<status value="draft" /> <description value="Profile for medication use statements in the Irish healthcare system, aligned with the Xt-EHR EHDSMedicationUse logical model v1.0.0. Used in the mandatory medication summary sections of the Patient Summary and Hospital Discharge Report. In FHIR R4, MedicationStatement is the direct mapping for EHDSMedicationUse; in FHIR R5, the equivalent resource is MedicationUsage." /> <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.identifier"> <path value="MedicationStatement.identifier" /> <comment value="HIQA PS 6.3.2 Medication identifier (Required)." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <short value="Status of the medication use statement (active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken)" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.statusReason"> <path value="MedicationStatement.statusReason" /> <comment value="HIQA PS 6.3.1.2 Medication status reason (Required)." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Medication (NMPC preferred; SNOMED CT Irish Edition and ATC as secondary codes)" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationCodeableConcept" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-codes" /> </binding> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <type> <code value="Reference" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <short value="Period when the patient took or is taking the medication (EHDSMedicationUse.periodOfUse)" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <short value="Author of the medication statement" /> <type> <code value="Reference" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitioner" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitionerrole" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-relatedperson" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.derivedFrom"> <path value="MedicationStatement.derivedFrom" /> <short value="Prescription, dispense, or administration that is the basis for this statement (EHDSMedicationUse.derivedFrom)" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.reasonCode"> <path value="MedicationStatement.reasonCode" /> <short value="Reason for taking the medication — diagnosis or procedure (ICD-10, SNOMED CT)" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.reasonReference"> <path value="MedicationStatement.reasonReference" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.note"> <path value="MedicationStatement.note" /> <short value="Additional information about the medication use statement" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.text"> <path value="MedicationStatement.dosage.text" /> <short value="Human-readable dosage instructions" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.additionalInstruction"> <path value="MedicationStatement.dosage.additionalInstruction" /> <comment value="HIQA PS 6.3.11.1 Additional instructions (Required)." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing"> <path value="MedicationStatement.dosage.timing" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.frequency"> <path value="MedicationStatement.dosage.timing.repeat.frequency" /> <comment value="HIQA PS 6.3.10.1 Frequency (Mandatory within the frequency cluster)." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.timing.repeat.period"> <path value="MedicationStatement.dosage.timing.repeat.period" /> <comment value="HIQA PS 6.3.10.2 Period (Mandatory within the frequency cluster)." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.site"> <path value="MedicationStatement.dosage.site" /> <comment value="HIQA PS 6.3.8 Site (Required)." /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.route"> <path value="MedicationStatement.dosage.route" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate"> <path value="MedicationStatement.dosage.doseAndRate" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <comment value="HIQA PS 6.3.9 Dose (Mandatory 1..1). Not enforced as 1..1: that would reject 'as directed' statements where only dosage.text is known (Requires Clarification; raised in the consultation feedback)." /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>