Medicationstatement.profile.xml

StructureDefinition for medicationstatement

  
  
    
  
  
    
    
      
        
          
            
          
          
            
          
          
            
          
          
            
          
          
            
            
              
                
              
            
          
        
        
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MedicationStatement"/> 
  <meta> 
    <lastUpdated value="2019-10-24T11:53:00+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
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            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC 
            MedicationStatement : A record of a medication that is being consumed by a patient.  

            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="MedicationStatement : 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 e.g. 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 medication statement and a medication administration is that the medication
             administration has complete administration information and is based on actual administration
             information from the person who administered the medication.  A medication statement is
             often, if not always, less specific.  There is no required date/time when the medication
             was administered, in fact we only know that a source has reported the patient is taking
             this medication, where details such as time, quantity, or rate or even medication product
             may be incomplete or missing or less precise.  As stated earlier, the medication statement
             information may come from the patient's memory, from a prescription bottle or from a list
             of medications the patient, clinician or other party maintains.  Medication administration
             is more formal and is not missing detailed information.
            
          
          
            
            
          
          
          
            
          
          Record of medication being taken by a patient
            
            
            
            
          
        

             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 medication statement and a medication administration
             is that the medication administration has complete administration information and is based
             on actual administration information from the person who administered the medication.
              A medication statement is often, if not always, less specific.  There is no required
             date/time when the medication was administered, in fact we only know that a source has
             reported the patient is taking this medication, where details such as time, quantity,
             or rate or even medication product may be incomplete or missing or less precise.  As stated
             earlier, the medication statement information may come from the patient's memory, from
             a prescription bottle or from a list of medications the patient, clinician or other party
             maintains.  Medication administration is more formal and is not missing detailed information.">MedicationStatement</span> 
            <a name="MedicationStatement"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element has or is affected by some invariants">I</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Record of medication being taken by a patient
            <br/>  
            <span style="font-style: italic" title="mst-1">+ Reason not taken is only permitted if Taken is No</span> 
            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this

             value never changes.">id</a> , 
            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.

             Changes to the content may not always be associated with version changes to the resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and

             which must be understood when processing the content.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource, and may be used to

             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains

             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition

             of the resource. In order to make the use of extensions safe and manageable, there is
             a strict set of governance  applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition

             of the resource, and that modifies the understanding of the element that contains it.
             Usually modifier elements provide negation or qualification. In order to make the use
             of extensions safe and manageable, there is a strict set of governance applied to the
             definition and use of extensions. Though any implementer is allowed to define an extension,
             there is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.">modifierExtension</a> 
          </td> 
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            MedicationStatement.identifier : External identifier - FHIR will generate its own internal

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="MedicationStatement.identifier : External identifier - FHIR will generate its own internal
             identifiers (probably URLs) which do not need to be explicitly managed by the resource.
              The identifier here is one that would be used by another non-FHIR system - for example
             an automated medication pump would provide a record each time it operated; an administration
             while the patient was off the ward might be made with a different system and entered after
             the event.  Particularly important if these records have to be updated.
            
          
          
            
          
          
          
            
          
          
        

             the event.  Particularly important if these records have to be updated.">identifier</span> 
            <a name="MedicationStatement.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">External identifier
            <br/>  
          </td> 
        </tr> 

        
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            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationStatement.basedOn : A plan, proposal or order that is fulfilled in whole or

             in part by this event.">basedOn</span> 
            <a name="MedicationStatement.basedOn"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="medicationrequest.html">MedicationRequest</a>  | 
            <a href="careplan.html">CarePlan</a>  | 
            <a href="procedurerequest.html">ProcedureRequest</a>  | 
            <a href="referralrequest.html">ReferralRequest</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Fulfils plan, proposal or order
            <br/>  
          </td> 
        </tr> 

        
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            MedicationStatement.informationSource : The person who provided the information about
             the taking of this medication.
            
          
          
            
          
          
          
            (
             | 
             | 
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationStatement.partOf : A larger event of which this particular event is a component

             or step.">partOf</span> 
            <a name="MedicationStatement.partOf"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="medicationadministration.html">MedicationAdministration</a>  | 
            <a href="medicationdispense.html">MedicationDispense</a>  | 
            <a href="medicationstatement.html">MedicationStatement</a>  | 
            <a href="procedure.html">Procedure</a>  | 
            <a href="observation.html">Observation</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Part of referenced event
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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          CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            MedicationStatement.dateAsserted : The date when the medication statement was asserted
             by the information source.
            
          
          
            
          
          
          
            
          
          
        

            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj

            wv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjE
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationStatement.context : The encounter or episode of care that establishes the context

             for this MedicationStatement.">context</span> 
            <a name="MedicationStatement.context"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="encounter.html">Encounter</a>  | 
            <a href="episodeofcare.html">EpisodeOfCare</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Encounter / Episode associated with MedicationStatement</td> 
        </tr> 

        
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            MedicationStatement.status : A code representing the patient or other source's judgment

            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="MedicationStatement.status : A code representing the patient or other source's judgment
             about the state of the medication used that this statement is about.  Generally this will
             be active or completed.
            
          
          
            
            
          
          
          
            
          
          active | completed | entered-in-error | intended
            
             (
            To be conformant, instances of this element SHALL include a code from the specified value
             set.)
          
