IL Core Implementation Guide
0.18.0 - draft Israel flag

This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) 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: ILCore MedicationStatement Profile

Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-medication-statement Version: 0.18.0
Standards status: Trial-use Maturity Level: 1 Computable Name: ILCoreMedicationStatement

Israel Core proposed constraints and extensions on the MedicationStatement Resource

כללי

משאב הבסיס MedicationStatement נועד לתעד הצהרה על תרופה שניטלת על ידי המטופל. הצהרה על תרופה עשויה להצביע על כך שהמטופל נוטל את התרופה כעת, נטל את התרופה בעבר, או שייטול אותה בעתיד. המקור למידע יכול להיות המטופל, מקור משמעותי אחר (למשל בן משפחה או בן זוג), או רופא. תרחיש שימוש נפוץ שבו משאב זה מועבר הוא הצהרה על תרופות קבועות של המטופל כחלק מתהליך קבלה באשפוז או ביקור במרפאה. המידע על התרופות עשוי להגיע ממקורות שונים כגון זיכרון המטופל, מרשם, או מרשימת התרופות שהמטופל, הרופא או גורם אחר מחזיקים.

ההבדלים העיקריים בין הצהרת תרופה (MedicationStatement) למתן תרופות (MedicationAdministration):

  1. בעת מתן תרופה עובר מידע מלא על התהליך אשר מבוסס על האדם שביצע בפועל את פעולת מתן התרופה (למשל חתימת אחות על מתן). לכן, מתן התרופות הוא אירוע “רשמי” יותר: הוא יכלול מידע מפורט, ולא חלקי כמו בהצהרה על תרופה.
  2. הצהרה על תרופות היא בד”כ כללית ופחות ספציפית כיוון שבאירוע הצהרה כל מה שידוע הוא שהמטופל נוטל תרופה כלשהי, כאשר מידע על פרטים כגון זמן, כמות או אפילו המוצר התרופתי עשוי להיות חלקי, חסר או לא מדויק.

השימוש הנפוץ ב- MedicationStatement:

  • רשימת תרופות קבועות לצריכה עם האשפוז בבית החולים
  • תרופות ללא מרשם
  • רשימת סיכום ה- “תרופות הפעילות” של המטופל. יש לשים לב שמשאב זה אינו נועד לתעד את רשימת התרופות עצמה, אלא הוא מתועד כהצהרות תרופות בודדות שניתן להשתמש בהן במשאב רשימה (List) כדי לבנות סוגים שונים של רשימות תרופות. שניתן לבנות רשימות תרופות אחרות גם מהמשאבים האחרים (למשל, MedicationRequest, MedicationAdministration).

עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה

גבולות וקשר לפרופילים אחרים

  • משאב ה- MedicationStatement משמש לתיעוד תרופות שהמטופל מדווח שנוטל או שלא נוטל, נטל בעבר או עשוי לנטול בעתיד. משאב זה יכול לשמש גם כדי לתעד שימוש בתרופות שמקורן במידע אחר כגון בקשות מרשם לתרופות. משאב ההצהרה על תרופה אינו משמש לבקשת תרופה במרשם, אספקה של התרופה או מכשיר הקשור לתרופה. לשם כך יש להשתמש בהתאם במקום זאת ב- SupplyRequest, MedicationRequest או DeviceRequest.
  • יש לשים לב שמשאב זה נבדל מ- MedicationRequest, MedicationDispense ו-MedicationAdministration. כל אחד מהמשאבים הללו מתייחס לאירועים ספציפיים – בקשה פרטנית לתרופה (MedicationRequest), מתן תרופות פרטניות (MedicationAdministration) או מינון פרטני (MedicationDispense). אולם, MedicationStatement היא קביעה רחבה יותר, המכסה טווח זמן רחב יותר ואינה תלויה באירועים ספציפיים. כמו כן, ניתן להשתמש בכל אחד משלושת המשאבים האחרים כדי להסיק על הצהרת תרופות שאותן נוטל המטופל.

הרחבות שנוספו בפרופיל

במהלך הסדרת הפרופיל עם ארגוני הבריאות עלו מספר תרחישי שימוש שלחלקם נתן המשאב מענה, ולחלקם הוחלט להוסיף הרחבות (extensions) בפרופיל ע”מ לתת להם מענה. להלן ההרחבות שנוספו לפרופיל, כולם אופציונאליים:

  • courseOfTherapyType – סוג התרופה שעליה הוצהרה הנטילה (למשל תרופה קבועה, אקוטית וכו’)

שדות חובה

בכל משאב התואם לפרופיל ILCoreMedicationStatement חייבים להיות האלמנטים הבאים:

  • status – סטטוס הבקשה/הוראה
  • Medication – קוד התרופה
  • Subject – המידע על המטופל

Must Support

בנוסף לאלמנטים שהוגדרו כחובה, הכיתוב Must Support(MS) ליד כל אלמנט מציין שכל מערכת חייבת לתמוך גם באלמנט זה במידה והוא קיים במופע ה- MedicationStatement שהתקבל. לחלק מהאלמנטים הוחלט להגדיר MS ולחלק מהאלמנטים הוחלט על MS שלהם כחלק מתאימות ל- US Core, כפי שמוסבר בטבלה המסכמת. להלן האלמנטים שהוגדר להם MS:

