Finnish Base Profiles
1.0.0-rc18 - qa-preview Finland flag

This page is part of the Finnish Base Profiles (v0.2.0: STU 1 Draft) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0-rc2. For a full list of available versions, see the Directory of published versions

Resource Profile: FI Base MedicationStatement

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-statement Version: 1.0.0-rc18
Draft as of 2023-07-13 Computable Name: FiBaseMedicationStatement

This is the Finnish base profile for the MedicationStatement resource, for other than patient access use cases.

Scope and Usage

This profile is meant for use cases without patient access perspective. For patient access use case, please see the FI Base Patient Medication Statement profile.

See also the Medication Codes section on the terminology page of this guide, and the Medications Module of the main FHIR specification.

For all medication related resources (Medication, MedicationAdministration, MedicationRequest, MedicationStatement), please also see the Prescription project and the related implementation guide of the Kanta system. That project contains useful definitions, examples, and sequence descriptions (mostly in Finnish).

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... basedOn 0..*Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf 0..*Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation)Part of referenced event
... Slices for medication[x] 1..1CodeableConcept, Reference(Medication)What medication was taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1Reference(FI Base Medication | FI Base Patient Medication)What medication was taken
... context 0..1Reference(FI Base Encounter | FI Base EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... informationSource 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson)Person or organization that provided the information about the taking of this medication
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... basedOn Σ0..*Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... status ?!Σ1..1codeactive | 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.

... Slices for medication[x] Σ1..1What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)What medication was taken
... subject Σ1..1Reference(FI Base Patient)Who is/was taking the medication
... context Σ0..1Reference(FI Base Encounter | FI Base EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... informationSource 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson)Person or organization that provided the information about the taking of this medication
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationStatement.statusrequiredMedication Status Codes
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal identifier
... basedOn Σ0..*Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf Σ0..*Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation)Part of referenced event
... status ?!Σ1..1codeactive | 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.

... statusReason 0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category Σ0..1CodeableConceptType 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.

... Slices for medication[x] Σ1..1What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)What medication was taken
... subject Σ1..1Reference(FI Base Patient)Who is/was taking the medication
... context Σ0..1Reference(FI Base Encounter | FI Base EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] Σ0..1The date/time or interval when the medication is/was/will be taken
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted Σ0..1dateTimeWhen the statement was asserted?
... informationSource 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson)Person or organization that provided the information about the taking of this medication
... derivedFrom 0..*Reference(Resource)Additional supporting information
... reasonCode 0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference 0..*Reference(FI Base Condition | FI Base Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note 0..*AnnotationFurther information about the statement
... dosage 0..*DosageDetails of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.statusrequiredMedication Status Codes
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
MedicationStatement.categorypreferredMedication usage category codes
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatement

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationStatement.medication[x] is sliced based on the value of type:$this

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... basedOn 0..*Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf 0..*Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation)Part of referenced event
... Slices for medication[x] 1..1CodeableConcept, Reference(Medication)What medication was taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1Reference(FI Base Medication | FI Base Patient Medication)What medication was taken
... context 0..1Reference(FI Base Encounter | FI Base EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... informationSource 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson)Person or organization that provided the information about the taking of this medication
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... basedOn Σ0..*Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... status ?!Σ1..1codeactive | 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.

... Slices for medication[x] Σ1..1What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)What medication was taken
... subject Σ1..1Reference(FI Base Patient)Who is/was taking the medication
... context Σ0..1Reference(FI Base Encounter | FI Base EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... informationSource 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson)Person or organization that provided the information about the taking of this medication
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationStatement.statusrequiredMedication Status Codes
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..*MedicationStatementRecord of medication being taken by a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal identifier
... basedOn Σ0..*Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
... partOf Σ0..*Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation)Part of referenced event
... status ?!Σ1..1codeactive | 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.

... statusReason 0..*CodeableConceptReason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category Σ0..1CodeableConceptType 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.

... Slices for medication[x] Σ1..1What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)What medication was taken
... subject Σ1..1Reference(FI Base Patient)Who is/was taking the medication
... context Σ0..1Reference(FI Base Encounter | FI Base EpisodeOfCare)Encounter / Episode associated with MedicationStatement
... effective[x] Σ0..1The date/time or interval when the medication is/was/will be taken
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... dateAsserted Σ0..1dateTimeWhen the statement was asserted?
... informationSource 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson)Person or organization that provided the information about the taking of this medication
... derivedFrom 0..*Reference(Resource)Additional supporting information
... reasonCode 0..*CodeableConceptReason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference 0..*Reference(FI Base Condition | FI Base Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
... note 0..*AnnotationFurther information about the statement
... dosage 0..*DosageDetails of how medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.statusrequiredMedication Status Codes
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
MedicationStatement.categorypreferredMedication usage category codes
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatement

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationStatement.medication[x] is sliced based on the value of type:$this

 

Other representations of profile: CSV, Excel, Schematron