        

        
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            MedicationStatement.wasNotTaken : Set this to true if the record is saying that the medication
             was NOT taken.
            
          
          
            
            
          
          
          
            
          
          
        

             be active or completed.">status</span> 
            <a name="MedicationStatement.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is a modifier element">?!</span> 
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">active | completed | entered-in-error | intended | stopped | on-hold
            <br/>  
            <a href="valueset-medication-statement-status.html" title="A coded concept indicating the current status of a MedicationStatement.">MedicationStatementStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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          CYII=)
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
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            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///////yH5BAEAAH8ALAAAAAAQABAAAAfNgH+Cg36FfoOIhH4JBxBghYl/hQ
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            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            
            
          
          
            
            
          
          
          
            
          
          True if asserting medication was not given
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="MedicationStatement.category : Indicates where type of medication statement and where

             the medication is expected to be consumed or administered.">category</span> 
            <a name="MedicationStatement.category"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Type of medication usage
            <br/>  
            <a href="valueset-medication-statement-category.html" title="A coded concept identifying where the medication included in the medicationstatement is

             expected to be consumed or administered">MedicationStatementCategory</a>  (
            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes

             but are not required to do so to be considered conformant.">Preferred</a> )
          </td> 
        </tr> 

        
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             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

            FXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs=" style="background-color: white; background-color: inherit" title="Choice of Types"/>  
            <span title="MedicationStatement.medication[x] : 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.">medication[x]</span> 
            <a name="MedicationStatement.medication_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">What medication was taken
            <br/>  
            <a href="valueset-medication-codes.html" title="A coded concept identifying the substance or product being taken.">SNOMED CT Medication Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            A concept that may be defined by a formal reference to a terminology or ontology or may
             be provided by text.
          
          
          
          
            
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may

             be provided by text.">medicationCodeableConcept</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
        </tr> 

        
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC reasonForUseReference
          
          
          
          
            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  medicationReference
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="medication.html">Medication</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
        </tr> 

        
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            FXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs= 
            MedicationStatement.effective[x] : The interval of time during which it is being asserted

            FXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs=" style="background-color: white; background-color: inherit" title="Choice of Types"/>  
            <span title="MedicationStatement.effective[x] : The interval of time during which it is being asserted
             that the patient was taking the medication (or was not taking, when the wasNotGiven element
             is true).
            
          
          
            
          
          
          
          
        

             is true).">effective[x]</span> 
            <a name="MedicationStatement.effective_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">The date/time or interval when the medication was taken</td> 
        </tr> 

        
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes

            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes
             are specified, a time zone SHALL be populated. The format is a union of the schema types
             gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
             but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.
          
          
          
          
            
          
          
        

             but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.">effectiveDateTime</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="A time period defined by a start and end date and optionally time.">effectivePeriod</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
        </tr> 

        
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            MedicationStatement.note : Provides extra information about the medication statement that
             is not conveyed by the other attributes.
            
          
          
            
          
          
          
            
          
          
        

            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="MedicationStatement.dateAsserted : The date when the medication statement was asserted

             by the information source.">dateAsserted</span> 
            <a name="MedicationStatement.dateAsserted"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">When the statement was asserted?</td> 
        </tr> 

        
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            MedicationStatement.supportingInformation : Allows linking the MedicationStatement to
             the underlying MedicationOrder, or to other information that supports the MedicationStatement.
            
          
          
            
          
          
          
            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationStatement.informationSource : 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.">informationSource</span> 
            <a name="MedicationStatement.informationSource"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Person or organization that provided the information about the taking of this medication</td> 
        </tr> 

        
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            MedicationStatement.medication[x] : 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.
            
          
          
            
          
          
          
          
        

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            <span title="MedicationStatement.subject : The person, animal or group who is/was taking the medication.">subject</span> 
            <a name="MedicationStatement.subject"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Who is/was taking  the medication</td> 
        </tr> 

        
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            A concept that may be defined by a formal reference to a terminology or ontology or may
             be provided by text.
          
          
          
          
            
          
          
        

        
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC medicationReference
          
          
          
          
            (
            )
          
          
        

        
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           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7 
            
            
          
          
            
          
          
          
            
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationStatement.derivedFrom : Allows linking the MedicationStatement to the underlying

             MedicationRequest, or to other information that supports or is used to derive the MedicationStatemen
            t.">derivedFrom</span> 
            <a name="MedicationStatement.derivedFrom"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Additional supporting information
            <br/>  
          </td> 
        </tr> 

        
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            MedicationStatement.dosage.text : Free text dosage information as reported about a patient's
             medication use. When coded dosage information is present, the free text may still be present
             for display to humans.
            
          
          
            
          
          
          
            
          
          
        

            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="MedicationStatement.taken : Indicator of the certainty of whether the medication was taken

             by the patient.">taken</span> 
            <a name="MedicationStatement.taken"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is a modifier element">?!</span> 
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">y | n | unk | na
            <br/>  
            <a href="valueset-medication-statement-taken.html" title="A coded concept identifying level of certainty if patient has taken or has not taken the

             medication">MedicationStatementTaken</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

        
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            MedicationStatement.dosage.timing : The timing schedule for giving the medication to the
             patient.  The Schedule data type allows many different expressions, for example.  &quot;Every
              8 hours&quot;; &quot;Three times a day&quot;; &quot;1/2 an hour before breakfast for
             10 days from 23-Dec 2011:&quot;;  &quot;15 Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.
            
