UK Core Implementation Guide STU3 Sequence

Please note:

This version of the UK Core is a development copy.
This contains BREAKING CHANGES as a result of the C&TA Sprint 7 Review, and STU2 Sequence ballot reconciliation.
This version is not yet reviewed for implementation. Other versions are available on the UK Core Version History Guide
Please follow the guidance on the Contact Us page if you need any assistance.
A summary of changes is available on the STU3 Sequence Change Log

UKCore-Extension-MedicationChangeSummary-Example

An example to illustrate the extension that describes the change information of a medication item

Table View

MedicationStatement.id[0]	UKCore-Extension-MedicationChangeSummary-Example
MedicationStatement.text[0].status[0]	additional
MedicationStatement.text[0].div[0]	<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the extension that describes the change information of a medication item</div>
MedicationStatement.extension[0].extension[0].url[0]	status
MedicationStatement.extension[0].extension[0].value[0].system[0]	https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationChangeStatus
MedicationStatement.extension[0].extension[0].value[0].code[0]	amended
MedicationStatement.extension[0].extension[0].value[0].display[0]	Amended
MedicationStatement.extension[0].extension[1].url[0]	indicationForChange
MedicationStatement.extension[0].extension[1].value[0].coding[0].system[0]	http://snomed.info/sct
MedicationStatement.extension[0].extension[1].value[0].coding[0].code[0]	275929009
MedicationStatement.extension[0].extension[1].value[0].coding[0].display[0]	Tablets too large to swallow
MedicationStatement.extension[0].extension[2].url[0]	dateChanged
MedicationStatement.extension[0].extension[2].value[0]	2020-07-21
MedicationStatement.extension[0].extension[3].url[0]	detailsOfAmendment
MedicationStatement.extension[0].extension[3].value[0]	Changed from tablet form to solution as tablet were being crushed before taking
MedicationStatement.extension[0].url[0]	https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationChangeSummary
MedicationStatement.status[0]	active
MedicationStatement.medication[0].reference[0]	urn:uuid:811a38a0-5612-47f5-8d5b-5a0287e8e72b
MedicationStatement.subject[0].reference[0]	urn:uuid:9a3f9f21-1275-49d2-ad14-39f21e6e9ac0

Tree View

MedicationStatement

id : UKCore-Extension-MedicationChangeSummary-Example

text

status : additional

extension

url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationChangeSummary

extension

url : status

value

system : https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationChangeStatus

code : amended

display : Amended

extension

url : indicationForChange

value

coding

system : http://snomed.info/sct

code : 275929009

display : Tablets too large to swallow

extension

url : dateChanged

value : 2020-07-21

extension

url : detailsOfAmendment

value : Changed from tablet form to solution as tablet were being crushed before taking

status : active

medication

reference : urn:uuid:811a38a0-5612-47f5-8d5b-5a0287e8e72b

subject

reference : urn:uuid:9a3f9f21-1275-49d2-ad14-39f21e6e9ac0

XML View

<MedicationStatement xmlns="http://hl7.org/fhir">
    <id value="UKCore-Extension-MedicationChangeSummary-Example" />
    <text>
        <status value="additional" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <!--  ***************extension start***************  -->
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationChangeSummary">
        <extension url="status">
            <valueCoding>
                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationChangeStatus" />
                <code value="amended" />
                <display value="Amended" />
            </valueCoding>
        </extension>
        <extension url="indicationForChange">
            <valueCodeableConcept>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="275929009" />
                    <display value="Tablets too large to swallow" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="dateChanged">
            <valueDateTime value="2020-07-21" />
        </extension>
        <extension url="detailsOfAmendment">
            <valueString value="Changed from tablet form to solution as tablet were being crushed before taking" />
        </extension>
    </extension>
    <!--  ***************extension end***************  -->
    <status value="active" />
    <medicationReference>
        <reference value="urn:uuid:811a38a0-5612-47f5-8d5b-5a0287e8e72b" />
    </medicationReference>
    <subject>
        <reference value="urn:uuid:9a3f9f21-1275-49d2-ad14-39f21e6e9ac0" />
    </subject>
</MedicationStatement>

JSON View

{
    "resourceType": "MedicationStatement",
    "id": "UKCore-Extension-MedicationChangeSummary-Example",
    "text": {
        "status": "additional",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "extension":  [
        {
            "extension":  [
                {
                    "url": "status",
                    "valueCoding": {
                        "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationChangeStatus",
                        "code": "amended",
                        "display": "Amended"
                    }
                },
                {
                    "url": "indicationForChange",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "275929009",
                                "display": "Tablets too large to swallow"
                            }
                        ]
                    }
                },
                {
                    "url": "dateChanged",
                    "valueDateTime": "2020-07-21"
                },
                {
                    "url": "detailsOfAmendment",
                    "valueString": "Changed from tablet form to solution as tablet were being crushed before taking"
                }
            ],
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationChangeSummary"
        }
    ],
    "status": "active",
    "medicationReference": {
        "reference": "urn:uuid:811a38a0-5612-47f5-8d5b-5a0287e8e72b"
    },
    "subject": {
        "reference": "urn:uuid:9a3f9f21-1275-49d2-ad14-39f21e6e9ac0"
    }
}