Inera Core Implementation Guide
0.2.0 - ci-build Sweden

Inera Core Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MedicationStatement Base Inera ( Experimental )

Official URL: https://inera.se/fhir/core/StructureDefinition/medicationstatement-base-inera Version: 0.2.0
Draft as of 2026-01-09 Computable Name: MedicationStatementBaseInera

Svensk profil för läkemedelsanvändning baserad på TKB GetMedicationHistory v2.0.

Profilen stödjer dokumentation av:

  • Pågående och historisk läkemedelsbehandling (ordinations-id, status, treatment period)
  • Ordinationsorsaker (NKOO-koder) och behandlingssyfte
  • Ordinationskedjor (prescription chains) för samma indikation
  • Egenvård och receptbelagda läkemedel (selfMedication)
  • Läkemedelsdata: NPL-ID, ATC, läkemedelsform, styrka, administreringsväg
  • Doseringsanvisningar (dosageInstruction, unitDose, shortNotation)

Svensk terminologi:

  • NPL (Nationellt Produktregister för Läkemedel) - OID: 1.2.752.129.2.1.5.1 - primärt för läkemedelskodning
  • ATC (Anatomisk Terapeutisk Kemisk klassifikation) - kompletterande substansgruppering
  • NKOO (Socialstyrelsens kodsystem för ordinationsorsaker) - OID: 1.2.752.116.1.1.1.1.13 - för reasonCode
  • SIL (Svensk informationsstruktur för läkemedel) - för läkemedelsform och styrka
  • UCUM (Unified Code for Units of Measure) - för doseringsenheter

Svenska mönster:

  • Ordinationstyp (typeOfPrescription): I=Insättning (start), U=Utsättning (stop)
  • Ordinationskedjor: Flera ordinationer med samma indikation och substans länkas via prescriptionChainId
  • Flera vårdpersonsroller: Ordinerare (prescriber), dokumenterare (accountableHealthcareProfessional), signerare (legalAuthenticator), utvärderare (evaluator)

TKB Source: GetMedicationHistory v2.0 (clinicalprocess:activityprescription:actoutcome). Omfattar 40+ element från medicationMedicalRecord inklusive header (metadata), prescription (ordinations-id, status, orsaker, tidsperiod), drug (NPL/ATC/form/strength/route), dosage (doseringsanvisningar).

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Ordinations-ID (documentId, prescriptionId)
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Baserad på remiss/förfrågan
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Ingår i ordinationskedja (prescriptionChainId)
... status ?!SΣ 1..1 code Ordinations-status
Binding: Medication Status Codes (required)
... statusReason S 0..* CodeableConcept Anledning till avslut
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Kategori
Binding: Medication usage category codes (preferred)
... Slices for medication[x] SΣ 1..1 Läkemedel
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:npl SΣ 0..* Coding NPL läkemedelskod (nplId)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.129.2.1.5.1
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
...... coding:atc SΣ 0..* Coding ATC substansgruppskod (atcCode)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Läkemedelsnamn (fritext)
... subject SΣ 1..1 Reference(Patient Base Inera) Patient
... context SΣ 0..1 Reference(Encounter Base Inera) Vårdkontakt (careContactId)
... Slices for effective[x] SΣ 0..1 Behandlingsperiod
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Specifik behandlingstidpunkt
.... effective[x]:effectivePeriod Σ 0..1 Period Behandlingsperiod (start-slut)
..... start SΣC 0..1 dateTime Behandlingsstart (startOfTreatment)
..... end SΣC 0..1 dateTime Behandlingsslut (endOfTreatment)
... dateAsserted SΣ 0..1 dateTime Dokumentationstidpunkt
... informationSource S 0..1 Reference(PractitionerRole Base Inera | Patient Base Inera | RelatedPerson | Organization Base Inera) Informationskälla (ordinatör)
... derivedFrom S 0..* Reference(Resource) Baserad på
... reasonCode S 0..* CodeableConcept Ordinationsorsak (principalPrescriptionReason)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:nkoo SΣ 0..* Coding NKOO ordinationsorsak
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.116.1.1.1.1.13
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Ordinationsorsak (fritext)
... reasonReference S 0..* Reference(Condition Diagnosis Inera | Observation) Behandlingsindikation (referens)
... note S 0..* Annotation Kommentarer och behandlingssyfte
.... text SΣ 1..1 markdown Kommentarstext
... dosage S 0..* Dosage Doseringsanvisning
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Dosering (fritext, dosageInstruction)
.... patientInstruction SΣ 0..1 string Kort doseringsnotering (shortNotation)
.... timing SΣ 0..1 Timing Doseringstidpunkt
.... asNeeded[x] SΣ 0..1 Vid behov
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
.... route SΣ 0..1 CodeableConcept Administreringsväg (routeOfAdministration)
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.
.... doseAndRate SΣ 0..* Element Dos och administreringshastighet
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Dosmängd
....... value SΣ 0..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Enhet (unitDose)
....... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... maxDosePerPeriod SΣ 0..1 Ratio Maximal dos per period