          
          
            
          
          
          
            
          
          
        

        
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            MedicationStatement.dosage.asNeeded[x] : Indicates whether the Medication is only taken
             when needed within a specific dosing schedule (Boolean option), or it indicates the precondition
             for taking the Medication (CodeableConcept).    Specifically if 'boolean' datatype is
             selected, then the following logic applies:  If set to True, this indicates that the medication
             is only taken when needed, within the specified schedule.
            
          
          
            
          
          
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="MedicationStatement.reasonNotTaken : A code indicating why the medication was not taken.">reasonNotTaken</span> 
            <a name="MedicationStatement.reasonNotTaken"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element has or is affected by some invariants">I</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">True if asserting medication was not given
            <br/>  
            <a href="valueset-reason-medication-not-taken-codes.html" title="A coded concept indicating the reason why the medication was not taken">SNOMED CT Drugs not taken/completed Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
            <br/>  
          </td> 
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            A concept that may be defined by a formal reference to a terminology or ontology or may
             be provided by text.
          
          
          
          
            
          
          
        

        
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            MedicationStatement.dosage.site[x] : A coded specification of or a reference to the anatomic
             site where the medication first enters the body.
            
          
          
            
          
          
          
          Where (on body) medication is/was administered
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="MedicationStatement.reasonCode : A reason for why the medication is being/was taken.">reasonCode</span> 
            <a name="MedicationStatement.reasonCode"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Reason for why the medication is being/was taken
            <br/>  
            <a href="valueset-condition-code.html" title="A coded concept identifying why the medication is being taken.">Condition/Problem/Diagnosis Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
            <br/>  
          </td> 
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            A concept that may be defined by a formal reference to a terminology or ontology or may
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            (
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            MedicationStatement.dosage.route : A code specifying the route or physiological path of
             administration of a therapeutic agent into or onto a subject.
            
          
          
            
          
          
          
            
          
          How the medication entered the body
            
            A coded concept describing the route or physiological path of administration of a therapeutic
             agent into or onto the body of a subject. (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            MedicationStatement.dosage.method : A coded value indicating the method by which the medication
             is intended to be or was introduced into or on the body.  This attribute will most often
             NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep
             IV.
            
          
          
            
          
          
          
            
          
          
        

        
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            MedicationStatement.dosage.rate[x] : Identifies the speed with which the medication was
             or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml
             per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time e.g. 500 ml
             per 2 hours.   Currently we do not specify a default of '1' in the denominator, but this
             is being discussed. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
            
          
          
            
          
          
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationStatement.reasonReference : Condition or observation that supports why the medication

             is being/was taken.">reasonReference</span> 
            <a name="MedicationStatement.reasonReference"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="observation.html">Observation</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Condition or observation that supports why the medication is being/was taken
            <br/>  
          </td> 
        </tr> 

        
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="MedicationStatement.note : Provides extra information about the medication statement that

             is not conveyed by the other attributes.">note</span> 
            <a name="MedicationStatement.note"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Further information about the statement
            <br/>  
          </td> 
        </tr> 

        
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUO
            L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC
            data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk

            L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
            z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///////yH5BAEAAH8ALAAAAAAQABAAAAfNgH+Cg36FfoOIhH4JBxBghYl/hQ
            kNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBN
            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            MedicationStatement.dosage.maxDosePerPeriod : The maximum total quantity of a therapeutic
             substance that may be administered to a subject over the period of time.  For example,
             1000mg in 24 hours.
            
          
          
            
          
          
          
            
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="MedicationStatement.dosage : Indicates how the medication is/was or should be taken by

             the patient.">dosage</span> 
            <a name="MedicationStatement.dosage"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="dosage.html#Dosage">Dosage</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Details of how medication is/was taken or should be taken
            <br/>  
          </td> 
        </tr> 

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  
  
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
    
      
      
      A record of a medication that is being consumed by a patient.   A MedicationStatement

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="phx"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/> 
  <name value="MedicationStatement"/> 
  <status value="draft"/> 
  <date value="2019-10-24T11:53:00+11:00"/> 
  <publisher value="Health Level Seven International (Pharmacy)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/medication/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="Base StructureDefinition for MedicationStatement Resource"/> 
  <fhirVersion value="3.0.2"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/w5"/> 
    <name value="W5 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="MedicationStatement"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="MedicationStatement">
      <path value="MedicationStatement"/> 
      <short value="Record of medication being taken by a patient"/> 
      <definition value="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 e.g. 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 medication statement and a
       medication administration is that the medication administration has complete administration
       information and is based on actual administration information from the person who administered
       the medication.  A medication statement is often, if not always, less specific.  There
       is no required date/time when the medication was administered, in fact we only know that
       a source has reported the patient is taking this medication, where details such as time,
       quantity, or rate or even medication product may be incomplete or missing or less precise.
        As stated earlier, the medication statement information may come from the patient's memory,
       from a prescription bottle or from a list of medications the patient, clinician or other
       party maintains.  Medication administration is more formal and is not missing detailed
       information.
      
      
      
        
      
      
        
        
        
        
      
      
        
        
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID.
      
      
      
        
      
      
    
    
      
      
      The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource.
      
