{
  "description": "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.",
  "_filename": "StructureDefinition-ie-core-medicationstatement.json",
  "package_name": "nostalgic-ie.fhir.core",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "IECoreMedicationStatement",
  "abstract": false,
  "type": "MedicationStatement",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "IE Core MedicationStatement",
  "package_version": "0.2.0",
  "status": "draft",
  "id": "5c74db3b-ea77-4e79-a624-6c863734713e",
  "kind": "resource",
  "url": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medicationstatement",
  "version": "0.2.0",
  "differential": {
    "element": [ {
      "id": "MedicationStatement.identifier",
      "path": "MedicationStatement.identifier",
      "comment": "HIQA PS 6.3.2 Medication identifier (Required).",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.status",
      "path": "MedicationStatement.status",
      "short": "Status of the medication use statement (active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken)",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.statusReason",
      "path": "MedicationStatement.statusReason",
      "comment": "HIQA PS 6.3.1.2 Medication status reason (Required).",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]",
      "path": "MedicationStatement.medication[x]",
      "short": "Medication (NMPC preferred; SNOMED CT Irish Edition and ATC as secondary codes)",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "MedicationStatement.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/medication-codes"
      },
      "sliceName": "medicationCodeableConcept"
    }, {
      "id": "MedicationStatement.subject",
      "path": "MedicationStatement.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]",
      "path": "MedicationStatement.effective[x]",
      "short": "Period when the patient took or is taking the medication (EHDSMedicationUse.periodOfUse)",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.informationSource",
      "path": "MedicationStatement.informationSource",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient", "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitioner", "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitionerrole", "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-relatedperson", "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization" ]
      } ],
      "short": "Author of the medication statement",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.derivedFrom",
      "path": "MedicationStatement.derivedFrom",
      "short": "Prescription, dispense, or administration that is the basis for this statement (EHDSMedicationUse.derivedFrom)",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonCode",
      "path": "MedicationStatement.reasonCode",
      "short": "Reason for taking the medication — diagnosis or procedure (ICD-10, SNOMED CT)",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonReference",
      "path": "MedicationStatement.reasonReference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.note",
      "path": "MedicationStatement.note",
      "short": "Additional information about the medication use statement",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage",
      "min": 1,
      "path": "MedicationStatement.dosage",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.text",
      "min": 1,
      "path": "MedicationStatement.dosage.text",
      "short": "Human-readable dosage instructions",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.additionalInstruction",
      "path": "MedicationStatement.dosage.additionalInstruction",
      "comment": "HIQA PS 6.3.11.1 Additional instructions (Required).",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing",
      "path": "MedicationStatement.dosage.timing",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.frequency",
      "path": "MedicationStatement.dosage.timing.repeat.frequency",
      "comment": "HIQA PS 6.3.10.1 Frequency (Mandatory within the frequency cluster).",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.timing.repeat.period",
      "path": "MedicationStatement.dosage.timing.repeat.period",
      "comment": "HIQA PS 6.3.10.2 Period (Mandatory within the frequency cluster).",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.site",
      "path": "MedicationStatement.dosage.site",
      "comment": "HIQA PS 6.3.8 Site (Required).",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.route",
      "path": "MedicationStatement.dosage.route",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.doseAndRate",
      "path": "MedicationStatement.dosage.doseAndRate",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.dosage.doseAndRate.dose[x]",
      "path": "MedicationStatement.dosage.doseAndRate.dose[x]",
      "comment": "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": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
}