<status value="active" /> <date value="2018-02-14T22:57:06.512+01:00" /> <publisher value="HL7 International" /> <description value="This profile represents the constraints applied to the MedicationStatement resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication statement is represented in the patient summary as an instance of a MedicationStatement resource constrained by this profile." /> <purpose value="This profile constrains the representation of a medication statement related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International." /> <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" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.id"> <path value="MedicationStatement.id" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <comment value="In the scope of the IPS the entered-in-error concept is not allowed." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <!-- The slicing below is expected to be replaced in R5 by a 'medication' element of the new CodeableReference data type with the appropriate constraints. --> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="closed" /> </slicing> <definition value="Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available." /> <mustSupport value="true" /> <binding> <strength value="example" /> <description value="The type of medication" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/medication-example-uv-ips" /> </binding> </element> <element id="MedicationStatement.medication[x]:medicationReference"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationReference" /> <definition value="Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationCodeableConcept" /> <short value="Code for absent or unknown medication" /> <definition value="Code for a negated/excluded medication statement. This describes a categorical negated statement (e.g., "No known allergy")." /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <mustSupport value="true" /> <!-- The extensible binding requires the specified codes for absent and unknown medications, but also allows any code to be used for a statement of an administered medication. This will be replaced in R5 with with appropriate bindings and constraints with the new CodeableReference data type. --> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="UnknownMedicationCode" /> </extension> <strength value="extensible" /> <description value="Representation of unknown or absent medications" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-medications-uv-ips" /> </binding> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]:data-absent-reason"> <path value="MedicationStatement.effective[x].extension" /> <short value="effective[x] absence reason" /> <definition value="Provides a reason why the effectiveTime is missing." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.text"> <path value="MedicationStatement.dosage.text" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing"> <path value="MedicationStatement.dosage.timing" /> <mustSupport value="true" /> </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" /> <binding> <strength value="preferred" /> <description value="EDQM Standards Terms" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration" /> </binding> </element> </differential> </StructureDefinition>