This
page
is
part
of
the
Continuous
Integration
Build
of
FHIR
Specification
(v4.0.1:
R4
-
Mixed
Normative
and
STU
)
in
it's
permanent
home
(it
will
always
(will
be
available
incorrect/inconsistent
at
this
URL).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
times).
See
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
Responsible
Owner:
Pharmacy
Work
Group
|
|
Security Category : Patient | Compartments : Encounter , Group , Patient , Practitioner , RelatedPerson |
Detailed Descriptions for the elements in the MedicationStatement resource.
| MedicationStatement | |
| Element Id | MedicationStatement |
| Definition |
A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.
The
primary
difference
between
a
|
| Short Display | Record of medication being taken by a patient |
| Cardinality | 0..* |
| Type | DomainResource |
| Alternate Names |
|
|
| false |
| MedicationStatement.identifier | |
| Element Id | MedicationStatement.identifier |
| Definition |
Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. |
|
|
External identifier |
| Note | This is a business identifier, not a resource identifier (see discussion ) |
| Cardinality | 0..* |
| Type | Identifier |
| Summary | true |
| Comments |
This is a business identifier, not a resource identifier. |
|
|
|
| Element Id | MedicationStatement.partOf |
| Definition |
A
larger
event
of
which
this
particular
|
| Short Display | Part of referenced event |
| Cardinality | 0..* |
| Type |
Reference
(
|
|
|
This
|
| Summary |
|
| MedicationStatement.status | |
| Element Id | MedicationStatement.status |
| Definition |
A
code
representing
the
|
| Short Display | recorded | entered-in-error | draft |
| Cardinality | 1..1 |
| Terminology Binding |
|
| Type | code |
| Is Modifier | true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) |
| Summary | true |
| Comments |
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
|
|
|
|
|
|
|
|
The
committee
will
revisit
these
codes,
expecting
to
use
a
codesystem
from
terminology.hl7.org
|
|
|
|
| Cardinality |
|
| Terminology Binding |
|
| Type | CodeableConcept |
| Summary | true |
|
|
|
| Element Id |
|
| Definition |
Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. |
| Short Display | What medication was taken |
| Cardinality | 1..1 |
| Terminology Binding | SNOMED CT Medication Codes ( Example ) |
| Type |
|
|
|
true |
| Comments |
If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. |
| MedicationStatement.subject | |
| Element Id | MedicationStatement.subject |
| Definition |
The person, animal or group who is/was taking the medication. |
| Short Display | Who is/was taking the medication |
| Cardinality | 1..1 |
| Type | Reference ( Patient | Group ) |
| Summary | true |
|
|
|
| Element Id |
|
| Definition |
The
encounter
|
| Short Display | Encounter associated with MedicationStatement |
| Cardinality | 0..1 |
| Type |
Reference
(
Encounter
|
| Summary | true |
| MedicationStatement.effective[x] | |
| Element Id | MedicationStatement.effective[x] |
| Definition |
The
interval
of
time
during
which
it
is
being
asserted
that
the
patient
is/was/will
be
taking
the
medication
(or
was
not
taking,
when
the
|
| Short Display | The date/time or interval when the medication is/was/will be taken |
| Cardinality | 0..1 |
| Type | dateTime | Period | Timing |
| [x] Note |
See
Choice
of
|
| Summary | true |
| Comments |
This
attribute
reflects
the
period
over
which
the
patient
consumed
the
medication
and
is
expected
to
be
populated
on
the
majority
of
Medication
Statements.
If
the
medication
is
still
being
taken
and
is
expected
to
continue
indefinitely
at
the
time
the
|
| MedicationStatement.dateAsserted | |
| Element Id | MedicationStatement.dateAsserted |
| Definition |
The
date
when
the
|
| Short Display | When the usage was asserted? |
| Cardinality | 0..1 |
| Type | dateTime |
| Summary | true |
| MedicationStatement.author | |
| Element Id | MedicationStatement.author |
| Definition | The individual, organization, or device that created the statement and has responsibility for its content. |
| Short Display | Who/What authored the statement |
| Cardinality | 0..1 |
| Type | Reference ( Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device ) |
| Summary | true |
| MedicationStatement.informationSource | |
| Element Id | MedicationStatement.informationSource |
| Definition |
The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest. |
| Short Display | Person or organization that provided the information about the taking of this medication |
| Cardinality |
|
| Type | Reference ( Device | Patient | Practitioner | PractitionerRole | RelatedPerson | Organization | Group ) |
| Summary | false |
| MedicationStatement.derivedFrom | |
| Element Id | MedicationStatement.derivedFrom |
| Definition |
Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement. |
| Short Display | Link to information used to derive the MedicationStatement |
| Cardinality | 0..* |
| Type | Reference ( Any ) |
|
| false |
| Comments |
Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from. |
|
|
|
| Element Id |
|
| Definition |
A
|
| Short Display | Reason for why the medication is being/was taken |
| Cardinality | 0..* |
| Terminology Binding | Condition/Problem/Diagnosis Codes ( Example ) |
| Type | CodeableReference ( Condition | Observation | DiagnosticReport | Procedure ) |
|
|
false |
| Comments |
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference. |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Further information about the usage |
| Cardinality | 0..* |
| Type |
|
|
Summary
|
false |
|
|
|
|
| MedicationStatement.relatedClinicalInformation |
| Definition |
|
| Short Display | Link to information relevant to the usage of a medication |
| Cardinality | 0..* |
| Type | Reference ( Observation | Condition ) |
| Summary | false |
|
|
|
| Element Id |
|
| Definition |
|
| Short Display | Full representation of the dosage instructions |
| Cardinality |
|
| Type | markdown |
| Requirements |
The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content. |
| Summary | false |
| MedicationStatement.dosage | |
| Element Id | MedicationStatement.dosage |
| Definition |
Indicates how the medication is/was or should be taken by the patient. |
| Short Display | Details of how medication is/was taken or should be taken |
| Cardinality | 0..* |
| Type | Dosage |
|
| false |
| Comments |
The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest. |
| MedicationStatement.adherence | |
| Element Id | MedicationStatement.adherence |
| Definition | Indicates whether the medication is or is not being consumed or administered. |
| Short Display | Indicates whether the medication is or is not being consumed or administered |
| Cardinality | 0..1 |
| Summary | true |
| Comments | This element can be used to indicate whether a patient is following a course of treatment as instructed/prescribed or whether they are taking medications of their own volition. It can also be used to indicate that a patient is not taking a medication, either because they were told not to or because they decided on their own. |
| MedicationStatement.adherence.code | |
| Element Id | MedicationStatement.adherence.code |
| Definition | Type of the adherence for the medication. |
| Short Display | Type of adherence |
| Cardinality | 1..1 |
| Terminology Binding | MedicationStatement Adherence Codes ( Example ) |
| Type | CodeableConcept |
| Summary | true |
| MedicationStatement.adherence.reason | |
| Element Id | MedicationStatement.adherence.reason |
| Definition | Captures the reason for the current use or adherence of a medication. |
| Short Display | Details of the reason for the current use of the medication |
| Cardinality | 0..1 |
| Terminology Binding | SNOMED CT Drug Therapy Status codes ( Example ) |
| Type | CodeableConcept |
| Summary | false |
| Comments | This is generally only used for "exception" statuses such as "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here. |