Implementation Guide
23.1.0 - R4 APIs

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Resource Profile: Profile - Athena MedicationStatement

Official URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-profile Version: 23.1.0
Active as of 2022-03-01 Computable Name: AthenaMedicationStatement

Defines constraints and extensions on the medicationstatement resource as supported by Athena Products.

This MedicationStatement profile is part of the set of resource profiles supported by the API Server used with the athenaPractice and athenaFlow products. It further describes read, search, create and update capabilities of these products.

Overview

This resource contains a record of a medication associated with a patient. This may be a medication that was once consumed, is currently consumed, or will be consumed in future. The source of this information can be a patient, a significant other, a clinician. Prior medications are often recorded during an encounter when the patient’s medical history is taken. Because this information relies on patient memory or the clinical data available for a patient, it is less precise than medication administration recordings (see MedicationAdministration).

Scope and Usage

This profile is used to define the content that will be returned by the API Server in response to requests to access MedicationStatement resources. All elements listed in the differential profile view are Supported, which means that the API Server is capable of supplying these fields from the product database when they have been populated via the product or its APIs.

The profile also defines the content that must be supplied to the API Server in response to requests to populate MedicationStatement resources. Fields which are marked as Mandatory in this profile are those that must be supplied to the API Server in content used to populate a resource.

Source

The MedicationStatement resource is derived from the MEDICATE tables in athenaPractice and athenaFlow. Specific detail can be found in the Mappings tab in the profile detail page.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id 1..1 id Logical id of this artifact
... meta 0..1 Meta Metadata about the resource
.... versionId 0..1 id Version specific identifier
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:athena-medstatement-profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-profile
.... Slices for security 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... Slices for extension Content/Rules for all slices
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 CodeableConcept Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-rxnorm
.... medcategory 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory"
..... value[x] 1..1 string Value of extension
... status 1..1 code active | completed | entered-in-error | intended
... medication[x] 1..1 Reference(Medication) What medication was taken
... subject 1..1 Reference(Patient) Who is/was taking the medication
... context 0..1 Reference(Encounter) Encounter / Episode associated with MedicationStatement
... effective[x] 1..1 Period Over what period was medication consumed?
... dateAsserted 0..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(Practitioner) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonReference 0..1 Reference(Condition) Condition or observation that supports why the medication is being/was taken
... note 0..1 Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... text 0..1 string Reported dosage information
.... timing 0..1 Timing When medication should be administered
.... route 0..1 CodeableConcept How drug should enter body
.... doseAndRate 0..* Element Amount of medication administered
..... dose[x] 0..1 Quantity Amount administered in one dose

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:athena-medstatement-profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 CodeableConcept Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-rxnorm
.... medcategory 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory"
..... value[x] 1..1 string Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... status ?!Σ 1..1 code active | completed | entered-in-error | intended
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... medication[x] Σ 1..1 Reference(Medication) What medication was taken
... subject Σ 1..1 Reference(Patient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 1..1 Period Over what period was medication consumed?
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(Practitioner) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonReference 0..1 Reference(Condition) Condition or observation that supports why the medication is being/was taken
... note 0..1 Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text Σ 0..1 string Reported dosage information
.... timing Σ 0..1 Timing When medication should be administered
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... dose[x] Σ 0..1 Quantity Amount administered in one dose

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:athena-medstatement-profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 CodeableConcept Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-rxnorm
.... medcategory 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory"
..... value[x] 1..1 string Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!Σ 1..1 code active | completed | entered-in-error | intended
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.

... medication[x] Σ 1..1 Reference(Medication) What medication was taken
... subject Σ 1..1 Reference(Patient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 1..1 Period Over what period was medication consumed?
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(Practitioner) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference 0..1 Reference(Condition) Condition or observation that supports why the medication is being/was taken
... note 0..1 Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... id 0..1 string Unique id for inter-element referencing
.... 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 Σ 0..1 string Reported dosage information
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (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 Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ 0..1 Quantity Amount administered in one dose
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

This structure is derived from MedicationStatement

Summary

Mandatory: 6 elements(11 nested mandatory elements)
Fixed: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.meta.profile
  • The element 1 is sliced based on the value of MedicationStatement.meta.security

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id 1..1 id Logical id of this artifact
... meta 0..1 Meta Metadata about the resource
.... versionId 0..1 id Version specific identifier
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:athena-medstatement-profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-profile
.... Slices for security 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... Slices for extension Content/Rules for all slices
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 CodeableConcept Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-rxnorm
.... medcategory 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory"
..... value[x] 1..1 string Value of extension
... status 1..1 code active | completed | entered-in-error | intended
... medication[x] 1..1 Reference(Medication) What medication was taken
... subject 1..1 Reference(Patient) Who is/was taking the medication
... context 0..1 Reference(Encounter) Encounter / Episode associated with MedicationStatement
... effective[x] 1..1 Period Over what period was medication consumed?
... dateAsserted 0..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(Practitioner) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonReference 0..1 Reference(Condition) Condition or observation that supports why the medication is being/was taken
... note 0..1 Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... text 0..1 string Reported dosage information
.... timing 0..1 Timing When medication should be administered
.... route 0..1 CodeableConcept How drug should enter body
.... doseAndRate 0..* Element Amount of medication administered
..... dose[x] 0..1 Quantity Amount administered in one dose

