<status value="draft" /> <publisher value="biobank.cy" /> <contact> <name value="Molecular Medicine Research Center (MMRC)" /> <telecom> <system value="email" /> <value value="biobank@ucy.ac.cy" /> <use value="work" /> </telecom> </contact> <description value="Represents a statement on historic or current prescription of medications for a a donor (research subject) of the biobank.cy. These medication statements can be self-reported by the patient or reported by a medical doctor or nurse." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationStatement" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" /> <derivation value="constraint" /> <differential> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <comment value="For medication statements reported to biobank.cy officers (e.g. nurses) use status = "unknown". For medication statements drawn from the national EHR use the status reported in the EHR." /> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <comment value="Need to update the value set with the biobank.cy reported medication list (in a new slice in Coding)." /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x].coding"> <path value="MedicationStatement.medication[x].coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.medication[x].coding:absentOrUnknownMedication"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="absentOrUnknownMedication" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="eHDSI Absent or Unknown Medication" /> <valueSet value="http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsiabsentorunknownallergy" /> </binding> </element> <element id="MedicationStatement.medication[x].coding:absentOrUnknownMedication.system"> <path value="MedicationStatement.medication[x].coding.system" /> <min value="1" /> </element> <element id="MedicationStatement.medication[x].coding:absentOrUnknownMedication.code"> <path value="MedicationStatement.medication[x].coding.code" /> <min value="1" /> </element> <element id="MedicationStatement.medication[x].coding:absentOrUnknownMedication.display"> <path value="MedicationStatement.medication[x].coding.display" /> <min value="1" /> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://ig.biobank.cy/fhir/StructureDefinition/biobankcy-sd-donor" /> <targetProfile value="http://ig.biobank.cy/fhir/StructureDefinition/biobankcy-sd-citizen" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.subject.reference"> <path value="MedicationStatement.subject.reference" /> <min value="1" /> </element> <element id="MedicationStatement.context"> <path value="MedicationStatement.context" /> <definition value="The encounter or episode of care that establishes the context for this MedicationStatement. The encounter shall be provided if the medication statement is created in the cotnext of a visit of a donor (or patient) in the biobnak.cy. Can be omitted when the profile is used to describe a medication summary pulled by the national EHR or other eHealth system." /> <comment value="Can be omitted when the profile is used to describe a medication summary pulled by the national EHR or other eHealth system." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" /> <targetProfile value="http://ig.biobank.cy/fhir/StructureDefinition/biobankcy-sd-visit" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.context.reference"> <path value="MedicationStatement.context.reference" /> <min value="1" /> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <definition value="The interval of time during which it is being asserted that the patient is/was/will be taking the medication ." /> <comment value="Use period to describe the interval of time during which the patient is/was/will be taking the medication. In case of pulling this info from the national EHR in a dateTime format, assign the dateTime to effectivePeriod.start and calculate the effectivePeriod.end by adding the national EHR's MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration to the start date." /> <type> <code value="Period" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x].start"> <path value="MedicationStatement.effective[x].start" /> <min value="1" /> </element> <element id="MedicationStatement.dateAsserted"> <path value="MedicationStatement.dateAsserted" /> <comment value="Report when this data resource was recorded in the data warehouse of the biobank.cy." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <comment value="(1) If the medication statement is created based on Patient's input, reference to Patient (citizen or donor). (2) If the medication statement is pulled by the national EHR reference to Organization (NeHA)." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://ig.biobank.cy/fhir/StructureDefinition/biobankcy-sd-citizen" /> <targetProfile value="http://ig.biobank.cy/fhir/StructureDefinition/biobankcy-sd-donor" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource.reference"> <path value="MedicationStatement.informationSource.reference" /> <min value="1" /> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing"> <path value="MedicationStatement.dosage.timing" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x]" /> <sliceName value="boundsDuration" /> <type> <code value="Duration" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.value"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].value" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.unit"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].unit" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.system"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.bounds[x]:boundsDuration.code"> <path value="MedicationStatement.dosage.timing.repeat.bounds[x].code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.frequency"> <path value="MedicationStatement.dosage.timing.repeat.frequency" /> <comment value="How many times in the selected period/periodUnit the medication is/was/will be administrated. (e.g. frequency = 2 per period = 1 and periodUnit ="d" means 2 times per day in the specified boundsPeriod or boundsDuration)." /> </element> <element id="MedicationStatement.dosage.timing.repeat.period"> <path value="MedicationStatement.dosage.timing.repeat.period" /> <comment value="How many times in the selected period/periodUnit the medication is/was/will be administrated. (e.g. frequency = 2 per period = 1 and periodUnit ="d" means 2 times per day in the specified boundsPeriod or boundsDuration)." /> </element> <element id="MedicationStatement.dosage.timing.repeat.periodUnit"> <path value="MedicationStatement.dosage.timing.repeat.periodUnit" /> <comment value="How many times in the selected period/periodUnit the medication is/was/will be administrated. (e.g. frequency = 2 per period = 1 and periodUnit ="d" means 2 times per day in the specified boundsPeriod or boundsDuration)." /> </element> <element id="MedicationStatement.dosage.route"> <path value="MedicationStatement.dosage.route" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route.coding"> <path value="MedicationStatement.dosage.route.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="MedicationStatement.dosage.route.coding.system"> <path value="MedicationStatement.dosage.route.coding.system" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.route.coding.code"> <path value="MedicationStatement.dosage.route.coding.code" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.route.coding.display"> <path value="MedicationStatement.dosage.route.coding.display" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.route.coding:edqmRouteOfAdministration"> <path value="MedicationStatement.dosage.route.coding" /> <sliceName value="edqmRouteOfAdministration" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsirouteofadministration" /> </binding> </element> <element id="MedicationStatement.dosage.route.coding:edqmRouteOfAdministration.system"> <path value="MedicationStatement.dosage.route.coding.system" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.route.coding:edqmRouteOfAdministration.code"> <path value="MedicationStatement.dosage.route.coding.code" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.route.coding:edqmRouteOfAdministration.display"> <path value="MedicationStatement.dosage.route.coding.display" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <sliceName value="doseQuantity" /> <type> <code value="Quantity" /> </type> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.value"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].value" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.unit"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].unit" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.system"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].system" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]:doseQuantity.code"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].code" /> <min value="1" /> <binding> <strength value="extensible" /> <description value="UCUM value set with units" /> <valueSet value="http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsiunit" /> </binding> </element> </differential> </StructureDefinition>