Medication
1.1.0 - STU Belgium flag

Medication, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/medication and changes regularly. See the Directory of published versions

Resource Profile: BEMedicationLine

Official URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BEMedicationLine Version: 1.1.0
Draft as of 2024-10-22 Computable Name: BEMedicationLine

Medication Line profile - contains the overview information for a single medication item

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... exposure-category S 0..1 CodeableConcept Exposure category
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
Binding: Medication exposure intent (extensible)
.... dispense-request-needed S 0..1 boolean Indication of whether a dispense request is needed for delivering the medication
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
.... visibility-flag S 0..1 boolean Coded preference or assertion about the visibility of the medication line
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/VisibilityFlag
.... artifact-version S 1..1 string The business version of the medication line - this version changes when the content update is considered clinically relevant
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... artifact-date S 0..1 dateTime The business-relevant recorded date - the date the medication line was created or changed
URL: http://hl7.org/fhir/StructureDefinition/artifact-date
.... adherence S 1..1 (Complex) Indicates whether the medication is or is not being consumed or administered
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
... Slices for identifier S 1..* Identifier External identifier
Slice: Unordered, Open by pattern:system
.... identifier:vidis S 0..1 Identifier VIDIS identifier
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
..... value S 0..1 string The value that is unique
... 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(BePatient) Who is/was taking the medication
... effective[x] S 1..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 1..1 Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization) 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
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... Slices for extension Content/Rules for all slices
..... dosage-override S 0..1 boolean Indicates that the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverride
..... dosage-override-reason S 0..1 CodeableConcept The reason why the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverrideReason

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... exposure-category S 0..1 CodeableConcept Exposure category
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
Binding: Medication exposure intent (extensible)
.... dispense-request-needed S 0..1 boolean Indication of whether a dispense request is needed for delivering the medication
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
.... visibility-flag S 0..1 boolean Coded preference or assertion about the visibility of the medication line
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/VisibilityFlag
.... artifact-version S 1..1 string The business version of the medication line - this version changes when the content update is considered clinically relevant
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... artifact-date S 0..1 dateTime The business-relevant recorded date - the date the medication line was created or changed
URL: http://hl7.org/fhir/StructureDefinition/artifact-date
.... adherence S 1..1 (Complex) Indicates whether the medication is or is not being consumed or administered
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:vidis SΣ 0..1 Identifier VIDIS identifier
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
..... value SΣ 0..1 string The value that is unique
Example General: 123456
... 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 S 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... 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(BePatient) Who is/was taking the medication
... effective[x] SΣ 1..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 1..1 Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization) 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
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... Slices for extension Content/Rules for all slices
..... dosage-override S 0..1 boolean Indicates that the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverride
..... dosage-override-reason S 0..1 CodeableConcept The reason why the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverrideReason
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.identifier:vidis.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... exposure-category S 0..1 CodeableConcept Exposure category
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
Binding: Medication exposure intent (extensible)
.... dispense-request-needed S 0..1 boolean Indication of whether a dispense request is needed for delivering the medication
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
.... visibility-flag S 0..1 boolean Coded preference or assertion about the visibility of the medication line
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/VisibilityFlag
.... artifact-version S 1..1 string The business version of the medication line - this version changes when the content update is considered clinically relevant
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... artifact-date S 0..1 dateTime The business-relevant recorded date - the date the medication line was created or changed
URL: http://hl7.org/fhir/StructureDefinition/artifact-date
.... adherence S 1..1 (Complex) Indicates whether the medication is or is not being consumed or administered
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier External identifier
Slice: Unordered, Open by pattern:system
.... identifier:vidis SΣ 0..1 Identifier VIDIS identifier
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 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 S 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... 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(BePatient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] SΣ 1..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 1..1 Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization) 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.


... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information 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 for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... dosage-override S 0..1 boolean Indicates that the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverride
..... dosage-override-reason S 0..1 CodeableConcept The reason why the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverrideReason
.... 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: 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.