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:athena-medstatement-profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 CodeableConcept Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-rxnorm
.... medcategory 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory"
..... value[x] 1..1 string Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... status ?!Σ 1..1 code active | completed | entered-in-error | intended
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... medication[x] Σ 1..1 Reference(Medication) What medication was taken
... subject Σ 1..1 Reference(Patient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 1..1 Period Over what period was medication consumed?
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(Practitioner) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonReference 0..1 Reference(Condition) Condition or observation that supports why the medication is being/was taken
... note 0..1 Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text Σ 0..1 string Reported dosage information
.... timing Σ 0..1 Timing When medication should be administered
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... dose[x] Σ 0..1 Quantity Amount administered in one dose

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 1..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:athena-medstatement-profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 CodeableConcept Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-rxnorm
.... medcategory 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medstatement-extension-medcategory"
..... value[x] 1..1 string Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!Σ 1..1 code active | completed | entered-in-error | intended
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.

... medication[x] Σ 1..1 Reference(Medication) What medication was taken
... subject Σ 1..1 Reference(Patient) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 1..1 Period Over what period was medication consumed?
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 1..1 Reference(Practitioner) Person or organization that provided the information about the taking of this medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference 0..1 Reference(Condition) Condition or observation that supports why the medication is being/was taken
... note 0..1 Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... id 0..1 string Unique id for inter-element referencing
.... 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 Σ 0..1 string Reported dosage information
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (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 Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ 0..1 Quantity Amount administered in one dose
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

This structure is derived from MedicationStatement

Summary

Mandatory: 6 elements(11 nested mandatory elements)
Fixed: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.meta.profile
  • The element 1 is sliced based on the value of MedicationStatement.meta.security

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Supported Interactions

Interactions supported by this resource are listed below.

Search Parameters

Search parameters are executed as specified in the HL7 FHIR RESTful API implementation definition. To search for MedicationStatement resources, an application shall perform an HTTP GET, specifying the query parameters associated with the resource.

GET [base]/fhir/r4/MedicationStatement?{search-parameters}{&_count=[max-results]&_format=[json|xml]&_summary=[true|text|data]}

Where:

Name Description
[base] Specifies the base URL of the FHIR Server, e.g., https://apsandbox.fhirapi.athenahealth.com/demoAPIServer
[_count] Specifies the maximum number of search results to return in a single query. Note: The count of results does not limit the number of additional resources returned via the _include parameter. No more than max-results MedicationStatement resources which match the search criteria will be returned. The API Server has default and maximum limits for the value that can be specified for this parameter. These limits may vary depending upon the client application vendors participation level in the Athenahealth Partner program. Note: The API Server support the HL7 FHIR Paging capability.
[_format] Specifies the format of the output and may be xml or json. When present, the _format value overrides the value of the Accept header in the request.
[_summary] Filters the output to include only narrative elements (_summary=text), summary elements (_summary=true) or to omit the generated narrative (_summary=data). Note: If the generated html narrative for the resource is not going to be used by the call, using _summary=data provides improved API response times, especially when returning larger result sets.
_id (token) The ID of the resource
_lastUpdated (date)
_lastUpdated-fromnow (quantity) Like _lastUpdated except expressed as a positive or negative offset from the current time in units of time, e.g. _lastUpdated-fromnow=ge7||d for more than seven days in the future or =le-2||mo for less than two months in the past. The unit must be specified.
_security (token)
_tag (token)
ddid (token)
effective (date) Date when patient was taking (or not taking) the medication
effectivedate-fromnow (quantity) Like effectivedate except expressed as a positive or negative offset from the current time in units of time, e.g. effectivedate-fromnow=ge7||d for more than seven days in the future or =le-2||mo for less than two months in the past. The unit must be specified.
context (reference) Returns statements for a specific context
encounter-or-historical (reference)
identifier (token) Return statements with this external identifier
medication (reference) Return administrations of this medication reference
ndc (token)
patient (reference) The identity of a patient to list statements for
rxnorm (token)
source (reference) Who the information in the statement came from
status (token) Return statements that match the given status
subject (reference) The identity of a patient to list statements for
HTTP Response Codes

The following HTTP response codes are returned by this API call:

200 OK The query was performed and any results found are contained within the body of the HTTP response. Note: The search API will return 200 OK when the query itself is successful, regardless of whether or not any matching results were found.
401 Unauthorized Authorization is required for this request, and either the Authorization header is missing or the supplied user credentials in the Authorization header are not valid or have expired. The body of the HTTP response will contain an OperationOutcome resource that indicates that Authorization is required.
500 Server Error The server may return other error codes to indicate other error conditions. The body of the HTTP response will contain an OperationOutcome resource that indicates the nature of the error.