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 / Snapshot
The full effective definition: base MedicationStatement with this profile's constraints applied.
| 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 |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation i Invariants: ele-1 |
|
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | 0..* | Identifier | External identifier i Invariants: ele-1 |
|
| basedOn | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order Invariants: ele-1 |
|
| partOf | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event 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 |
| statusReason | 0..* | CodeableConcept | Reason for current status i Binding: reason-medication-status-codes ( example)Invariants: ele-1 |
|
| category | 0..1 | CodeableConcept | Type of medication usage Binding: medication-statement-category ( preferred)Invariants: ele-1 |
|
| medication[x] | S | 1..1 | CodeableConcept | The medication the patient reports taking i Binding: medication-codes ( example)Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| coding | 0..* | Coding | Code defined by a terminology system i Slicing: value:system (open) Invariants: ele-1 |
|
| coding:din | S | 0..* | Coding | The Health Canada Drug Identification Number for the marketed product i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://hl7.org/fhir/NamingSystem/ca-hc-dinInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| coding:ccdd | S | 0..* | Coding | CCDD — what the drug IS (preferred ingredient-level code) i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/hc-CCDDInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| coding:atc | S | 0..* | Coding | ATC classification — coarser ingredient-level grouping i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://www.whocc.no/atcInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| coding:aign | S | 0..* | Coding | The active-ingredient group identifying the drug's ingredient and strength i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://terminology.hl7.org/CodeSystem/v3-hc-aignInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| text | 0..1 | string | Plain text representation of the concept i Invariants: ele-1 |
|
| subject | S | 1..1 | Reference(Patient Profile) | The patient Invariants: ele-1 |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement 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 |
| informationSource | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication Invariants: ele-1 |
|
| derivedFrom | 0..* | Reference(Resource) | Additional supporting information i Invariants: ele-1 |
|
| reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken i Binding: condition-code ( example)Invariants: ele-1 |
|
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken i Invariants: ele-1 |
|
| note | 0..* | Annotation | Further information about the statement Invariants: ele-1 |
|
| dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| sequence | 0..1 | integer | The order of the dosage instructions Invariants: ele-1 |
|
| text | S | 0..1 | string | Free-text dosage ('81 mg daily') -- the first-pass dosage surface Invariants: ele-1 |
| additionalInstruction | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" i Binding: additional-instruction-codes ( example)Invariants: ele-1 |
|
| patientInstruction | 0..1 | string | Patient or consumer oriented instructions Invariants: ele-1 |
|
| timing | 0..1 | Timing | When medication should be administered i Invariants: ele-1 |
|
| asNeeded[x] | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) i Binding: medication-as-needed-reason ( example)Invariants: ele-1 |
|
| site | 0..1 | CodeableConcept | Body site to administer to i Binding: approach-site-codes ( example)Invariants: ele-1 |
|
| route | 0..1 | CodeableConcept | How drug should enter body Binding: route-codes ( example)Invariants: ele-1 |
|
| method | 0..1 | CodeableConcept | Technique for administering medication i Binding: administration-method-codes ( example)Invariants: ele-1 |
|
| doseAndRate | 0..* | Element | Amount of medication administered Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| type | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: dose-rate-type ( example)Invariants: ele-1 |
|
| dose[x] | 0..1 | Range, Quantity(SimpleQuantity) | Amount of medication per dose i Invariants: ele-1 |
|
| rate[x] | 0..1 | Ratio, Range, Quantity(SimpleQuantity) | Amount of medication per unit of time i Invariants: ele-1 |
|
| maxDosePerPeriod | 0..1 | Ratio | Upper limit on medication per unit of time i Invariants: ele-1 |
|
| maxDosePerAdministration | 0..1 | Quantity(SimpleQuantity) | Upper limit on medication per administration i Invariants: ele-1 |
|
| maxDosePerLifetime | 0..1 | Quantity(SimpleQuantity) | Upper limit on medication per lifetime of the patient Invariants: ele-1 |