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.​medication[x]:medicationCodeableConcept 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.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route Base example SNOMED CT Route 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 0..* MedicationStatement Record of medication being taken by a patient
... identifier S 0..* Identifier Ordinations-ID (documentId, prescriptionId)
... basedOn S 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Baserad på remiss/förfrågan
... partOf S 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Ingår i ordinationskedja (prescriptionChainId)
... status S 1..1 code Ordinations-status
Binding: Medication Status Codes (required)
... statusReason S 0..* CodeableConcept Anledning till avslut
... category S 0..1 CodeableConcept Kategori
Binding: Medication usage category codes (preferred)
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) Läkemedel
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What medication was taken
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:npl S 0..* Coding NPL läkemedelskod (nplId)
....... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.129.2.1.5.1
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 0..1 string Representation defined by the system
...... coding:atc S 0..* Coding ATC substansgruppskod (atcCode)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 0..1 string Representation defined by the system
..... text S 0..1 string Läkemedelsnamn (fritext)
... subject S 1..1 Reference(Patient Base Inera) Patient
... context S 0..1 Reference(Encounter Base Inera) Vårdkontakt (careContactId)
... Slices for effective[x] S 0..1 dateTime, Period Behandlingsperiod
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1 dateTime Specifik behandlingstidpunkt
.... effective[x]:effectivePeriod 0..1 Period Behandlingsperiod (start-slut)
..... start S 0..1 dateTime Behandlingsstart (startOfTreatment)
..... end S 0..1 dateTime Behandlingsslut (endOfTreatment)
... dateAsserted S 0..1 dateTime Dokumentationstidpunkt
... informationSource S 0..1 Reference(PractitionerRole Base Inera | Patient Base Inera | RelatedPerson | Organization Base Inera) Informationskälla (ordinatör)
... derivedFrom S 0..* Reference(Resource) Baserad på
... reasonCode S 0..* CodeableConcept Ordinationsorsak (principalPrescriptionReason)
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:nkoo S 0..* Coding NKOO ordinationsorsak
...... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.116.1.1.1.1.13
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
.... text S 0..1 string Ordinationsorsak (fritext)
... reasonReference S 0..* Reference(Condition Diagnosis Inera | Observation) Behandlingsindikation (referens)
... note S 0..* Annotation Kommentarer och behandlingssyfte
.... text S 1..1 markdown Kommentarstext
... dosage S 0..* Dosage Doseringsanvisning
.... text S 0..1 string Dosering (fritext, dosageInstruction)
.... patientInstruction S 0..1 string Kort doseringsnotering (shortNotation)
.... timing S 0..1 Timing Doseringstidpunkt
.... asNeeded[x] S 0..1 boolean, CodeableConcept Vid behov
.... route S 0..1 CodeableConcept Administreringsväg (routeOfAdministration)
.... doseAndRate S 0..* Element Dos och administreringshastighet
..... Slices for dose[x] 0..1 Range, SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 0..1 SimpleQuantity Dosmängd
....... value S 0..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Enhet (unitDose)
....... system 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... maxDosePerPeriod S 0..1 Ratio Maximal dos per period