      
      
        
      
      
    
    
      
      
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content.
      Asserting this rule set restricts the content to be only understood by a limited set of

       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 medication statement and a medication administration
       is that the medication administration has complete administration information and is based
       on actual administration information from the person who administered the medication.
        A medication statement is often, if not always, less specific.  There is no required
       date/time when the medication was administered, in fact we only know that a source has
       reported the patient is taking this medication, where details such as time, quantity,
       or rate or even medication product may be incomplete or missing or less precise.  As stated
       earlier, the medication statement information may come from the patient's memory, from
       a prescription bottle or from a list of medications the patient, clinician or other party
       maintains.  Medication administration is more formal and is not missing detailed information."/> 
      <comment value="When interpreting a medicationStatement, the value of the status and NotTaken needed to

       be considered:
MedicationStatement.status + MedicationStatement.wasNotTaken
Status=Active + NotTaken=T = Not currently taking
Status=Completed + NotTaken=T = Not taken in the past
Status=Intended + NotTaken=T = No intention of taking
Status=Active + NotTaken=F = Taking, but not as prescribed
Status=Active + NotTaken=F = Taking
Status=Intended +NotTaken= F = Will be taking (not started)
Status=Completed + NotTaken=F = Taken in past
Status=In Error + NotTaken=N/A = In Error."/> 
      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-1"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> 
        <expression value="contained.text.empty()"/> 
        <xpath value="not(parent::f:contained and f:text)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or

         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere

         in the resource"/> 
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> 
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f

        :reference/@value=concat('#', $id))]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="mst-1"/> 
        <severity value="error"/> 
        <human value="Reason not taken is only permitted if Taken is No"/> 
        <expression value="reasonNotTaken.exists().not() or (taken = 'n')"/> 
        <xpath value="not(exists(f:reasonNotTaken)) or f:taken/@value='n'"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="..Event"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.medication"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.id">
      <path value="MedicationStatement.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this

       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the

       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="MedicationStatement.meta">
      <path value="MedicationStatement.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.

       Changes to the content may not always be associated with version changes to the resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="MedicationStatement.implicitRules">
      <path value="MedicationStatement.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and

       which must be understood when processing the content."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible.
      
      
      
        
      
      
      
    
    
      
      
      
      Language is provided to support indexing and accessibility (typically, services such as

       and/or specification writers should avoid using this element. 

This element is labelled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="MedicationStatement.language">
      <path value="MedicationStatement.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute).
      
      
      
        
      
      
        
        
        
      
    
    
      
      
      A human-readable narrative that contains a summary of the resource, and may be used to

       between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference> 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> 
          </valueReference> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="A human language."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/languages"/> 
        </valueSetReference> 
      </binding> 
    </element> 
    <element id="MedicationStatement.text">
      <path value="MedicationStatement.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative.
      
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      These resources do not have an independent existence apart from the resource that contains

       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have

       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-1"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.contained">
      <path value="MedicationStatement.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope.
      This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again.
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       transaction scope."/> 
      <comment value="This should never be done when the content can be identified properly, as once identification

       is lost, it is extremely difficult (and context dependent) to restore it again."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.extension">
      <path value="MedicationStatement.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,

       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.modifierExtension">
      <path value="MedicationStatement.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,

       Applications processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      External identifier - FHIR will generate its own internal identifiers (probably URLs)

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.identifier">
      <path value="MedicationStatement.identifier"/> 
      <short value="External identifier"/> 
      <definition value="External identifier - FHIR will generate its own internal identifiers (probably URLs)
       which do not need to be explicitly managed by the resource.  The identifier here is one
       that would be used by another non-FHIR system - for example an automated medication pump
       would provide a record each time it operated; an administration while the patient was
       off the ward might be made with a different system and entered after the event.  Particularly
       important if these records have to be updated.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      A code representing the patient or other source's judgment about the state of the medication
       used that this statement is about.  Generally this will be active or completed.
      
      
      
        
      
      
      
      
        
        
        
          
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
        
          
        
      
    
    
      
      
      The interval of time during which it is being asserted that the patient was taking the
       medication (or was not taking, when the wasNotGiven element is true).
      If the medication is still being taken at the time the statement is recorded, the &quot;end&quot;
       date will be omitted.
      
      
      
        
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      Provides extra information about the medication statement that is not conveyed by the
       other attributes.
      
      
      
        
      
      
    
    
      
      
      Allows linking the MedicationStatement to the underlying MedicationOrder, or to other
       information that supports the MedicationStatement.
      Likely references would be to MedicationOrder, MedicationDispense, Claim, Observation
       or QuestionnaireAnswers.
      
      
      
        
        
      
      
    
    
      
      
      Identifies the medication being administered. This is either a link to a resource representing

       important if these records have to be updated."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…identifer"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.basedOn">
      <path value="MedicationStatement.basedOn"/> 
      <short value="Fulfils plan, proposal or order"/> 
      <definition value="A plan, proposal or order that is fulfilled in whole or in part by this event."/> 
      <requirements value="Allows tracing of authorization for the event and tracking whether proposals/recommendations

       were acted upon."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO

         orPLAN or PRP]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.partOf">
      <path value="MedicationStatement.partOf"/> 
      <short value="Part of referenced event"/> 
      <definition value="A larger event of which this particular event is a component or step."/> 
      <requirements value="This should not be used when indicating which resource a MedicationStatement has been

