

Official URL: http://example.com/fhir/example/StructureDefinition/TreatmentLine				Version: 1.0.0
Active as of 2023-03-07				Computable Name: TreatmentLine

Usage:

Use this Resource Profile: FHIRMedList

Formal Views of Profile Content

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

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
identifier	S	0..*	Identifier	External identifier
status	S	1..1	code	active \| completed \| entered-in-error \| intended \| stopped \| on-hold \| unknown \| not-taken
category	S	0..1	CodeableConcept	Type of medication usage
medication[x]	S	1..1	CodeableConcept, Reference(Medication)	What medication was taken
subject	S	1..1	Reference(Patient \| 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
dateAsserted	S	0..1	dateTime	When the statement was asserted?
informationSource	S	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom	S	0..*	Reference(Resource)	Additional supporting information
reasonCode	S	0..*	CodeableConcept	Reason for why the medication is being/was taken
note	S	0..*	Annotation	Further information about the statement
dosage
text	S	0..1	string	Free text dosage instructions e.g. SIG
patientInstruction	S	0..1	string	Patient or consumer oriented instructions
timing	S	0..1	Timing	When medication should be administered
event	S	0..*	dateTime	When the event occurs
repeat
dayOfWeek	S	0..*	code	mon \| tue \| wed \| thu \| fri \| sat \| sun
timeOfDay	S	0..*	time	Time of day for action
when		0..0
offset	S	0..1	unsignedInt	Minutes from event (before or after)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External identifier
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.
category	SΣ	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		What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
subject	SΣ	1..1	Reference(Patient \| Group)	Who is/was taking the medication
effective[x]	SΣ	0..1		The date/time or interval when the medication is/was/will be taken
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	SΣ	0..1	dateTime	When the statement was asserted?
informationSource	S	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom	S	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.
note	S	0..*	Annotation	Further information about the statement
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	SΣ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur
dayOfWeek	SΣ	0..*	code	mon \| tue \| wed \| thu \| fri \| sat \| sun Binding: DaysOfWeek (required)
timeOfDay	SΣ	0..*	time	Time of day for action
offset	SΣ	0..1	unsignedInt	Minutes from event (before or after)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.category	preferred	Medication usage category codes
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes
MedicationStatement.dosage.timing.repeat.dayOfWeek	required	DaysOfWeek

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id 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()
tim-1	error	MedicationStatement.dosage.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationStatement.dosage.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationStatement.dosage.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationStatement.dosage.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationStatement.dosage.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationStatement.dosage.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationStatement.dosage.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationStatement.dosage.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' \| 'CM' \| 'CD' \| 'CV')).not()))
tim-10	error	MedicationStatement.dosage.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()