MyHealth@Eu Patient Summary - Local Development build (v1.0.0-ci-build) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MedicationStatement (MyHealthEU EPS)

This profile sets minimum expectations for the MedicationStatement resource common to most of the use cases.

Usages:

• Use this Profile: Bundle Eps (MyHealth@EU)
• Refer to this Profile: Composition: EPS

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementMyHealthCore	Record of medication being taken by a patient This profile also imposes the profile Medication Statement (EPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:adherence		0..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 Constraints: ext-1
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
url		1..1	uri	"code"
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
url		1..1	uri	"reason"
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (Core))
subject	Σ	1..1	Reference(Patient (Core) | Group)	Who is/was taking the medication
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationStatementMyHealthCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementMyHealthCore	Record of medication being taken by a patient This profile also imposes the profile Medication Statement (EPS)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementMyHealthCore	Record of medication being taken by a patient This profile also imposes the profile Medication Statement (EPS)
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: eHDSI Language (required)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..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 Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"code"
value[x]		0..1	CodeableConcept	Type of adherence Binding: R5_medication_statement_adherence_for_R4 (0.0.1-snapshot-2) (example)
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Details of the reason for the current use of the medication Binding: R5_reason_medication_status_codes_for_R4 (0.0.1-snapshot-2) (example)
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement Identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: eHDSI Medication Status Reason With Exceptions (required)
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (Core))
subject	Σ	1..1	Reference(Patient (Core) | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: eHDSI Medication Reason With Exceptions (required)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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: eHDSI Body Site With Exceptions (required)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: eHDSI Route of Administration (extensible)
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.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantityMyHealth	Amount of medication per dose
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	Σ	0..1	RatioMyHealth	Amount of medication per unit of time
rate[x]:rateQuantity	Σ	0..1	SimpleQuantityMyHealth	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	RatioMyHealth	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantityMyHealth	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantityMyHealth	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	required	eHDSI Language	📦9.1.0	This IG
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version VS for R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
MedicationStatement.​extension:adherence.​extension:reason.value[x]	Base	example	Cross-version VS for R5.SNOMEDCTDrugTherapyStatusCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	required	eHDSI Medication Status Reason With Exceptions	📦1.0.0-ci-build	This IG
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode	Base	required	eHDSI Medication Reason With Exceptions	📦1.0.0-ci-build	This IG
MedicationStatement.​dosage.additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	required	eHDSI Body Site With Exceptions	📦1.0.0-ci-build	This IG
MedicationStatement.​dosage.route	Base	extensible	eHDSI Route of Administration	📦9.1.0	This IG
MedicationStatement.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationStatementMyHealthCore

Summary

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementMyHealthCore	Record of medication being taken by a patient This profile also imposes the profile Medication Statement (EPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:adherence		0..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 Constraints: ext-1
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
url		1..1	uri	"code"
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
url		1..1	uri	"reason"
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (Core))
subject	Σ	1..1	Reference(Patient (Core) | Group)	Who is/was taking the medication
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationStatement.extension:adherence, MedicationStatement.extension:adherence.extension, MedicationStatement.extension:adherence.extension:code, MedicationStatement.extension:adherence.extension:reason, MedicationStatement.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatementMyHealthCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementMyHealthCore	Record of medication being taken by a patient This profile also imposes the profile Medication Statement (EPS)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatementMyHealthCore	Record of medication being taken by a patient This profile also imposes the profile Medication Statement (EPS)
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: eHDSI Language (required)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:adherence		0..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 Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Closed by value:url Constraints: ext-1
extension:code		1..1	Extension	Type of adherence. Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"code"
value[x]		0..1	CodeableConcept	Type of adherence Binding: R5_medication_statement_adherence_for_R4 (0.0.1-snapshot-2) (example)
extension:reason		0..1	Extension	Details of the reason for the current use of the medication Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Details of the reason for the current use of the medication Binding: R5_reason_medication_status_codes_for_R4 (0.0.1-snapshot-2) (example)
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Medication Statement Identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	State of the medication Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for the 'exception' statuses of the medication Binding: eHDSI Medication Status Reason With Exceptions (required)
category	Σ	0..1	CodeableConcept	Type of intended use Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. Additional Bindings Purpose Medication Intended Use Preferred
medication[x]	Σ	1..1		What medication was taken Binding: Medications - IPS (example)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication (Core))
subject	Σ	1..1	Reference(Patient (Core) | Group)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Period when the medication is/was or should be used.
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Coded reason for use Binding: eHDSI Medication Reason With Exceptions (required)
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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: eHDSI Body Site With Exceptions (required)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: eHDSI Route of Administration (extensible)
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.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseQuantity	Σ	0..1	SimpleQuantityMyHealth	Amount of medication per dose
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	Σ	0..1	RatioMyHealth	Amount of medication per unit of time
rate[x]:rateQuantity	Σ	0..1	SimpleQuantityMyHealth	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	RatioMyHealth	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantityMyHealth	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantityMyHealth	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationStatement.​language	Base	required	eHDSI Language	📦9.1.0	This IG
MedicationStatement.​extension:adherence.​extension:code.value[x]	Base	example	Cross-version VS for R5.MedicationStatementAdherenceCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
MedicationStatement.​extension:adherence.​extension:reason.value[x]	Base	example	Cross-version VS for R5.SNOMEDCTDrugTherapyStatusCodes for use in FHIR R4	📍0.0.1-snapshot-2	FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 v0.0
MedicationStatement.​status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
MedicationStatement.​statusReason	Base	required	eHDSI Medication Status Reason With Exceptions	📦1.0.0-ci-build	This IG
MedicationStatement.​category	Base	preferred	Medication usage category codes	📦4.0.1	FHIR Std.
MedicationStatement.​medication[x]	Base	example	Medications - IPS	📦2.0.0	International Patient Summary Implementation Guide v2.0
MedicationStatement.​reasonCode	Base	required	eHDSI Medication Reason With Exceptions	📦1.0.0-ci-build	This IG
MedicationStatement.​dosage.additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.site	Base	required	eHDSI Body Site With Exceptions	📦1.0.0-ci-build	This IG
MedicationStatement.​dosage.route	Base	extensible	eHDSI Route of Administration	📦9.1.0	This IG
MedicationStatement.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationStatement.​dosage.doseAndRate.type	Base	example	DoseAndRateType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MedicationStatementMyHealthCore

Summary

Maturity: 1

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