## Union of http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips and http://hl7.eu/fhir/base-r5/StructureDefinition/medicationStatement-eu-core

This is the set of resources that conform to either of the profiles MedicationStatement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips) and MedicationStatement (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/medicationStatement-eu-core). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* |  | Record of medication being taken by a patient
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | left: Language of the resource content; right: Language of the statement Binding: ?? (required): left: A human language.; right: IETF language tag for a human language
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | left: External identifier; right: Medication Statement Identifier
basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation), Reference(Procedure|5.0.0 | MedicationStatement|5.0.0) | Part of referenced event
status | ?!Σ | 1..1 | code | left: active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken; right: State of the medication Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement.
statusReason |  | 0..* | CodeableConcept | Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement.
category | Σ | 0..* | CodeableConcept | left: Type of medication usage; right: Type of intended use Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x] | SO Σ | 1..1 |  | What medication was taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Obligations | Actor | Source
SHALL:populate-if-known | Creator (IPS) | from MedicationStatement (IPS)
SHALL:handle | Consumer (IPS) | from MedicationStatement (IPS)
SHOULD:display | Consumer (IPS) | from MedicationStatement (IPS)
medicationCodeableConcept |  |  | CodeableConcept(CodeableConceptIPS) |
medicationReference |  |  | Reference(Medication (IPS)) |
subject | S Σ | 1..1 | Reference(Patient (IPS) | #sd+39-Patient-uv-ips-patient-eu-core) | Who is/was taking the medication
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor | Source
SHALL:populate-if-known | Creator (IPS) | from MedicationStatement (IPS)
SHALL:handle | Consumer (IPS) | from MedicationStatement (IPS)
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | S Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
dateAsserted | Σ | 0..1 | dateTime | left: When the statement was asserted?; right: When the usage was asserted?
informationSource |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication
derivedFrom |  | 0..* | Reference(Resource), Reference(Resource|5.0.0) | left: Additional supporting information; right: The reference to the source of the statement
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken.
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
note |  | 0..* | Annotation | left: Further information about the statement; right: Further information about the usage
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner|5.0.0 | PractitionerRole|5.0.0 | Patient|5.0.0 | RelatedPerson|5.0.0 | Organization|5.0.0) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Textual note about the statement
dosage | S | 0..* | Dosage | left: Details of how medication is/was taken or should be taken; right: Details of how medication is/was taken or should be taken.
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor | Source
SHALL:populate-if-known | Creator (IPS) | from MedicationStatement (IPS)
SHALL:handle | Consumer (IPS) | from MedicationStatement (IPS)
SHOULD:display | Consumer (IPS) | from MedicationStatement (IPS)
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | SO Σ | 0..1 | Timing | When medication should be administered
Obligations | Actor | Source
SHALL:populate-if-known | Creator (IPS) | from MedicationStatement (IPS)
SHALL:handle | Consumer (IPS) | from MedicationStatement (IPS)
SHOULD:display | Consumer (IPS) | from MedicationStatement (IPS)
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred): SNOMED Route Terms
Additional Bindings | Purpose
?? | candidate
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient
medication | Σ | 1..1 | CodeableReference(http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core) | What medication was taken Binding: ?? (example)
encounter | Σ | 0..1 | Reference(Encounter|5.0.0) | Encounter associated with MedicationStatement
reason |  | 0..* | CodeableReference(Condition|5.0.0 | Observation|5.0.0 | DiagnosticReport|5.0.0) | Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken.
relatedClinicalInformation |  | 0..* | Reference(Observation|5.0.0 | Condition|5.0.0) | Link to information relevant to the usage of a medication
renderedDosageInstruction |  | 0..1 | markdown | Full representation of the dosage instructions
adherence | Σ | 0..1 | BackboneElement | Indicates whether the medication is or is not being consumed or administered
Documentation for this format