Finnish Base Profiles
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Resource Profile: FI Base MedicationStatement

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-statement Version: 2.0.0-ci
Draft as of 2025-03-27 Computable Name: FiBaseMedicationStatement

This is the Finnish base profile for the MedicationStatement resource.

Scope and Usage

The FI Base MedicationStatement derives from the MedicationStatement profile of the International Patient Access specification.

See also the Medication Codes section on the terminology page of this guide, and the Medications Module of the main FHIR specification.

For all medication related resources (Medication, MedicationAdministration, MedicationRequest, MedicationStatement), please also see the Prescription project and the related implementation guide of the Kanta system. That project contains useful definitions, examples, and sequence descriptions (mostly in Finnish).

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... basedOn Σ 0..* Reference(FI Base MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.


ele-1: All FHIR elements must have a @value or children
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication) What medication was taken
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(FI Base Patient) Who is/was taking the medication
ele-1: All FHIR elements must have a @value or children
... context Σ 0..1 Reference(FI Base Encounter | FI Base EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ele-1: All FHIR elements must have a @value or children
... informationSource 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ele-1: All FHIR elements must have a @value or children
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement MedicationStatement
... basedOn 0..* Reference(FI Base MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf 0..* Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) Part of referenced event
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) What medication was taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(FI Base Medication) What medication was taken
... context 0..1 Reference(FI Base Encounter | FI Base EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... informationSource 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 0..1 id 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
... 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(FI Base MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) Part of referenced event
... 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.

... 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.

... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication) What medication was taken
... subject Σ 1..1 Reference(FI Base Patient) Who is/was taking the medication
... context Σ 0..1 Reference(FI Base Encounter | FI Base EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) 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(FI Base Condition | FI Base 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatement

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.medication[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... basedOn Σ 0..* Reference(FI Base MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.


ele-1: All FHIR elements must have a @value or children
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication) What medication was taken
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(FI Base Patient) Who is/was taking the medication
ele-1: All FHIR elements must have a @value or children
... context Σ 0..1 Reference(FI Base Encounter | FI Base EpisodeOfCare) Encounter / Episode associated with MedicationStatement
ele-1: All FHIR elements must have a @value or children
... informationSource 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
ele-1: All FHIR elements must have a @value or children
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement MedicationStatement
... basedOn 0..* Reference(FI Base MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf 0..* Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) Part of referenced event
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) What medication was taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(FI Base Medication) What medication was taken
... context 0..1 Reference(FI Base Encounter | FI Base EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... informationSource 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) Person or organization that provided the information about the taking of this medication
... reasonReference 0..* Reference(FI Base Condition | FI Base Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Record of medication being taken by a patient
... id Σ 0..1 id 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
... 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(FI Base MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) Part of referenced event
... 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.

... 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.

... Slices for medication[x] Σ 1..1 What medication was taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication) What medication was taken
... subject Σ 1..1 Reference(FI Base Patient) Who is/was taking the medication
... context Σ 0..1 Reference(FI Base Encounter | FI Base EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... informationSource 0..1 Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) 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(FI Base Condition | FI Base 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationStatement

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationStatement.medication[x]

 

Other representations of profile: CSV, Excel, Schematron