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
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.
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
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
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 SΣ 0..* Identifier Ordinations-ID (documentId, prescriptionId)
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Baserad på remiss/förfrågan
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Ingår i ordinationskedja (prescriptionChainId)
... status ?!SΣ 1..1 code Ordinations-status
Binding: Medication Status Codes (required)
... statusReason S 0..* CodeableConcept Anledning till avslut
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Kategori
Binding: Medication usage category codes (preferred)
... Slices for medication[x] SΣ 1..1 Läkemedel
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being 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
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:npl SΣ 0..* Coding NPL läkemedelskod (nplId)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.129.2.1.5.1
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atc SΣ 0..* Coding ATC substansgruppskod (atcCode)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Läkemedelsnamn (fritext)
... subject SΣ 1..1 Reference(Patient Base Inera) Patient
... context SΣ 0..1 Reference(Encounter Base Inera) Vårdkontakt (careContactId)
... Slices for effective[x] SΣ 0..1 Behandlingsperiod
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Specifik behandlingstidpunkt
.... effective[x]:effectivePeriod Σ 0..1 Period Behandlingsperiod (start-slut)
..... 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 SΣC 0..1 dateTime Behandlingsstart (startOfTreatment)
..... end SΣC 0..1 dateTime Behandlingsslut (endOfTreatment)
... dateAsserted SΣ 0..1 dateTime Dokumentationstidpunkt
... informationSource S 0..1 Reference(PractitionerRole Base Inera | Patient Base Inera | RelatedPerson | Organization Base Inera) Informationskälla (ordinatör)
... derivedFrom S 0..* Reference(Resource) Baserad på
... reasonCode S 0..* CodeableConcept Ordinationsorsak (principalPrescriptionReason)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being 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
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:nkoo SΣ 0..* Coding NKOO ordinationsorsak
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.116.1.1.1.1.13
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Ordinationsorsak (fritext)
... reasonReference S 0..* Reference(Condition Diagnosis Inera | Observation) Behandlingsindikation (referens)
... note S 0..* Annotation Kommentarer och behandlingssyfte
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown Kommentarstext
... dosage S 0..* Dosage Doseringsanvisning
.... 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 Dosering (fritext, dosageInstruction)
.... 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 SΣ 0..1 string Kort doseringsnotering (shortNotation)
.... timing SΣ 0..1 Timing Doseringstidpunkt
.... asNeeded[x] SΣ 0..1 Vid behov
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 SΣ 0..1 CodeableConcept Administreringsväg (routeOfAdministration)
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 SΣ 0..* Element Dos och administreringshastighet
..... 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.
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Dosmängd
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 0..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Enhet (unitDose)
....... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code Σ 0..1 code Coded form of the unit
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod SΣ 0..1 Ratio Maximal dos per period
.... 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.​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.​medication[x]:medicationCodeableConcept 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()

This structure is derived from MedicationStatement

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 43 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.medication[x]
  • The element 1 is sliced based on the value of MedicationStatement.medication[x].coding
  • The element 1 is sliced based on the value of MedicationStatement.effective[x]
  • The element 1 is sliced based on the value of MedicationStatement.reasonCode.coding
  • The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.dose[x]

