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Medication Statement Profile

Canonical../StructureDefinition/nexus-emr-core-medicationstatement
Statusdraft (experimental) · 1.26.0
BaseMedicationStatement (constraint)
SourceFSH · JSON

Nexus EMR profile for MedicationStatement -- patient-reported medication use, distinct from prescriptions. First pass: status, text-first medication concept, effective timing, free-text dosage. Closed to SMART apps pending an exposure decision.

Elements / Differential

What this profile constrains beyond MedicationStatement. Anything not listed is unchanged from the base; muted type/cardinality values are the base's, shown for context.

Element Flags Card. Type Description & Constraints
MedicationStatement Nexus EMR Medication Statement Core i
Invariants: nexus-note-extension-not-where-native
status S 1..1 code i
medication[x] S 1..1 CodeableConcept The medication the patient reports taking i
coding 0..* Coding i
Slicing: value:system (open)
coding:din S 0..* Coding The Health Canada Drug Identification Number for the marketed product i
system 1..1 uri i
Fixed: http://hl7.org/fhir/NamingSystem/ca-hc-din
code 1..1 code
coding:ccdd S 0..* Coding CCDD — what the drug IS (preferred ingredient-level code) i
system 1..1 uri i
Fixed: http://terminology.hl7.org/CodeSystem/hc-CCDD
code 1..1 code
coding:atc S 0..* Coding ATC classification — coarser ingredient-level grouping i
system 1..1 uri i
Fixed: http://www.whocc.no/atc
code 1..1 code
coding:aign S 0..* Coding The active-ingredient group identifying the drug's ingredient and strength i
system 1..1 uri i
Fixed: http://terminology.hl7.org/CodeSystem/v3-hc-aign
code 1..1 code
subject S 1..1 Reference(Patient Profile) The patient
effective[x] S 0..1 dateTime, Period When the use applies (dateTime or period) i
dateAsserted S 0..1 dateTime When the statement was captured
dosage S 0..* Dosage i
text S 0..1 string Free-text dosage ('81 mg daily') -- the first-pass dosage surface