<status value="active" /> <date value="2021-09-10" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="secretariat@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <contact> <name value="NHS Digital" /> <telecom> <system value="email" /> <value value="interoperabilityteam@nhs.net" /> <use value="work" /> <rank value="2" /> </telecom> </contact> <description value="Defines the UK Core constraints and extensions on the MedicationStatement resource for the minimal set of data to query and retrieve medication statement information." /> <purpose value="This profile allows exchange of a record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the individual may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the individual, significant other (such as a family member or spouse), or a clinician." /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <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.extension"> <path value="MedicationStatement.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.extension:medicationCourseOfTherapyType"> <path value="MedicationStatement.extension" /> <sliceName value="medicationCourseOfTherapyType" /> <short value="A course of therapy for a medication request" /> <definition value="The description of the course of therapy for a medication request." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://example.org/fhir/StructureDefinition/Extension-UKCore-CourseOfTherapyType" /> </type> <isModifier value="false" /> <binding> <strength value="extensible" /> <description value="Identifies the overall pattern of medication administration." /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy" /> </binding> </element> <element id="MedicationStatement.reasonReference"> <path value="MedicationStatement.reasonReference" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </type> </element> <element id="MedicationStatement.extension:pharmacistVerifiedIndicator"> <path value="MedicationStatement.extension" /> <sliceName value="pharmacistVerifiedIndicator" /> <short value="Indicates whether a pharmacist verified a medication" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PharmacistVerifiedIndicator" /> </type> </element> <element id="MedicationStatement.extension:medicationPrescribingOrganization"> <path value="MedicationStatement.extension" /> <sliceName value="medicationPrescribingOrganization" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationPrescribingOrganization" /> </type> </element> <element id="MedicationStatement.extension:medicationStatementLastIssueDate"> <path value="MedicationStatement.extension" /> <sliceName value="medicationStatementLastIssueDate" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationStatementLastIssueDate" /> </type> </element> <element id="MedicationStatement.identifier.system"> <path value="MedicationStatement.identifier.system" /> <min value="1" /> </element> <element id="MedicationStatement.identifier.value"> <path value="MedicationStatement.identifier.value" /> <min value="1" /> </element> <element id="MedicationStatement.identifier.assigner"> <path value="MedicationStatement.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationStatement.basedOn"> <path value="MedicationStatement.basedOn" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" /> </type> </element> <element id="MedicationStatement.basedOn.identifier.assigner"> <path value="MedicationStatement.basedOn.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationStatement.partOf"> <path value="MedicationStatement.partOf" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationDispense" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationAdministration" /> </type> </element> <element id="MedicationStatement.partOf.identifier.assigner"> <path value="MedicationStatement.partOf.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <short value="active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken" /> <definition value="A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed." /> <comment value="MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." /> <min value="1" /> <max value="1" /> <base> <path value="MedicationStatement.status" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationStatementStatus" /> </extension> <strength value="required" /> <description value="A coded concept indicating the current status of a MedicationStatement." /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1" /> </binding> <mapping> <identity value="workflow" /> <map value="Event.status" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="rim" /> <map value=".statusCode" /> </mapping> </element> <element id="MedicationStatement.statusReason"> <path value="MedicationStatement.statusReason" /> <short value="Reason for current status" /> <definition value="Captures the reason for the current state of the MedicationStatement." /> <comment value="This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement.statusReason" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationStatementStatusReason" /> </extension> <strength value="example" /> <description value="A coded concept indicating the reason for the status of the statement." /> <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-status-codes" /> </binding> <mapping> <identity value="workflow" /> <map value="Event.statusReason" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" /> </mapping> </element> <element id="MedicationStatement.category"> <path value="MedicationStatement.category" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationStatementCategory" /> </binding> </element> <element id="MedicationStatement.medication[x]"> <path value="MedicationStatement.medication[x]" /> <type> <code value="CodeableConcept" /> </type> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication" /> </type> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode" /> </binding> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </type> </element> <element id="MedicationStatement.subject.identifier.assigner"> <path value="MedicationStatement.subject.