..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.identifier:vidis.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.identifier:vidis.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... exposure-category S 0..1 CodeableConcept Exposure category
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
Binding: Medication exposure intent (extensible)
.... dispense-request-needed S 0..1 boolean Indication of whether a dispense request is needed for delivering the medication
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
.... visibility-flag S 0..1 boolean Coded preference or assertion about the visibility of the medication line
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/VisibilityFlag
.... artifact-version S 1..1 string The business version of the medication line - this version changes when the content update is considered clinically relevant
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... artifact-date S 0..1 dateTime The business-relevant recorded date - the date the medication line was created or changed
URL: http://hl7.org/fhir/StructureDefinition/artifact-date
.... adherence S 1..1 (Complex) Indicates whether the medication is or is not being consumed or administered
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
... Slices for identifier S 1..* Identifier External identifier
Slice: Unordered, Open by pattern:system
.... identifier:vidis S 0..1 Identifier VIDIS identifier
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
..... value S 0..1 string The value that is unique
... 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(BePatient) Who is/was taking the medication
... effective[x] S 1..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 1..1 Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization) 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
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... Slices for extension Content/Rules for all slices
..... dosage-override S 0..1 boolean Indicates that the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverride
..... dosage-override-reason S 0..1 CodeableConcept The reason why the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverrideReason

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... exposure-category S 0..1 CodeableConcept Exposure category
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
Binding: Medication exposure intent (extensible)
.... dispense-request-needed S 0..1 boolean Indication of whether a dispense request is needed for delivering the medication
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
.... visibility-flag S 0..1 boolean Coded preference or assertion about the visibility of the medication line
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/VisibilityFlag
.... artifact-version S 1..1 string The business version of the medication line - this version changes when the content update is considered clinically relevant
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... artifact-date S 0..1 dateTime The business-relevant recorded date - the date the medication line was created or changed
URL: http://hl7.org/fhir/StructureDefinition/artifact-date
.... adherence S 1..1 (Complex) Indicates whether the medication is or is not being consumed or administered
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:vidis SΣ 0..1 Identifier VIDIS identifier
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
..... value SΣ 0..1 string The value that is unique
Example General: 123456
... 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 S 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... 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(BePatient) Who is/was taking the medication
... effective[x] SΣ 1..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 1..1 Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization) 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
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... Slices for extension Content/Rules for all slices
..... dosage-override S 0..1 boolean Indicates that the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverride
..... dosage-override-reason S 0..1 CodeableConcept The reason why the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverrideReason
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.identifier:vidis.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... exposure-category S 0..1 CodeableConcept Exposure category
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
Binding: Medication exposure intent (extensible)
.... dispense-request-needed S 0..1 boolean Indication of whether a dispense request is needed for delivering the medication
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
.... visibility-flag S 0..1 boolean Coded preference or assertion about the visibility of the medication line
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/VisibilityFlag
.... artifact-version S 1..1 string The business version of the medication line - this version changes when the content update is considered clinically relevant
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... artifact-date S 0..1 dateTime The business-relevant recorded date - the date the medication line was created or changed
URL: http://hl7.org/fhir/StructureDefinition/artifact-date
.... adherence S 1..1 (Complex) Indicates whether the medication is or is not being consumed or administered
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier External identifier
Slice: Unordered, Open by pattern:system
.... identifier:vidis SΣ 0..1 Identifier VIDIS identifier
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
..... value SΣ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 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 S 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... 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(BePatient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] SΣ 1..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 1..1 Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization) 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.


... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information 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 for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... dosage-override S 0..1 boolean Indicates that the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverride
..... dosage-override-reason S 0..1 CodeableConcept The reason why the recommended dosage was overridden
URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DosageOverrideReason
.... 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: 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.

..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.identifier:vidis.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationStatement.identifier:vidis.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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