Remote Anamnesis Implementation Guide
0.1.0 - ci-build

Remote Anamnesis Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: MedicationStatement_Patient

Official URL: http://remote-anamnesis.na.icar.cnr/StructureDefinition/medication-statement-patient | Version: 0.1.0
Active as of 2025-08-08 | Computable Name: Medication_Statement_Patient

Representation of a list of Medicines/Supplements for a specific patient via MedicationStatement profile

Usages:

- Examples for this Profile: MedicationStatement/Medication-Statement-Patient-001 and MedicationStatement/Medication-Statement-patient-002

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..* | MedicationStatement | List of Medicines or Supplements taken by the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | Medicine intake status (e.g., active, completed, discontinued) Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason |  | 0..* | CodeableConcept | Reason for discontinuation or modification of therapy Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
medication[x] | Σ | 1..1 | Reference(Medication_Patient) | Medication or supplement taken
subject | Σ | 1..1 | Reference(Anamnesis_Patient) | Patient taking the medication
Slices for effective[x] | S Σ | 1..1 |  | Time interval during which the medication was taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period of medication intake
start | S Σ C | 1..1 | dateTime | Start date of medication intake
dosage | S | 0..* | Dosage | Details on the dosage of the medication taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
timing | S Σ | 1..1 | Timing | When medication should be administered
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
route | S Σ | 1..1 | CodeableConcept | How drug should enter body Binding: Dosage direction VS (required)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
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.dosage.route | required | DOSDIR `http://remote-anamnesis.na.icar.cnr/ValueSet/DOSDIR` From this IG

#### 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() |

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | List of Medicines or Supplements taken by the patient
status | S | 1..1 | code | Medicine intake status (e.g., active, completed, discontinued)
statusReason |  | 0..* | CodeableConcept | Reason for discontinuation or modification of therapy
medication[x] |  | 1..1 | Reference(Medication_Patient) | Medication or supplement taken
subject |  | 1..1 | Reference(Anamnesis_Patient) | Patient taking the medication
Slices for effective[x] | S | 1..1 | dateTime, Period | Time interval during which the medication was taken Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod |  | 0..1 | Period | Period of medication intake
start | S | 1..1 | dateTime | Start date of medication intake
dosage | S | 0..* | Dosage | Details on the dosage of the medication taken
timing | S | 1..1 | Timing | When medication should be administered
repeat |  |  |  |
when |  | 0..* | code | Code for time period of occurrence Binding: EventTiming (required)
route | S | 1..1 | CodeableConcept | How drug should enter body Binding: Dosage direction VS (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationStatement.dosage.timing.repeat.when | required | EventTiming `http://hl7.org/fhir/ValueSet/event-timing` From the FHIR Standard
MedicationStatement.dosage.route | required | DOSDIR `http://remote-anamnesis.na.icar.cnr/ValueSet/DOSDIR` From this IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | List of Medicines or Supplements taken by the 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External 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 | ?!S Σ | 1..1 | code | Medicine intake status (e.g., active, completed, discontinued) Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason |  | 0..* | CodeableConcept | Reason for discontinuation or modification of therapy Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category | Σ | 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] | Σ | 1..1 | Reference(Medication_Patient) | Medication or supplement taken
subject | Σ | 1..1 | Reference(Anamnesis_Patient) | Patient taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
Slices for effective[x] | S Σ | 1..1 |  | Time interval during which the medication was taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period of medication intake
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Start date of medication intake
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication
derivedFrom |  | 0..* | Reference(Resource) | Additional supporting information
reasonCode |  | 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 |  | 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 | S | 0..* | Dosage | Details on the dosage of the medication 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 | S Σ | 1..1 | Timing | When medication should be 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required)
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | S Σ | 1..1 | CodeableConcept | How drug should enter body Binding: Dosage direction VS (required)
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.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
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.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.reasonCode | example | Condition/Problem/DiagnosisCodes `http://hl7.org/fhir/ValueSet/condition-code` From the FHIR Standard
MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions `http://hl7.org/fhir/ValueSet/additional-instruction-codes` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.durationUnit | required | UnitsOfTime `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.periodUnit | required | UnitsOfTime `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.dayOfWeek | required | DaysOfWeek `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.when | required | EventTiming `http://hl7.org/fhir/ValueSet/event-timing` From the FHIR Standard
MedicationStatement.dosage.timing.code | preferred | TimingAbbreviation `http://hl7.org/fhir/ValueSet/timing-abbreviation` From the FHIR Standard
MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From the FHIR Standard
MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes `http://hl7.org/fhir/ValueSet/approach-site-codes` From the FHIR Standard
MedicationStatement.dosage.route | required | DOSDIR `http://remote-anamnesis.na.icar.cnr/ValueSet/DOSDIR` From this IG
MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes` From the FHIR Standard
MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateType `http://hl7.org/fhir/ValueSet/dose-rate-type` 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() |
tim-1 | error | MedicationStatement.dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() |
tim-2 | error | MedicationStatement.dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() |
tim-4 | error | MedicationStatement.dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 |
tim-5 | error | MedicationStatement.dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 |
tim-6 | error | MedicationStatement.dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() |
tim-7 | error | MedicationStatement.dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() |
tim-8 | error | MedicationStatement.dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() |
tim-9 | error | MedicationStatement.dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) |
tim-10 | error | MedicationStatement.dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |

This structure is derived from MedicationStatement

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- Medication_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/medication-patient)
- Anamnesis_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/patient-anamnesi)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationStatement.effective[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | List of Medicines or Supplements taken by the patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | Medicine intake status (e.g., active, completed, discontinued) Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason |  | 0..* | CodeableConcept | Reason for discontinuation or modification of therapy Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
medication[x] | Σ | 1..1 | Reference(Medication_Patient) | Medication or supplement taken
subject | Σ | 1..1 | Reference(Anamnesis_Patient) | Patient taking the medication
Slices for effective[x] | S Σ | 1..1 |  | Time interval during which the medication was taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period of medication intake
start | S Σ C | 1..1 | dateTime | Start date of medication intake
dosage | S | 0..* | Dosage | Details on the dosage of the medication taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
timing | S Σ | 1..1 | Timing | When medication should be administered
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
route | S Σ | 1..1 | CodeableConcept | How drug should enter body Binding: Dosage direction VS (required)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
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.dosage.route | required | DOSDIR `http://remote-anamnesis.na.icar.cnr/ValueSet/DOSDIR` From this IG

#### 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() |

Differential View

This structure is derived from MedicationStatement

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | List of Medicines or Supplements taken by the patient
status | S | 1..1 | code | Medicine intake status (e.g., active, completed, discontinued)
statusReason |  | 0..* | CodeableConcept | Reason for discontinuation or modification of therapy
medication[x] |  | 1..1 | Reference(Medication_Patient) | Medication or supplement taken
subject |  | 1..1 | Reference(Anamnesis_Patient) | Patient taking the medication
Slices for effective[x] | S | 1..1 | dateTime, Period | Time interval during which the medication was taken Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod |  | 0..1 | Period | Period of medication intake
start | S | 1..1 | dateTime | Start date of medication intake
dosage | S | 0..* | Dosage | Details on the dosage of the medication taken
timing | S | 1..1 | Timing | When medication should be administered
repeat |  |  |  |
when |  | 0..* | code | Code for time period of occurrence Binding: EventTiming (required)
route | S | 1..1 | CodeableConcept | How drug should enter body Binding: Dosage direction VS (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationStatement.dosage.timing.repeat.when | required | EventTiming `http://hl7.org/fhir/ValueSet/event-timing` From the FHIR Standard
MedicationStatement.dosage.route | required | DOSDIR `http://remote-anamnesis.na.icar.cnr/ValueSet/DOSDIR` From this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | List of Medicines or Supplements taken by the 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External 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 | ?!S Σ | 1..1 | code | Medicine intake status (e.g., active, completed, discontinued) Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason |  | 0..* | CodeableConcept | Reason for discontinuation or modification of therapy Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category | Σ | 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] | Σ | 1..1 | Reference(Medication_Patient) | Medication or supplement taken
subject | Σ | 1..1 | Reference(Anamnesis_Patient) | Patient taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
Slices for effective[x] | S Σ | 1..1 |  | Time interval during which the medication was taken Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Period of medication intake
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Start date of medication intake
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication
derivedFrom |  | 0..* | Reference(Resource) | Additional supporting information
reasonCode |  | 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 |  | 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 | S | 0..* | Dosage | Details on the dosage of the medication 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 | S Σ | 1..1 | Timing | When medication should be 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required)
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | S Σ | 1..1 | CodeableConcept | How drug should enter body Binding: Dosage direction VS (required)
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.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
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.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.reasonCode | example | Condition/Problem/DiagnosisCodes `http://hl7.org/fhir/ValueSet/condition-code` From the FHIR Standard
MedicationStatement.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions `http://hl7.org/fhir/ValueSet/additional-instruction-codes` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.durationUnit | required | UnitsOfTime `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.periodUnit | required | UnitsOfTime `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.dayOfWeek | required | DaysOfWeek `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` From the FHIR Standard
MedicationStatement.dosage.timing.repeat.when | required | EventTiming `http://hl7.org/fhir/ValueSet/event-timing` From the FHIR Standard
MedicationStatement.dosage.timing.code | preferred | TimingAbbreviation `http://hl7.org/fhir/ValueSet/timing-abbreviation` From the FHIR Standard
MedicationStatement.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From the FHIR Standard
MedicationStatement.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes `http://hl7.org/fhir/ValueSet/approach-site-codes` From the FHIR Standard
MedicationStatement.dosage.route | required | DOSDIR `http://remote-anamnesis.na.icar.cnr/ValueSet/DOSDIR` From this IG
MedicationStatement.dosage.method | example | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes` From the FHIR Standard
MedicationStatement.dosage.doseAndRate.type | example | DoseAndRateType `http://hl7.org/fhir/ValueSet/dose-rate-type` 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() |
tim-1 | error | MedicationStatement.dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() |
tim-2 | error | MedicationStatement.dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() |
tim-4 | error | MedicationStatement.dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 |
tim-5 | error | MedicationStatement.dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 |
tim-6 | error | MedicationStatement.dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() |
tim-7 | error | MedicationStatement.dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() |
tim-8 | error | MedicationStatement.dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() |
tim-9 | error | MedicationStatement.dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) |
tim-10 | error | MedicationStatement.dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |

This structure is derived from MedicationStatement

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- Medication_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/medication-patient)
- Anamnesis_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/patient-anamnesi)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationStatement.effective[x]

Other representations of profile: CSV, Excel, Schematron