       derived from.  If that is the use case, then MedicationStatement.derivedFrom should be
       used."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…part of"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.context">
      <path value="MedicationStatement.context"/> 
      <short value="Encounter / Episode associated with MedicationStatement"/> 
      <definition value="The encounter or episode of care that establishes the context for this MedicationStatement."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…context"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=&quot;type

         of encounter or episode&quot;]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.status">
      <path value="MedicationStatement.status"/> 
      <short value="active | completed | entered-in-error | intended | stopped | on-hold"/> 
      <definition value="A code representing the patient or other source's judgment about the state of the medication

       used that this statement is about.  Generally this will be active or completed."/> 
      <comment value="MedicationStatement is a statement at a point in time.  The status is only representative

       at the point when it was asserted.  The value set for MedicationStatement.status contains
       codes that assert the status of the use of the medication by the patient (for example,
       stopped or on hold) as well as codes that assert the status of the medication statement
       itself (for example, entered in error).

This element is labeled as a modifier because the status contains codes that mark the
       resource as not currently valid."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept indicating the current status of a MedicationStatement."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-statement-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="status"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.category">
      <path value="MedicationStatement.category"/> 
      <short value="Type of medication usage"/> 
      <definition value="Indicates where type of medication statement and where the medication is expected to be

       consumed or administered."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementCategory"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A coded concept identifying where the medication included in the medicationstatement is

         expected to be consumed or administered"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-statement-category"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;type

         of medication usage&quot;].value"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="class"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.medication[x]">
      <path value="MedicationStatement.medication[x]"/> 
      <short value="What medication was taken"/> 
      <definition value="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.
      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.  Note:
       do not use Medication.name to describe the medication this statement concerns. When the
       only available information is a text description of the medication, Medication.code.text
       should be used.
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      Free text dosage information as reported about a patient's medication use. When coded
       dosage information is present, the free text may still be present for display to humans.
      
      
      
        
      
      
    
    
      
      
      The timing schedule for giving the medication to the patient.  The Schedule data type
       allows many different expressions, for example.  &quot;Every  8 hours&quot;; &quot;Three
       times a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;;
        &quot;15 Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      Indicates whether the Medication is only taken when needed within a specific dosing schedule
       (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).
          Specifically if 'boolean' datatype is selected, then the following logic applies: 
       If set to True, this indicates that the medication is only taken when needed, within the
       specified schedule.
      
      
      
        
      
      
        
      
      
      
        
        A coded concept identifying the precondition that should be met or evaluated prior to
         consuming or administering a medication dose.  For example &quot;pain&quot;, &quot;30
         minutes prior to sexual intercourse&quot;, &quot;on flare-up&quot; etc.
      
      
        
        boolean: .outboundRelationship[typeCode=PRCN].negationInd (inversed - so negationInd =
         true means asNeeded=false  CodeableConcept: .outboundRelationship[typCode=PRCN].target[classCode=OBS
        , moodCode=EVN, isCriterionInd=true, code=&quot;Assertion&quot;].value
      
    
    
      
      
      A coded specification of or a reference to the anatomic site where the medication first
       enters the body.
      
      
      
        
      
      
        
        
      
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      A code specifying the route or physiological path of administration of a therapeutic agent
       into or onto a subject.
      
      
      
        
      
      
      
        
        A coded concept describing the route or physiological path of administration of a therapeutic
         agent into or onto the body of a subject.
        
          
        
      
      
        
        
      
    
    
      
      
      A coded value indicating the method by which the medication is intended to be or was introduced
       into or on the body.  This attribute will most often NOT be populated.  It is most commonly
       used for injections.  For example, Slow Push, Deep IV.
      One of the reasons this attribute is not used often, is that the method is often pre-coordinated
       with the route and/or form of administration.  This means the codes used in route or form
       may pre-coordinate the method in the route code or the form code.  The implementation
       decision about what coding system to use for route or form code will determine how frequently
       the method code will be populated e.g. if route or form code pre-coordinate method code,
       then this attribute will not be populated often; if there is no pre-coordination then
       method code may  be used frequently.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
      
      
      
        
        
      
    
    
      
      
      Identifies the speed with which the medication was or will be introduced into the patient.
       Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed
       as a rate per unit of time e.g. 500 ml per 2 hours.   Currently we do not specify a default
       of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or
       200 mcg/1 minute; 1 liter/8 hours.
      
      
      
        
      
      
        
      
      
      
        
        
      
    
    
      
      
      The maximum total quantity of a therapeutic substance that may be administered to a subject
       over the period of time.  For example, 1000mg in 24 hours.
      
      
      
        
      
      
      
        
        
      
    
  
  
    
      
      
      A record of a medication that is being consumed by a patient.   A MedicationStatement

       medication from a known list of medications."/> 
      <comment value="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. ."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying the substance or product being taken."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=ADMM or MANU]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="what"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.effective[x]">
      <path value="MedicationStatement.effective[x]"/> 
      <short value="The date/time or interval when the medication was taken"/> 
      <definition value="The interval of time during which it is being asserted that the patient was taking the

       medication (or was not taking, when the wasNotGiven element is true)."/> 
      <comment value="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 at the time the statement is recorded, the &quot;end&quot; date will
       be omitted."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.done"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.dateAsserted">
      <path value="MedicationStatement.dateAsserted"/> 
      <short value="When the statement was asserted?"/> 
      <definition value="The date when the medication statement was asserted by the information source."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].time"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.recorded"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.informationSource">
      <path value="MedicationStatement.informationSource"/> 
      <short value="Person or organization that provided the information about the taking of this medication"/> 
      <definition value="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."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person

