Name Flags Card. Type Description & Constraints doco
. . MedicationStatement ACCESS MedicationStatement (Patient) Profile
. . . identifier Identifier External identifier
. . . status S code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken | normal | aborted | cancelled | held | new | suspended | nullified | obsolete
Binding: Medication Status Codes (required)
Example General': ACTIVE
. . . medication[x] S CodeableConcept, Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication) What medication was taken
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred)
. . . subject S Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient) Who is/was taking the medication
. . . effective[x] S dateTime, Period The date/time or intervel when the medication is/was/will be taken
. . . dateAsserted dateTime When the statement was asserted
. . . informationSource Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Person or organization that provided the information about the taking of this medication
. . . reasonCode S CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example)
. . . dosage Dosage Details of how medication is/was taken or should be taken

doco Documentation for this format
<status value="draft" /> <experimental value="false" /> <date value="2019-03-21T00:00:00-04:00" /> <publisher value="Canada Health Infoway" /> <contact> <telecom> <system value="url" /> <value value="http://infoway-inforoute.ca" /> </telecom> </contact> <description value="Constraints on the MedicationStatement resource to reflect source data mappings for the ACCESS Health project. Focus of this profile is on display of medication statement information to citizen/patient viewers." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="prince-edward-island-cerx" /> <uri value="http://unknown.org/Prince Edward Island CeRX" /> <name value="Prince Edward Island CeRX" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <uri value="http://unknown.org/Newfoundland CeRX" /> <name value="Newfoundland CeRX" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <uri value="http://unknown.org/New Brunswick CeRX" /> <name value="New Brunswick CeRX" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <uri value="http://unknown.org/Nova Scotia CeRX" /> <name value="Nova Scotia CeRX" /> </mapping> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </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/fivews" /> <name value="FiveWs Pattern 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/MedicationStatement" /> <derivation value="constraint" /> <differential> <element id="MedicationStatement"> <path value="MedicationStatement" /> <short value="ACCESS MedicationStatement (Patient) Profile" /> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="CeRX supports two specializations of MedicationRecord, each varies in supported data. Both mappings provided below: PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest OR PORX_IN060400CA/PORX_MT060190CA/medicationRecord/OtherMedication" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="CeRX supports two specializations of MedicationRecord, each varies in supported data. Both mappings provided below: PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest OR PORX_IN060400CA/PORX_MT060190CA/medicationRecord/OtherMedication" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="NB does not currently support applicable CeRX Message Type(s)" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="CeRX supports two specializations of MedicationRecord, each varies in supported data. Both mappings provided below: PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest OR PORX_IN060400CA/PORX_MT060190CA/medicationRecord/OtherMedication" /> </mapping> </element> <element id="MedicationStatement.identifier"> <path value="MedicationStatement.identifier" /> <short value="External identifier" /> <type> <code value="Identifier" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/id" /> </mapping> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <short value="active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken | normal | aborted | cancelled | held | new | suspended | nullified | obsolete" /> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Atlantic Implementors need to be aware that the Act Status Codes recommended by CeRX only partially match the codes to the MedicationRequest status (required) value set." /> <type> <code value="code" /> </type> <example> <label value="General" /> <valueCode value="ACTIVE" /> </example> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="required" /> <description value="MedicationStatement Status Codes" /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-statement-status" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/statusCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/statusCode" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/statusCode" /> </mapping> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <short value="What medication was taken" /> <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 or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. Implementors need to be aware that the medication codes utilized by the source DIS will likely come from the Clinical Drug CeRX value set (https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/vocabulary.html?type=vs&id=ClinicalDrug) which draws in codes from various other code systems (HC-DIN, HC-NPN, HC-AIGC, etc.). There is currently no equivilant FHIR value set that supports this superset to recommend when binding." /> <type> <code value="CodeableConcept" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="Canadian Clinical Drug Data (CCDD) Medicinal Products" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication" /> </mapping> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <short value="Who is/was taking the medication" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" /> </mapping> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <short value="The date/time or intervel when the medication is/was/will be taken" /> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/fulfillment2/supplyEventFirstSummary/effectiveTime, INCLUDE End Date PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/fulfillment3/supplyEventLastSummary/effectiveTime (if medication is now longer active) OR if OTC medication: PORX_IN060400CA/PORX_MT060190CA/medicationRecord/otherMedication/effectiveTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/fulfillment2/supplyEventFirstSummary/effectiveTime, INCLUDE End Date PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/fulfillment3/supplyEventLastSummary/effectiveTime (if medication is now longer active) OR if OTC medication: PORX_IN060400CA/PORX_MT060190CA/medicationRecord/otherMedication/effectiveTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/fulfillment2/supplyEventFirstSummary/effectiveTime, INCLUDE End Date PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/fulfillment3/supplyEventLastSummary/effectiveTime (if medication is now longer active) OR if OTC medication: PORX_IN060400CA/PORX_MT060190CA/medicationRecord/otherMedication/effectiveTime" /> </mapping> </element> <element id="MedicationStatement.dateAsserted"> <path value="MedicationStatement.dateAsserted" /> <short value="When the statement was asserted" /> <type> <code value="dateTime" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="One potential but not semantically airtight mapping is PORX_IN060400CA/MCCI_MT000300CA/creationTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="One potential but not semantically airtight mapping is PORX_IN060400CA/MCCI_MT000300CA/creationTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="One potential but not semantically airtight mapping is PORX_IN060400CA/MCCI_MT000300CA/creationTime" /> </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" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson" /> </mapping> </element> <element id="MedicationStatement.reasonCode"> <path value="MedicationStatement.reasonCode" /> <short value="Reason for why the medication is being/was taken" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="example" /> <description value="Condition/Problem/DiagnosisCodes" /> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis" /> </mapping> </element> <element id="MedicationStatement.reasonCode.CodeableConcept.code"> <path value="MedicationStatement.reasonCode.CodeableConcept.code" /> <short value="Symbol in syntax defined by the system" /> <type> <code value="code" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/value" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/value" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/value" /> </mapping> </element> <element id="MedicationStatement.reasonCode.CodeableConcept.display"> <path value="MedicationStatement.reasonCode.CodeableConcept.display" /> <short value="Representation defined by the system" /> <type> <code value="string" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/text" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/text" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/text" /> </mapping> </element> <element id="MedicationStatement.reasonCode.CodeableConcept.system"> <path value="MedicationStatement.reasonCode.CodeableConcept.system" /> <short value="Identity of the terminology system" /> <type> <code value="uri" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis" /> </mapping> </element> <element id="MedicationStatement.reasonCode.CodeableConcept.text"> <path value="MedicationStatement.reasonCode.CodeableConcept.text" /> <short value="Plain text representation of the concept" /> <type> <code value="string" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/text" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/text" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis/text" /> </mapping> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <short value="Details of how medication is/was taken or should be taken" /> <type> <code value="Dosage" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/component1/administrationInstructions/text" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/component1/administrationInstructions/text" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060400CA/PORX_MT060190CA/medicationRecord/combinedMedicationRequest/component1/administrationInstructions/text" /> </mapping> </element> </differential> </StructureDefinition>