<status value="draft" /> <description value="This profile defines a set of constraints to the FHIR MedicationStatement resource for use in Alberta Patient Summaries (PS-AB). It re-profiles the PS-CA MedicationStatement profile and refines constraints that represent the minimum expectations for the MedicationStatement resource when used in the PS-AB Composition profile." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationStatement" /> <baseDefinition value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medicationstatement-ca-ps" /> <derivation value="constraint" /> <differential> <element id="MedicationStatement"> <path value="MedicationStatement" /> <comment value="MedicationStatement resources included in Alberta Patient Summary Document Bundles SHALL NOT contain any of the following MedicationStatement details: statusReason, context, dateAsserted, informationSource, derivedFrom, reasonReference, dosage.site, dosage.method, dosage.doseAndRate.type,dosage. doseAndRate.rate[x], dosage.maxDosePerPeriod, dosage.maxDosePerAdministration, dosage.maxDosePerLifetime. These rules are mechanically enforced through invariants at the PS-AB Bundle level." /> </element> <element id="MedicationStatement.status"> <path value="MedicationStatement.status" /> <patternCode value="unknown" /> </element> <element id="MedicationStatement.medication[x]:medicationReference"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationReference" /> <sliceIsConstraining value="true" /> <type> <code value="Reference" /> <targetProfile value="https://www.alberta.ca/fhir/psab/StructureDefinition/MedicationPSAB" /> </type> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationCodeableConcept" /> <sliceIsConstraining value="true" /> <comment value="Supply of medicationReference is preferred over medicationCodeableConcept, however both are allowed in the context of Alberta Patient Summaries" /> <type> <code value="CodeableConcept" /> <profile value="http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps" /> </type> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <type> <code value="Reference" /> <targetProfile value="https://www.alberta.ca/fhir/psab/StructureDefinition/PatientPSAB" /> </type> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.effective[x]:effectiveDateTime"> <path value="MedicationStatement.effective[x]" /> <sliceName value="effectiveDateTime" /> <sliceIsConstraining value="true" /> <comment value="YYYY-MM-DD format. Partial dates (YYYY only or YYYY-MM only) are accepted. Required for each submitted medication" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="MedicationStatement.dosage.text"> <path value="MedicationStatement.dosage.text" /> <comment value="since the dosage.doseAndrate does not accommodate any text, Amount of medication per dose could be recorded here" /> </element> <element id="MedicationStatement.dosage.route.text"> <path value="MedicationStatement.dosage.route.text" /> <comment value="Optional String: Max Character length (20) [May be full text name (e.g., by mouth) or abbreviation (e.g., PO); as well as non-standardized text] Include a 'recommended reference set' for common values, and allow other content as well? (i.e., not validated, but promoting/encouraging usage of standard values)" /> </element> <element id="MedicationStatement.dosage.doseAndRate"> <path value="MedicationStatement.dosage.doseAndRate" /> <comment value="If the dose is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated dose, or captured with a new MedicationRequest with the new dose." /> </element> </differential> </StructureDefinition>