Smart Bear Implementation Guide - Local Development build (v3.2.2). See the Directory of published versions
Resource Profile: Psychoactive Medication Statement
| Official URL: https://smart-bear.eu/fhir/StructureDefinition/PsychoactiveMedicationStatement | Version: 3.2.2 | |||
| Active as of 2022-07-03 | Computable Name: PsychoactiveMedicationStatement | |||
Psychoactive Medication Statement
Usage:
- Examples for this Resource Profile: MedicationStatement/Psychoactive001
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationStatement
Summary
Mandatory: 3 elements
Must-Support: 2 elements
Structures
This structure refers to these other structures:
- Medication Record (https://smart-bear.eu/fhir/StructureDefinition/MedicationRecord)
- Smart Bear Patient (https://smart-bear.eu/fhir/StructureDefinition/SmartBearPatient)
Slices
This structure defines the following Slices:
- The element MedicationStatement.effective[x] is sliced based on the value of type:$this
This structure is derived from MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |
  status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
 category | 0..1 | CodeableConcept | Type of medication usage Required Pattern: At least the following | |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 418149003 | |
 display | 1..1 | string | Representation defined by the system Fixed Value: Psychoactive substance | |
 medicationReference | S | 1..1 | Reference(Medication Record) | What medication was taken |
| subject | 1..1 | Reference(Smart Bear Patient) | Who is/was taking the medication | |
 effective[x] | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this | |
| effectiveDateTime | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |||||
 id | Σ | 0..1 | string | Logical id of this artifact | ||||
 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 | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| 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 | 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 | ?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 418149003 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Psychoactive substance | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| Slices for medication[x] | Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this | ||||
  medication[x]:medicationReference | SΣ | 1..1 | Reference(Medication Record) | What medication was taken | ||||
| subject | Σ | 1..1 | Reference(Smart Bear Patient) | Who is/was taking the medication | ||||
| context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | Σ | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken | ||||
| dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | 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..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note | 0..* | Annotation | Further information about the statement | |||||
| dosage | 0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| Documentation for this format | ||||||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |
| status | ?!Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. |
| medication[x]:medicationReference | Σ | 1..1 | Reference(Medication Record) | What medication was taken |
| Documentation for this format | ||||
This structure is derived from MedicationStatement
Summary
Mandatory: 3 elements
Must-Support: 2 elements
Structures
This structure refers to these other structures:
- Medication Record (https://smart-bear.eu/fhir/StructureDefinition/MedicationRecord)
- Smart Bear Patient (https://smart-bear.eu/fhir/StructureDefinition/SmartBearPatient)
Slices
This structure defines the following Slices:
- The element MedicationStatement.effective[x] is sliced based on the value of type:$this
Differential View
This structure is derived from MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |
| status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken |
| category | 0..1 | CodeableConcept | Type of medication usage Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 418149003 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Psychoactive substance | |
| medicationReference | S | 1..1 | Reference(Medication Record) | What medication was taken |
| subject | 1..1 | Reference(Smart Bear Patient) | Who is/was taking the medication | |
| effective[x] | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this | |
| effectiveDateTime | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement | 0..* | MedicationStatement | Record of medication being taken by a patient | |||||
| id | Σ | 0..1 | string | Logical id of this artifact | ||||
| 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 | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| 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 | 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 | ?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 418149003 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Psychoactive substance | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| Slices for medication[x] | Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this | ||||
| medication[x]:medicationReference | SΣ | 1..1 | Reference(Medication Record) | What medication was taken | ||||
| subject | Σ | 1..1 | Reference(Smart Bear Patient) | Who is/was taking the medication | ||||
| context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | Σ | 1..1 | dateTime | The date/time or interval when the medication is/was/will be taken | ||||
| dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | ||||
| informationSource | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | 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..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note | 0..* | Annotation | Further information about the statement | |||||
| dosage | 0..* | Dosage | Details of how medication is/was taken or should be taken | |||||
| Documentation for this format | ||||||||
Other representations of profile: CSV, Excel, Schematron
Terminology Bindings
| Path | Conformance | ValueSet / Code |
| MedicationStatement.language | preferred | CommonLanguages Max Binding: AllLanguages |
| MedicationStatement.status | required | Medication Status Codes |
| MedicationStatement.statusReason | example | SNOMEDCTDrugTherapyStatusCodes |
| MedicationStatement.category | preferred | Pattern: SNOMED CT code 418149003("Psychoactive substance") |
| MedicationStatement.reasonCode | example | Condition/Problem/DiagnosisCodes |