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationStatement.context"> <path value="MedicationStatement.context" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-EpisodeOfCare" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" /> </type> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <short value="The date/time or interval when the medication is/was/will be taken" /> <definition value="The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No)." /> <comment value="This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text." /> <min value="0" /> <max value="1" /> <base> <path value="MedicationStatement.effective[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="workflow" /> <map value="Event.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.done[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime" /> </mapping> </element> <element id="MedicationStatement.dateAsserted"> <path value="MedicationStatement.dateAsserted" /> <short value="When the statement was asserted?" /> <definition value="The date when the medication statement was asserted by the information source." /> <min value="0" /> <max value="1" /> <base> <path value="MedicationStatement.dateAsserted" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="true" /> <mapping> <identity value="w5" /> <map value="FiveWs.recorded" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=AUT].time" /> </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" /> <definition value="The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest." /> <min value="0" /> <max value="1" /> <base> <path value="MedicationStatement.informationSource" /> <min value="0" /> <max value="1" /> </base> <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> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="w5" /> <map value="FiveWs.source" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)" /> </mapping> </element> <element id="MedicationStatement.derivedFrom"> <path value="MedicationStatement.derivedFrom" /> <short value="Additional supporting information" /> <definition value="Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement." /> <comment value="Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement.derivedFrom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]" /> </mapping> </element> <element id="MedicationStatement.reasonCode"> <path value="MedicationStatement.reasonCode" /> <short value="Reason for why the medication is being/was taken" /> <definition value="A reason for why the medication is being/was taken." /> <comment value="This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement.reasonCode" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationReason" /> </extension> <strength value="example" /> <description value="A coded concept identifying why the medication is being taken." /> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code" /> </binding> <mapping> <identity value="workflow" /> <map value="Event.reasonCode" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.why[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".reasonCode" /> </mapping> </element> <element id="MedicationStatement.reasonReference"> <path value="MedicationStatement.reasonReference" /> <short value="Condition or observation that supports why the medication is being/was taken" /> <definition value="Condition or observation that supports why the medication is being/was taken." /> <comment value="This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement.reasonReference" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="workflow" /> <map value="Event.reasonReference" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.why[x]" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use"].value" /> </mapping> </element> <element id="MedicationStatement.context.identifier.assigner"> <path value="MedicationStatement.context.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationStatement.note"> <path value="MedicationStatement.note" /> <short value="Further information about the statement" /> <definition value="Provides extra information about the medication statement that is not conveyed by the other attributes." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement.note" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Annotation" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="workflow" /> <map value="Event.note" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value" /> </mapping> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <short value="Details of how medication is/was taken or should be taken" /> <definition value="Indicates how the medication is/was or should be taken by the patient." /> <comment value="The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest." /> <min value="0" /> <max value="*" /> <base> <path value="MedicationStatement.dosage" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Dosage" /> </type> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <isSummary value="false" /> <mapping> <identity value="rim" /> <map value="refer dosageInstruction mapping" /> </mapping> </element> <element id="MedicationStatement.reasonReference.identifier.assigner"> <path value="MedicationStatement.reasonReference.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="MedicationStatement.note.author[x]"> <path value="MedicationStatement.note.author[x]" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> </type> <type> <code value="string" /> </type> </element> <element id="MedicationStatement.dosage.asNeeded[x]"> <path value="MedicationStatement.dosage.asNeeded[x]" /> <binding> <strength value="extensible" /> <description value="A set of codes that define a precondition for taking a medication" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationPrecondition" /> </binding> </element> <element id="MedicationStatement.dosage.site"> <path value="MedicationStatement.dosage.site" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite" /> </binding> </element> <element id="MedicationStatement.dosage.route"> <path value="MedicationStatement.dosage.route" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute" /> </binding> </element> <element id="MedicationStatement.dosage.method"> <path value="MedicationStatement.dosage.method" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod" /> </binding> </element> </differential> </StructureDefinition>