IHE Pharmacy Medication Overview
1.0.0-preview - Preview International flag

This page is part of the IHE Pharmacy Medication Overview (v1.0.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Medication Treatment Line

Official URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/MedicationTreatmentLine Version: 1.0.0-preview
Active as of 2026-06-26 Computable Name: MedicationTreatmentLine

Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property

The profile for Medication Treatment Line - a single recorded item/line of a medication treatment

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... extension:substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
.... extension:adherence S 1..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Indicates whether the medication is or is not being consumed or administered
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
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 ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Required Pattern: unknown
... category SΣ 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] SΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Additional supporting information
... reasonCode S 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 S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍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 MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement MedicationStatement
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... extension:substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
.... extension:adherence S 1..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Indicates whether the medication is or is not being consumed or administered
... identifier S 0..* Identifier External identifier
... status S 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Required Pattern: unknown
... medication[x] S 1..1 CodeableConcept, Reference(Medication) What medication was taken
... subject S 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] S 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted S 0..1 dateTime When the statement was asserted?
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Additional supporting information
... reasonCode S 0..* CodeableConcept Reason for why the medication is being/was taken
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... text S 0..1 string Free text dosage instructions e.g. SIG

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a 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
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... extension:substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
.... extension:adherence S 1..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
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, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Indicates whether the medication is or is not being consumed or administered
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] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 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 ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Required Pattern: unknown
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 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] SΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Additional supporting information
... reasonCode S 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 S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 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 SΣ 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: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... 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(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
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 example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... extension:substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
.... extension:adherence S 1..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
Constraints: ext-1
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Indicates whether the medication is or is not being consumed or administered
Constraints: ext-1
....... url 1..1 uri "code"
....... value[x] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
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 ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Required Pattern: unknown
... category SΣ 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] SΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Additional supporting information
... reasonCode S 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 S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions e.g. SIG

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍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()

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement MedicationStatement
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... extension:substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
.... extension:adherence S 1..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Indicates whether the medication is or is not being consumed or administered
... identifier S 0..* Identifier External identifier
... status S 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Required Pattern: unknown
... medication[x] S 1..1 CodeableConcept, Reference(Medication) What medication was taken
... subject S 1..1 Reference(Patient | Group) Who is/was taking the medication
... effective[x] S 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted S 0..1 dateTime When the statement was asserted?
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Additional supporting information
... reasonCode S 0..* CodeableConcept Reason for why the medication is being/was taken
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 0..* Dosage Details of how medication is/was taken or should be taken
.... text S 0..1 string Free text dosage instructions e.g. SIG

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a 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
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:version S 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:verificationInformation S 0..1 (Complex) MedicationStatement - Verification Information
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-verificationinformation
.... extension:substitution S 0..1 (Complex) MedicationStatement - Substitution
URL: https://profiles.ihe.net/PHARM/MEOW/StructureDefinition/ihe-ext-medicationstatement-substitution
.... extension:adherence S 1..1 (Complex) R5: Indicates whether the medication is or is not being consumed or administered (new)
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, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:code S 1..1 Extension Indicates whether the medication is or is not being consumed or administered
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] 1..1 CodeableConcept Type of adherence
Binding: R5MedicationStatementAdherenceForR4 (0.1.0) (example)
...... extension:reason 0..1 Extension R5: Details of the reason for the current use of the medication (new)
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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 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 ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Required Pattern: unknown
... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 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] SΣ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] SΣ 0..1 Period The date/time or interval when the medication is/was/will be taken
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
... derivedFrom S 0..* Reference(Resource) Additional supporting information
... reasonCode S 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 S 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage S 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 SΣ 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: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... 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(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​extension:adherence.​extension:code.value[x] Base example Cross-version ValueSet R5.MedicationStatementAdherenceCodes for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
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 example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
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()

 

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