Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both offLabel-reason-required: If isOffLabelUse is true, reason must be provided
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"isOffLabelUse"
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"reason"
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:exposure-category	S	0..1	CodeableConcept	Exposure category URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory Binding: Medication exposure intent (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	External identifier Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
identifier:vidis	SΣ	0..1	Identifier	VIDIS identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children
statusReason	S	0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1		What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
subject	SΣ	1..1	Reference(BePatient)	Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1		The date/time or interval when the medication is/was/will be taken ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	SΣ	0..1	dateTime	When the statement was asserted? ele-1: All FHIR elements must have a @value or children
informationSource	S	1..1	Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization)	Person or organization that provided the information about the taking of this medication ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. ele-1: All FHIR elements must have a @value or children
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Further information about the statement ele-1: All FHIR elements must have a @value or children
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier:vidis.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

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()
offLabel-reason-required	error	MedicationStatement.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement			MedicationStatement
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:offLabel	S	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
Slices for extension				Content/Rules for all slices
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
extension:exposure-category	S	0..1	CodeableConcept	Exposure category URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory Binding: Medication exposure intent (extensible)
extension: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
extension: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
extension: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
extension: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
statusReason	S	0..*	CodeableConcept	Reason for current status
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
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel offLabel-reason-required: If isOffLabelUse is true, reason must be provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"isOffLabelUse"
value[x]		0..1	boolean	Value of extension
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Value of extension
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:exposure-category	S	0..1	CodeableConcept	Exposure category URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory Binding: Medication exposure intent (extensible)
extension: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
extension: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
extension: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
extension: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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.identifier:vidis.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier:vidis.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

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()
offLabel-reason-required	error	MedicationStatement.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 21 elements

Structures

This structure refers to these other structures:

• BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• BeOrganization (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
• http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-date|5.2.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.identifier

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both offLabel-reason-required: If isOffLabelUse is true, reason must be provided
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"isOffLabelUse"
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"reason"
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:exposure-category	S	0..1	CodeableConcept	Exposure category URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory Binding: Medication exposure intent (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension: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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	External identifier Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
identifier:vidis	SΣ	0..1	Identifier	VIDIS identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-medicationline
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children
statusReason	S	0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1		What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
subject	SΣ	1..1	Reference(BePatient)	Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1		The date/time or interval when the medication is/was/will be taken ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	SΣ	0..1	dateTime	When the statement was asserted? ele-1: All FHIR elements must have a @value or children
informationSource	S	1..1	Reference(BePatient | BePractitioner | BePractitionerRole | RelatedPerson | BeOrganization)	Person or organization that provided the information about the taking of this medication ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. ele-1: All FHIR elements must have a @value or children
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Further information about the statement ele-1: All FHIR elements must have a @value or children
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier:vidis.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

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()
offLabel-reason-required	error	MedicationStatement.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement			MedicationStatement
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:offLabel	S	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
Slices for extension				Content/Rules for all slices
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
extension:exposure-category	S	0..1	CodeableConcept	Exposure category URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory Binding: Medication exposure intent (extensible)
extension: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
extension: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
extension: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
extension: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
statusReason	S	0..*	CodeableConcept	Reason for current status
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
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel offLabel-reason-required: If isOffLabelUse is true, reason must be provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"isOffLabelUse"
value[x]		0..1	boolean	Value of extension
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Value of extension
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:exposure-category	S	0..1	CodeableConcept	Exposure category URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory Binding: Medication exposure intent (extensible)
extension: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
extension: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
extension: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
extension: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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.identifier:vidis.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationStatement.identifier:vidis.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

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()
offLabel-reason-required	error	MedicationStatement.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 21 elements

Structures

This structure refers to these other structures:

• BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• BeOrganization (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/ExposureCategory
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/DispenseRequestNeededCategory
• http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0
• http://hl7.org/fhir/StructureDefinition/artifact-date|5.2.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.identifier