Standard Health Record FHIR Implementation Guide
The official URL for this profile is:
http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-MedicationUsed
A record of the use of a medication.
This profile builds on US Core MedicationStatement Profile.
This profile was published on Tue Feb 27 00:00:00 EST 2018 as a draft by The MITRE Corporation: Standard Health Record Collaborative.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
Summary
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
SHR Mapping Source
This structure represents the following SHR mapping definition:
shr.medication.MedicationUsed maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement: Informant maps to informationSource _Entry.CreationTime maps to dateAsserted MedicationOrCode maps to medication[x] Category maps to category fix taken to #y constrain reasonNotTaken to 0..0 constrain dosage to 0..1 Dosage maps to dosage PerformedContext.Reason maps to reasonCode PerformedContext.OccurrenceTimeOrPeriod maps to effective[x] PerformedContext.Status maps to status
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement | I | 0..* | SHR MedicationUsed Profile | |
  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: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
 shr-base-RelatedEncounter-extension | 0..1 | Reference(SHR EncounterPerformed Profile) | SHR RelatedEncounter Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension | |
 shr-base-Author-extension | 0..1 | (Complex) | SHR Author Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension | |
| shr-entity-Type-extension | 0..1 | CodeableConcept | SHR Type Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External identifier |
 basedOn | Σ | 0..* | Reference(MedicationRequest), Reference(CarePlan), Reference(ProcedureRequest), Reference(ReferralRequest) | Fulfils plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration), Reference(MedicationDispense), Reference(MedicationStatement), Reference(Procedure), Reference(Observation) | Part of referenced event |
| context | Σ | 0..1 | Reference(Encounter), Reference(EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| status | ?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold Binding: MedicationStatementStatus (required) |
| category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationStatementCategory (preferred) |
 medication[x] | SΣ | CodeableConcept, Reference(SHR Medication Profile) | What medication was taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (RxNorm) (extensible) | |
| medicationCodeableConcept | Σ | 1..1 | CodeableConcept | What medication was taken Binding: Medication Clinical Drug (RxNorm) (extensible) |
 effective[x] | SΣ | 0..1 | dateTime, Period | The date/time or interval when the medication was taken |
| dateAsserted | SΣ | 1..1 | dateTime | When the statement was asserted? |
| informationSource | 0..1 | Reference(SHR Patient Profile), Reference(SHR RelatedPerson Profile), Reference(SHR Organization Profile) | Person or organization that provided the information about the taking of this medication | |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who is/was taking the medication |
| derivedFrom | S | 0..* | Reference(Resource) | Additional supporting information |
| taken | ?!SΣ | 1..1 | code | y | n | unk | na Binding: MedicationStatementTaken (required) Fixed Value: y |
| reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/Diagnosis Codes (example) | |
| reasonReference | 0..* | Reference(Condition), Reference(Observation) | Condition or observation that supports why the medication is being/was taken | |
| note | 0..* | Annotation | Further information about the statement | |
 dosage | 0..1 | SHR Dosage Profile | Details of how medication is/was taken or should be taken | |
| Documentation for this format | ||||
Summary
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
SHR Mapping Source
This structure represents the following SHR mapping definition:
shr.medication.MedicationUsed maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement: Informant maps to informationSource _Entry.CreationTime maps to dateAsserted MedicationOrCode maps to medication[x] Category maps to category fix taken to #y constrain reasonNotTaken to 0..0 constrain dosage to 0..1 Dosage maps to dosage PerformedContext.Reason maps to reasonCode PerformedContext.OccurrenceTimeOrPeriod maps to effective[x] PerformedContext.Status maps to status
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | I | 0..* | SHR MedicationUsed Profile | |
| 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: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| shr-base-RelatedEncounter-extension | 0..1 | Reference(SHR EncounterPerformed Profile) | SHR RelatedEncounter Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension | |
| shr-base-Author-extension | 0..1 | (Complex) | SHR Author Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension | |
| shr-entity-Type-extension | 0..1 | CodeableConcept | SHR Type Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External identifier |
| basedOn | Σ | 0..* | Reference(MedicationRequest), Reference(CarePlan), Reference(ProcedureRequest), Reference(ReferralRequest) | Fulfils plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration), Reference(MedicationDispense), Reference(MedicationStatement), Reference(Procedure), Reference(Observation) | Part of referenced event |
| context | Σ | 0..1 | Reference(Encounter), Reference(EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
| status | ?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold Binding: MedicationStatementStatus (required) |
| category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationStatementCategory (preferred) |
| medication[x] | SΣ | CodeableConcept, Reference(SHR Medication Profile) | What medication was taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (RxNorm) (extensible) | |
| medicationCodeableConcept | Σ | 1..1 | CodeableConcept | What medication was taken Binding: Medication Clinical Drug (RxNorm) (extensible) |
| effective[x] | SΣ | 0..1 | dateTime, Period | The date/time or interval when the medication was taken |
| dateAsserted | SΣ | 1..1 | dateTime | When the statement was asserted? |
| informationSource | 0..1 | Reference(SHR Patient Profile), Reference(SHR RelatedPerson Profile), Reference(SHR Organization Profile) | Person or organization that provided the information about the taking of this medication | |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who is/was taking the medication |
| derivedFrom | S | 0..* | Reference(Resource) | Additional supporting information |
| taken | ?!SΣ | 1..1 | code | y | n | unk | na Binding: MedicationStatementTaken (required) Fixed Value: y |
| reasonCode | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/Diagnosis Codes (example) | |
| reasonReference | 0..* | Reference(Condition), Reference(Observation) | Condition or observation that supports why the medication is being/was taken | |
| note | 0..* | Annotation | Further information about the statement | |
| dosage | 0..1 | SHR Dosage Profile | Details of how medication is/was taken or should be taken | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
| Path | Name | Conformance | ValueSet |
| MedicationStatement.language | Common Languages | extensible | Common Languages |
| MedicationStatement.status | MedicationStatementStatus | required | MedicationStatementStatus |
| MedicationStatement.category | MedicationStatementCategory | preferred | MedicationStatementCategory |
| MedicationStatement.medication[x] | Medication Clinical Drug (RxNorm) | extensible | Medication Clinical Drug (RxNorm) |
| MedicationStatement.medicationCodeableConcept | Medication Clinical Drug (RxNorm) | extensible | Medication Clinical Drug (RxNorm) |
| MedicationStatement.taken | MedicationStatementTaken | required | MedicationStatementTaken |
| MedicationStatement.reasonCode | Condition/Problem/Diagnosis Codes | example | Condition/Problem/Diagnosis Codes |
| Id | Path | Details | Requirements |
| dom-2 | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | 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-3 | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| mst-1 | MedicationStatement | Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n') |