         (if PAT is the informer, then syntax for self-reported =true)"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.source"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.subject">
      <path value="MedicationStatement.subject"/> 
      <short value="Who is/was taking  the medication"/> 
      <definition value="The person, animal or group who is/was taking the medication."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…subject"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3-Patient ID List"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.derivedFrom">
      <path value="MedicationStatement.derivedFrom"/> 
      <short value="Additional supporting information"/> 
      <definition value="Allows linking the MedicationStatement to the underlying MedicationRequest, or to other

       information that supports or is used to derive the MedicationStatement."/> 
      <comment value="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."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.taken">
      <path value="MedicationStatement.taken"/> 
      <short value="y | n | unk | na"/> 
      <definition value="Indicator of the certainty of whether the medication was taken by the patient."/> 
      <comment value="This element is labeled as a modifier because it indicates that the medication was not

       taken."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementTaken"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept identifying level of certainty if patient has taken or has not taken the

         medication"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-statement-taken"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…notDone"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".actionNegationInd"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.reasonNotTaken">
      <path value="MedicationStatement.reasonNotTaken"/> 
      <short value="True if asserting medication was not given"/> 
      <definition value="A code indicating why the medication was not taken."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="mst-1"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementNotTakenReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept indicating the reason why the medication was not taken"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason

         not taken&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.reasonCode">
      <path value="MedicationStatement.reasonCode"/> 
      <short value="Reason for why the medication is being/was taken"/> 
      <definition value="A reason for why the medication is being/was taken."/> 
      <comment value="This could be a diagnosis code. If a full condition record exists or additional detail

       is needed, use reasonForUseReference."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying why the medication is being taken."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/condition-code"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…reasoneCodeableConcept"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.reasonReference">
      <path value="MedicationStatement.reasonReference"/> 
      <short value="Condition or observation that supports why the medication is being/was taken"/> 
      <definition value="Condition or observation that supports why the medication is being/was taken."/> 
      <comment value="This is a reference to a condition that is the reason why the medication is being/was

       taken.  If only a code exists, use reasonForUseCode."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…reasonReference"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason

         for use&quot;].value"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.note">
      <path value="MedicationStatement.note"/> 
      <short value="Further information about the statement"/> 
      <definition value="Provides extra information about the medication statement that is not conveyed by the

       other attributes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…note"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].v

        alue"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.dosage">
      <path value="MedicationStatement.dosage"/> 
      <short value="Details of how medication is/was taken or should be taken"/> 
      <definition value="Indicates how the medication is/was or should be taken by the patient."/> 
      <comment value="The dates included in the dosage on a Medication Statement reflect the dates for a given

       dose.  For example, &quot;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.&quot;  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."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="refer dosageInstruction mapping"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="MedicationStatement">
      <path value="MedicationStatement"/> 
      <short value="Record of medication being taken by a patient"/> 
      <definition value="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 e.g. 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 medication statement and a
       medication administration is that the medication administration has complete administration
       information and is based on actual administration information from the person who administered
       the medication.  A medication statement is often, if not always, less specific.  There
       is no required date/time when the medication was administered, in fact we only know that
       a source has reported the patient is taking this medication, where details such as time,
       quantity, or rate or even medication product may be incomplete or missing or less precise.
        As stated earlier, the medication statement information may come from the patient's memory,
       from a prescription bottle or from a list of medications the patient, clinician or other
       party maintains.  Medication administration is more formal and is not missing detailed
       information.
      
      
      
        
      
      
        
        
        
        
      
      
        
        
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      External identifier - FHIR will generate its own internal identifiers (probably URLs)

       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 medication statement and a medication administration
       is that the medication administration has complete administration information and is based
       on actual administration information from the person who administered the medication.
        A medication statement is often, if not always, less specific.  There is no required
       date/time when the medication was administered, in fact we only know that a source has
       reported the patient is taking this medication, where details such as time, quantity,
       or rate or even medication product may be incomplete or missing or less precise.  As stated
       earlier, the medication statement information may come from the patient's memory, from
       a prescription bottle or from a list of medications the patient, clinician or other party
       maintains.  Medication administration is more formal and is not missing detailed information."/> 
      <comment value="When interpreting a medicationStatement, the value of the status and NotTaken needed to

       be considered:
MedicationStatement.status + MedicationStatement.wasNotTaken
Status=Active + NotTaken=T = Not currently taking
Status=Completed + NotTaken=T = Not taken in the past
Status=Intended + NotTaken=T = No intention of taking
Status=Active + NotTaken=F = Taking, but not as prescribed
Status=Active + NotTaken=F = Taking
Status=Intended +NotTaken= F = Will be taking (not started)
Status=Completed + NotTaken=F = Taken in past
Status=In Error + NotTaken=N/A = In Error."/> 
      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        <key value="mst-1"/> 
        <severity value="error"/> 
        <human value="Reason not taken is only permitted if Taken is No"/> 
        <expression value="reasonNotTaken.exists().not() or (taken = 'n')"/> 
        <xpath value="not(exists(f:reasonNotTaken)) or f:taken/@value='n'"/> 
      </constraint> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="..Event"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.medication"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.identifier">
      <path value="MedicationStatement.identifier"/> 
      <short value="External identifier"/> 
      <definition value="External identifier - FHIR will generate its own internal identifiers (probably URLs)
       which do not need to be explicitly managed by the resource.  The identifier here is one
       that would be used by another non-FHIR system - for example an automated medication pump
       would provide a record each time it operated; an administration while the patient was
       off the ward might be made with a different system and entered after the event.  Particularly
       important if these records have to be updated.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      A code representing the patient or other source's judgment about the state of the medication
       used that this statement is about.  Generally this will be active or completed.
      