  • dateAsserted – זמן תיעוד נטילת התרופה במערכת
  • dosage – הוראות מינון

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..* MedicationStatement ILCore MedicationStatement Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... courseOfTherapyType 0..1 CodeableConcept Ext: Medication Course-Of-Therapy Type
URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-course-of-therapy-type
Binding: ILCore Medication Course Of Therapy type (extensible)
... basedOn 0..* Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile) Fulfils plan, proposal or order
... partOf 0..* Reference(ILCore MedicationAdministration Profile | MedicationDispense | ILCore MedicationStatement Profile | ILCore Procedure Profile | ILCore Observation Profile) Part of referenced event
... category 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication statement Category (extensible)
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) What medication was taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What medication was taken
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference 0..1 Reference(ILCore Medication Profile) What medication was taken
... subject S 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who is/was taking the medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... dateAsserted S 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: IL Core procedure Reason (extensible)
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication is being/was taken
... dosage S 0..* ILCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.categoryextensibleILCoreMedicationStatementCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-category
from this IG
MedicationStatement.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationStatement.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement ILCore MedicationStatement Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... courseOfTherapyType 0..1 CodeableConcept Ext: Medication Course-Of-Therapy Type
URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-course-of-therapy-type
Binding: ILCore Medication Course Of Therapy type (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | MedicationDispense | ILCore MedicationStatement Profile | ILCore Procedure Profile | ILCore Observation Profile) 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.

... category Σ 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication statement Category (extensible)
... Slices for medication[x] SΣ 1..1 What medication was taken
Slice: Unordered, Closed 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: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What medication was taken
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who is/was taking the medication
... context Σ 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: IL Core procedure Reason (extensible)
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication is being/was taken
... dosage S 0..* ILCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.categoryextensibleILCoreMedicationStatementCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-category
from this IG
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationStatement.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement ILCore MedicationStatement 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... courseOfTherapyType 0..1 CodeableConcept Ext: Medication Course-Of-Therapy Type
URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-course-of-therapy-type
Binding: ILCore Medication Course Of Therapy type (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | MedicationDispense | ILCore MedicationStatement Profile | ILCore Procedure Profile | ILCore Observation Profile) 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.

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


... category Σ 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication statement Category (extensible)
... Slices for medication[x] SΣ 1..1 What medication was taken
Slice: Unordered, Closed 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: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What medication was taken
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who is/was taking the medication
... context Σ 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: IL Core procedure Reason (extensible)
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage S 0..* ILCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categoryextensibleILCoreMedicationStatementCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-category
from this IG
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationStatement.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
from this IG

This structure is derived from MedicationStatement

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement ILCore MedicationStatement Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... courseOfTherapyType 0..1 CodeableConcept Ext: Medication Course-Of-Therapy Type
URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-course-of-therapy-type
Binding: ILCore Medication Course Of Therapy type (extensible)
... basedOn 0..* Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile) Fulfils plan, proposal or order
... partOf 0..* Reference(ILCore MedicationAdministration Profile | MedicationDispense | ILCore MedicationStatement Profile | ILCore Procedure Profile | ILCore Observation Profile) Part of referenced event
... category 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication statement Category (extensible)
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) What medication was taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What medication was taken
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference 0..1 Reference(ILCore Medication Profile) What medication was taken
... subject S 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who is/was taking the medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... dateAsserted S 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: IL Core procedure Reason (extensible)
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication is being/was taken
... dosage S 0..* ILCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationStatement.categoryextensibleILCoreMedicationStatementCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-category
from this IG
MedicationStatement.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationStatement.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement ILCore MedicationStatement Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... courseOfTherapyType 0..1 CodeableConcept Ext: Medication Course-Of-Therapy Type
URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-course-of-therapy-type
Binding: ILCore Medication Course Of Therapy type (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | MedicationDispense | ILCore MedicationStatement Profile | ILCore Procedure Profile | ILCore Observation Profile) 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.

... category Σ 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication statement Category (extensible)
... Slices for medication[x] SΣ 1..1 What medication was taken
Slice: Unordered, Closed 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: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What medication was taken
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who is/was taking the medication
... context Σ 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) Person or organization that provided the information about the taking of this medication
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: IL Core procedure Reason (extensible)
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication is being/was taken
... dosage S 0..* ILCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.categoryextensibleILCoreMedicationStatementCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-category
from this IG
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationStatement.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement ILCore MedicationStatement 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... courseOfTherapyType 0..1 CodeableConcept Ext: Medication Course-Of-Therapy Type
URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-course-of-therapy-type
Binding: ILCore Medication Course Of Therapy type (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | MedicationDispense | ILCore MedicationStatement Profile | ILCore Procedure Profile | ILCore Observation Profile) 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.

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


... category Σ 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication statement Category (extensible)
... Slices for medication[x] SΣ 1..1 What medication was taken
Slice: Unordered, Closed 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: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What medication was taken
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who is/was taking the medication
... context Σ 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted SΣ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: IL Core procedure Reason (extensible)
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Further information about the statement
... dosage S 0..* ILCoreDosage How the medication is/was taken or should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categoryextensibleILCoreMedicationStatementCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-category
from this IG
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationStatement.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
from this IG

This structure is derived from MedicationStatement

 

Other representations of profile: CSV, Excel, Schematron