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Ordinations-ID (documentId, prescriptionId)
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Baserad på remiss/förfrågan
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Ingår i ordinationskedja (prescriptionChainId)
... status ?!SΣ 1..1 code Ordinations-status
Binding: Medication Status Codes (required)
... statusReason S 0..* CodeableConcept Anledning till avslut
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Kategori
Binding: Medication usage category codes (preferred)
... Slices for medication[x] SΣ 1..1 Läkemedel
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:npl SΣ 0..* Coding NPL läkemedelskod (nplId)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.129.2.1.5.1
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
...... coding:atc SΣ 0..* Coding ATC substansgruppskod (atcCode)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Läkemedelsnamn (fritext)
... subject SΣ 1..1 Reference(Patient Base Inera) Patient
... context SΣ 0..1 Reference(Encounter Base Inera) Vårdkontakt (careContactId)
... Slices for effective[x] SΣ 0..1 Behandlingsperiod
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Specifik behandlingstidpunkt
.... effective[x]:effectivePeriod Σ 0..1 Period Behandlingsperiod (start-slut)
..... start SΣC 0..1 dateTime Behandlingsstart (startOfTreatment)
..... end SΣC 0..1 dateTime Behandlingsslut (endOfTreatment)
... dateAsserted SΣ 0..1 dateTime Dokumentationstidpunkt
... informationSource S 0..1 Reference(PractitionerRole Base Inera | Patient Base Inera | RelatedPerson | Organization Base Inera) Informationskälla (ordinatör)
... derivedFrom S 0..* Reference(Resource) Baserad på
... reasonCode S 0..* CodeableConcept Ordinationsorsak (principalPrescriptionReason)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:nkoo SΣ 0..* Coding NKOO ordinationsorsak
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.116.1.1.1.1.13
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Ordinationsorsak (fritext)
... reasonReference S 0..* Reference(Condition Diagnosis Inera | Observation) Behandlingsindikation (referens)
... note S 0..* Annotation Kommentarer och behandlingssyfte
.... text SΣ 1..1 markdown Kommentarstext
... dosage S 0..* Dosage Doseringsanvisning
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Dosering (fritext, dosageInstruction)
.... patientInstruction SΣ 0..1 string Kort doseringsnotering (shortNotation)
.... timing SΣ 0..1 Timing Doseringstidpunkt
.... asNeeded[x] SΣ 0..1 Vid behov
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
.... route SΣ 0..1 CodeableConcept Administreringsväg (routeOfAdministration)
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.
.... doseAndRate SΣ 0..* Element Dos och administreringshastighet
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Dosmängd
....... value SΣ 0..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Enhet (unitDose)
....... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... maxDosePerPeriod SΣ 0..1 Ratio Maximal dos per period

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.​medication[x]:medicationCodeableConcept 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.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationStatement.​dosage.route Base example SNOMED CT Route 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 0..* MedicationStatement Record of medication being taken by a patient
... identifier S 0..* Identifier Ordinations-ID (documentId, prescriptionId)
... basedOn S 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Baserad på remiss/förfrågan
... partOf S 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Ingår i ordinationskedja (prescriptionChainId)
... status S 1..1 code Ordinations-status
Binding: Medication Status Codes (required)
... statusReason S 0..* CodeableConcept Anledning till avslut
... category S 0..1 CodeableConcept Kategori
Binding: Medication usage category codes (preferred)
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) Läkemedel
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What medication was taken
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:npl S 0..* Coding NPL läkemedelskod (nplId)
....... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.129.2.1.5.1
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 0..1 string Representation defined by the system
...... coding:atc S 0..* Coding ATC substansgruppskod (atcCode)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 0..1 string Representation defined by the system
..... text S 0..1 string Läkemedelsnamn (fritext)
... subject S 1..1 Reference(Patient Base Inera) Patient
... context S 0..1 Reference(Encounter Base Inera) Vårdkontakt (careContactId)
... Slices for effective[x] S 0..1 dateTime, Period Behandlingsperiod
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1 dateTime Specifik behandlingstidpunkt
.... effective[x]:effectivePeriod 0..1 Period Behandlingsperiod (start-slut)
..... start S 0..1 dateTime Behandlingsstart (startOfTreatment)
..... end S 0..1 dateTime Behandlingsslut (endOfTreatment)
... dateAsserted S 0..1 dateTime Dokumentationstidpunkt
... informationSource S 0..1 Reference(PractitionerRole Base Inera | Patient Base Inera | RelatedPerson | Organization Base Inera) Informationskälla (ordinatör)
... derivedFrom S 0..* Reference(Resource) Baserad på
... reasonCode S 0..* CodeableConcept Ordinationsorsak (principalPrescriptionReason)
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:nkoo S 0..* Coding NKOO ordinationsorsak
...... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.116.1.1.1.1.13
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
.... text S 0..1 string Ordinationsorsak (fritext)
... reasonReference S 0..* Reference(Condition Diagnosis Inera | Observation) Behandlingsindikation (referens)
... note S 0..* Annotation Kommentarer och behandlingssyfte
.... text S 1..1 markdown Kommentarstext
... dosage S 0..* Dosage Doseringsanvisning
.... text S 0..1 string Dosering (fritext, dosageInstruction)
.... patientInstruction S 0..1 string Kort doseringsnotering (shortNotation)
.... timing S 0..1 Timing Doseringstidpunkt
.... asNeeded[x] S 0..1 boolean, CodeableConcept Vid behov
.... route S 0..1 CodeableConcept Administreringsväg (routeOfAdministration)
.... doseAndRate S 0..* Element Dos och administreringshastighet
..... Slices for dose[x] 0..1 Range, SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 0..1 SimpleQuantity Dosmängd
....... value S 0..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Enhet (unitDose)
....... system 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... maxDosePerPeriod S 0..1 Ratio Maximal dos per period

