MedicationRecord, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 0.1.0-test built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/medication-record and changes regularly. See the Directory of published versions
Medication Record - FHIR resources
The Medication Record uses several Medication-related FHIR resources.
The FHIR version used for this specification is the FHIR Release 4.
Note that upcoming versions of FHIR are expected to introduce some meanignful changes to the resources used.
For example the MedicationStatement resource is expected to be renamed to MedicationUsage.
The Medication Summary SHALL contain curation and organization of the medication record (typically in a summary form). This organization of the content is represented with a Composition resource. In addition to the Composition, the Bundle also contains some of the resources listed below.
The Medication Summary is a authored, consistent compiled representation of a patient’s medication. But the medication record may be exchanged independently of such compilation. In some cases the systems want to receive a collection of uncompiled data, for example for analytics or for creating such compilation themselves.
Whether as a document or as a collection, the Medication Record can contain any of the following resources:
Known Medication allergies and relevant intolerances are represented using AllergyIntolerance resource instances
The known medication adverse events are captured in AdverseEvent resource instances. The adverse events can be associated with an allergy reaction, or just a standalone adverse event.
When one or more medications are associated with a given disease (indication), the indication can be captured via an instance of the Condition resource
A medication record describes a set of Medication Treatments. The medication treatment is a grouping artifact and a [CarePlan]((http://hl7.org/fhir/careplan.html) can be used.
A Medication Summary describes an interpreted aggregation of Medication Treatment Lines. The medication summary is also a grouping artifact and a CarePlan can be used.
Each Medication Treatment Line represents a single line of treatment (see the functional description page) and is implemented as a MedicationStatement resource instance
When a medication treatment
Medication Treatment Line can be associated with information from different origins:
Prescriptions, or any known change to a treatment, with the MedicationRequest resource
Administrations, ttypically informed by the patient or by a nurse or other care giver, with the MedicationAdministration resource
In some cases, a medication information can be obtained by a statement given by a patient (or related person) about the usage of the medication. This is done with the MedicationStatement resource
A set of examples is provided in this document to show the combinations of these elements in realistic scenarios.
The diagram below shows these resources and some of their content. The actual content definition is defined in the profiles section.
Access to the data
Getting the last known documents
Asking for the system to create a document given some rules
