Medication Statement Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-medicationstatement |
|---|---|
| Status | draft (experimental) · 1.26.0 |
| Base | MedicationStatement (constraint) |
| Source | FSH · 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 / Key elements
The working view: must-support, required, modifier and sliced elements from the effective (snapshot) definition.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | Nexus EMR Medication Statement Core i Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, nexus-note-extension-not-where-native |
||
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| status | S ?! | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken i Binding: medication-statement-status ( required)Invariants: ele-1 |
| medication[x] | S | 1..1 | CodeableConcept | The medication the patient reports taking i Binding: medication-codes ( example)Invariants: ele-1 |
| coding:din | S | 0..* | Coding | The Health Canada Drug Identification Number for the marketed product i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://hl7.org/fhir/NamingSystem/ca-hc-dinInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| coding:ccdd | S | 0..* | Coding | CCDD — what the drug IS (preferred ingredient-level code) i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/hc-CCDDInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| coding:atc | S | 0..* | Coding | ATC classification — coarser ingredient-level grouping i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://www.whocc.no/atcInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| coding:aign | S | 0..* | Coding | The active-ingredient group identifying the drug's ingredient and strength i Invariants: ele-1 |
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/v3-hc-aignInvariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| subject | S | 1..1 | Reference(Patient Profile) | The patient Invariants: ele-1 |
| effective[x] | S | 0..1 | dateTime, Period | When the use applies (dateTime or period) i Invariants: ele-1 |
| dateAsserted | S | 0..1 | dateTime | When the statement was captured Invariants: ele-1 |
| dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken i Invariants: ele-1 |
| text | S | 0..1 | string | Free-text dosage ('81 mg daily') -- the first-pass dosage surface Invariants: ele-1 |