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
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.

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
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
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 SΣ 0..* Identifier Ordinations-ID (documentId, prescriptionId)
... basedOn SΣ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Baserad på remiss/förfrågan
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Ingår i ordinationskedja (prescriptionChainId)
... status ?!SΣ 1..1 code Ordinations-status
Binding: Medication Status Codes (required)
... statusReason S 0..* CodeableConcept Anledning till avslut
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
... category SΣ 0..1 CodeableConcept Kategori
Binding: Medication usage category codes (preferred)
... Slices for medication[x] SΣ 1..1 Läkemedel
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being 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
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:npl SΣ 0..* Coding NPL läkemedelskod (nplId)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.129.2.1.5.1
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atc SΣ 0..* Coding ATC substansgruppskod (atcCode)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Läkemedelsnamn (fritext)
... subject SΣ 1..1 Reference(Patient Base Inera) Patient
... context SΣ 0..1 Reference(Encounter Base Inera) Vårdkontakt (careContactId)
... Slices for effective[x] SΣ 0..1 Behandlingsperiod
Slice: Unordered, Closed by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Specifik behandlingstidpunkt
.... effective[x]:effectivePeriod Σ 0..1 Period Behandlingsperiod (start-slut)
..... 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 SΣC 0..1 dateTime Behandlingsstart (startOfTreatment)
..... end SΣC 0..1 dateTime Behandlingsslut (endOfTreatment)
... dateAsserted SΣ 0..1 dateTime Dokumentationstidpunkt
... informationSource S 0..1 Reference(PractitionerRole Base Inera | Patient Base Inera | RelatedPerson | Organization Base Inera) Informationskälla (ordinatör)
... derivedFrom S 0..* Reference(Resource) Baserad på
... reasonCode S 0..* CodeableConcept Ordinationsorsak (principalPrescriptionReason)
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being 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
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:nkoo SΣ 0..* Coding NKOO ordinationsorsak
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.752.116.1.1.1.1.13
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Ordinationsorsak (fritext)
... reasonReference S 0..* Reference(Condition Diagnosis Inera | Observation) Behandlingsindikation (referens)
... note S 0..* Annotation Kommentarer och behandlingssyfte
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown Kommentarstext
... dosage S 0..* Dosage Doseringsanvisning
.... 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 Dosering (fritext, dosageInstruction)
.... 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 SΣ 0..1 string Kort doseringsnotering (shortNotation)
.... timing SΣ 0..1 Timing Doseringstidpunkt
.... asNeeded[x] SΣ 0..1 Vid behov
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 SΣ 0..1 CodeableConcept Administreringsväg (routeOfAdministration)
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 SΣ 0..* Element Dos och administreringshastighet
..... 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.
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Dosmängd
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 0..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Enhet (unitDose)
....... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code Σ 0..1 code Coded form of the unit
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod SΣ 0..1 Ratio Maximal dos per period
.... 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.​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.​medication[x]:medicationCodeableConcept 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()

This structure is derived from MedicationStatement

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 43 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.medication[x]
  • The element 1 is sliced based on the value of MedicationStatement.medication[x].coding
  • The element 1 is sliced based on the value of MedicationStatement.effective[x]
  • The element 1 is sliced based on the value of MedicationStatement.reasonCode.coding
  • The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.dose[x]

 

Other representations of profile: CSV, Excel, Schematron