      
      
        
      
      
      
      
        
        
        
          
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
        
          
        
      
    
    
      
      
      The interval of time during which it is being asserted that the patient was taking the
       medication (or was not taking, when the wasNotGiven element is true).
      If the medication is still being taken at the time the statement is recorded, the &quot;end&quot;
       date will be omitted.
      
      
      
        
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      Provides extra information about the medication statement that is not conveyed by the
       other attributes.
      
      
      
        
      
      
    
    
      
      
      Allows linking the MedicationStatement to the underlying MedicationOrder, or to other
       information that supports the MedicationStatement.
      Likely references would be to MedicationOrder, MedicationDispense, Claim, Observation
       or QuestionnaireAnswers.
      
      
      
        
        
      
      
    
    
      
      
      Identifies the medication being administered. This is either a link to a resource representing

       important if these records have to be updated."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…identifer"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.basedOn">
      <path value="MedicationStatement.basedOn"/> 
      <short value="Fulfils plan, proposal or order"/> 
      <definition value="A plan, proposal or order that is fulfilled in whole or in part by this event."/> 
      <requirements value="Allows tracing of authorization for the event and tracking whether proposals/recommendations

       were acted upon."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO

         orPLAN or PRP]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.partOf">
      <path value="MedicationStatement.partOf"/> 
      <short value="Part of referenced event"/> 
      <definition value="A larger event of which this particular event is a component or step."/> 
      <requirements value="This should not be used when indicating which resource a MedicationStatement has been

       derived from.  If that is the use case, then MedicationStatement.derivedFrom should be
       used."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…part of"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.context">
      <path value="MedicationStatement.context"/> 
      <short value="Encounter / Episode associated with MedicationStatement"/> 
      <definition value="The encounter or episode of care that establishes the context for this MedicationStatement."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…context"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=&quot;type

         of encounter or episode&quot;]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.status">
      <path value="MedicationStatement.status"/> 
      <short value="active | completed | entered-in-error | intended | stopped | on-hold"/> 
      <definition value="A code representing the patient or other source's judgment about the state of the medication

       used that this statement is about.  Generally this will be active or completed."/> 
      <comment value="MedicationStatement is a statement at a point in time.  The status is only representative

       at the point when it was asserted.  The value set for MedicationStatement.status contains
       codes that assert the status of the use of the medication by the patient (for example,
       stopped or on hold) as well as codes that assert the status of the medication statement
       itself (for example, entered in error).

This element is labeled as a modifier because the status contains codes that mark the
       resource as not currently valid."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept indicating the current status of a MedicationStatement."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-statement-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="status"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.category">
      <path value="MedicationStatement.category"/> 
      <short value="Type of medication usage"/> 
      <definition value="Indicates where type of medication statement and where the medication is expected to be

       consumed or administered."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementCategory"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A coded concept identifying where the medication included in the medicationstatement is

         expected to be consumed or administered"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-statement-category"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;type

         of medication usage&quot;].value"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="class"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.medication[x]">
      <path value="MedicationStatement.medication[x]"/> 
      <short value="What medication was taken"/> 
      <definition value="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.
      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.  Note:
       do not use Medication.name to describe the medication this statement concerns. When the
       only available information is a text description of the medication, Medication.code.text
       should be used.
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      Free text dosage information as reported about a patient's medication use. When coded
       dosage information is present, the free text may still be present for display to humans.
      
      
      
        
      
      
    
    
      
      
      The timing schedule for giving the medication to the patient.  The Schedule data type
       allows many different expressions, for example.  &quot;Every  8 hours&quot;; &quot;Three
       times a day&quot;; &quot;1/2 an hour before breakfast for 10 days from 23-Dec 2011:&quot;;
        &quot;15 Oct 2013, 17 Oct 2013 and 1 Nov 2013&quot;.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      Indicates whether the Medication is only taken when needed within a specific dosing schedule
       (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).
          Specifically if 'boolean' datatype is selected, then the following logic applies: 
       If set to True, this indicates that the medication is only taken when needed, within the
       specified schedule.
      
      
      
        
      
      
        
      
      
      
        
        A coded concept identifying the precondition that should be met or evaluated prior to
         consuming or administering a medication dose.  For example &quot;pain&quot;, &quot;30
         minutes prior to sexual intercourse&quot;, &quot;on flare-up&quot; etc.
      
      
        
        boolean: .outboundRelationship[typeCode=PRCN].negationInd (inversed - so negationInd =
         true means asNeeded=false  CodeableConcept: .outboundRelationship[typCode=PRCN].target[classCode=OBS
        , moodCode=EVN, isCriterionInd=true, code=&quot;Assertion&quot;].value
      
    
    
      
      
      A coded specification of or a reference to the anatomic site where the medication first
       enters the body.
      
      
      
        
      
      
        
        
      
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      A code specifying the route or physiological path of administration of a therapeutic agent
       into or onto a subject.
      
      
      
        
      
      
      
        
        A coded concept describing the route or physiological path of administration of a therapeutic
         agent into or onto the body of a subject.
        
          
        
      
      
        
        
      
    
    
      
      
      A coded value indicating the method by which the medication is intended to be or was introduced
       into or on the body.  This attribute will most often NOT be populated.  It is most commonly
       used for injections.  For example, Slow Push, Deep IV.
      One of the reasons this attribute is not used often, is that the method is often pre-coordinated
       with the route and/or form of administration.  This means the codes used in route or form
       may pre-coordinate the method in the route code or the form code.  The implementation
       decision about what coding system to use for route or form code will determine how frequently
       the method code will be populated e.g. if route or form code pre-coordinate method code,
       then this attribute will not be populated often; if there is no pre-coordination then
       method code may  be used frequently.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
      
      
      
        
        
      
    
    
      
      
      Identifies the speed with which the medication was or will be introduced into the patient.
       Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed
       as a rate per unit of time e.g. 500 ml per 2 hours.   Currently we do not specify a default
       of '1' in the denominator, but this is being discussed. Other examples: 200 mcg/min or
       200 mcg/1 minute; 1 liter/8 hours.
      
      
      
        
      
      
        
      
      
      
        
        
      
    
    
      
      
      The maximum total quantity of a therapeutic substance that may be administered to a subject
       over the period of time.  For example, 1000mg in 24 hours.
      
      
      
        
      
      
      
        
        
      
    
  

       medication from a known list of medications."/> 
      <comment value="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. ."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying the substance or product being taken."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=ADMM or MANU]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="what"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.effective[x]">
      <path value="MedicationStatement.effective[x]"/> 
      <short value="The date/time or interval when the medication was taken"/> 
      <definition value="The interval of time during which it is being asserted that the patient was taking the

       medication (or was not taking, when the wasNotGiven element is true)."/> 
      <comment value="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 at the time the statement is recorded, the &quot;end&quot; date will
       be omitted."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.done"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.dateAsserted">
      <path value="MedicationStatement.dateAsserted"/> 
      <short value="When the statement was asserted?"/> 
      <definition value="The date when the medication statement was asserted by the information source."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].time"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.recorded"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.informationSource">
      <path value="MedicationStatement.informationSource"/> 
      <short value="Person or organization that provided the information about the taking of this medication"/> 
      <definition value="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."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person

         (if PAT is the informer, then syntax for self-reported =true)"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.source"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.subject">
      <path value="MedicationStatement.subject"/> 
      <short value="Who is/was taking  the medication"/> 
      <definition value="The person, animal or group who is/was taking the medication."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…subject"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3-Patient ID List"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.derivedFrom">
      <path value="MedicationStatement.derivedFrom"/> 
      <short value="Additional supporting information"/> 
      <definition value="Allows linking the MedicationStatement to the underlying MedicationRequest, or to other

       information that supports or is used to derive the MedicationStatement."/> 
      <comment value="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."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.taken">
      <path value="MedicationStatement.taken"/> 
      <short value="y | n | unk | na"/> 
      <definition value="Indicator of the certainty of whether the medication was taken by the patient."/> 
      <comment value="This element is labeled as a modifier because it indicates that the medication was not

       taken."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementTaken"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept identifying level of certainty if patient has taken or has not taken the

         medication"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/medication-statement-taken"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…notDone"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".actionNegationInd"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.reasonNotTaken">
      <path value="MedicationStatement.reasonNotTaken"/> 
      <short value="True if asserting medication was not given"/> 
      <definition value="A code indicating why the medication was not taken."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="mst-1"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationStatementNotTakenReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept indicating the reason why the medication was not taken"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason

         not taken&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.reasonCode">
      <path value="MedicationStatement.reasonCode"/> 
      <short value="Reason for why the medication is being/was taken"/> 
      <definition value="A reason for why the medication is being/was taken."/> 
      <comment value="This could be a diagnosis code. If a full condition record exists or additional detail

       is needed, use reasonForUseReference."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying why the medication is being taken."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/condition-code"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…reasoneCodeableConcept"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.reasonReference">
      <path value="MedicationStatement.reasonReference"/> 
      <short value="Condition or observation that supports why the medication is being/was taken"/> 
      <definition value="Condition or observation that supports why the medication is being/was taken."/> 
      <comment value="This is a reference to a condition that is the reason why the medication is being/was

       taken.  If only a code exists, use reasonForUseCode."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…reasonReference"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason

         for use&quot;].value"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.note">
      <path value="MedicationStatement.note"/> 
      <short value="Further information about the statement"/> 
      <definition value="Provides extra information about the medication statement that is not conveyed by the

       other attributes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="…note"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].v

        alue"/> 
      </mapping> 
    </element> 
    <element id="MedicationStatement.dosage">
      <path value="MedicationStatement.dosage"/> 
      <short value="Details of how medication is/was taken or should be taken"/> 
      <definition value="Indicates how the medication is/was or should be taken by the patient."/> 
      <comment value="The dates included in the dosage on a Medication Statement reflect the dates for a given

       dose.  For example, &quot;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.&quot;  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."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="refer dosageInstruction mapping"/> 
      </mapping> 
    </element> 
  </differential> 


</

StructureDefinition

>