VA PGHD FHIR R4 Governance
2.1.27 - active

VA PGHD FHIR R4 Governance - Local Development build (v2.1.27) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: VA PGHD MedicationStatement Base Profile for Mobile App Data

Official URL: https://veteran.apps.va.gov/smart-pgd-fhir/v2/StructureDefinition/va-pghd-medicationstatement-base-v1.0 Version: 2.1.27
Active as of 2023-03-01 Computable Name: VAPghdMedicationStatementProfileBase

VA PGHD MedicationStatement base profile defining the common constraints for all PGHD medicationstatements. It should have a meta tag with system = 'https://wiki.mobilehealth.va.gov/x/Onc1C', a code, and a display value.

This is the PGHD medicationstatement base profile defining the common constraints for all VA PGHD medicationstatement profiles. Other PGHD medicationstatement profiles should derive from this base profile.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement C 0..* MedicationStatement PGHD Governance Rules for MedicationStatements
Constraints: pghd-meta-tag-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement 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 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-4 error MedicationStatement If 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-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pghd-meta-tag-1 error MedicationStatement A QuestionnaireResponse must have at least one meta tag, one of which has system = 'https://wiki.mobilehealth.va.gov/x/Onc1C', a code, and a display value meta.tag.where(system = 'https://wiki.mobilehealth.va.gov/x/Onc1C' and code.exists() and display.exists()).count() = 1

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement C 0..* MedicationStatement PGHD Governance Rules for MedicationStatements
Constraints: pghd-meta-tag-1

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
pghd-meta-tag-1 error MedicationStatement A QuestionnaireResponse must have at least one meta tag, one of which has system = 'https://wiki.mobilehealth.va.gov/x/Onc1C', a code, and a display value meta.tag.where(system = 'https://wiki.mobilehealth.va.gov/x/Onc1C' and code.exists() and display.exists()).count() = 1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement C 0..* MedicationStatement PGHD Governance Rules for MedicationStatements
Constraints: pghd-meta-tag-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier 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 | 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.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | 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(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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement 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 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-4 error MedicationStatement If 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-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pghd-meta-tag-1 error MedicationStatement A QuestionnaireResponse must have at least one meta tag, one of which has system = 'https://wiki.mobilehealth.va.gov/x/Onc1C', a code, and a display value meta.tag.where(system = 'https://wiki.mobilehealth.va.gov/x/Onc1C' and code.exists() and display.exists()).count() = 1

This structure is derived from MedicationStatement

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement C 0..* MedicationStatement PGHD Governance Rules for MedicationStatements
Constraints: pghd-meta-tag-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement 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 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-4 error MedicationStatement If 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-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pghd-meta-tag-1 error MedicationStatement A QuestionnaireResponse must have at least one meta tag, one of which has system = 'https://wiki.mobilehealth.va.gov/x/Onc1C', a code, and a display value meta.tag.where(system = 'https://wiki.mobilehealth.va.gov/x/Onc1C' and code.exists() and display.exists()).count() = 1

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement C 0..* MedicationStatement PGHD Governance Rules for MedicationStatements
Constraints: pghd-meta-tag-1

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
pghd-meta-tag-1 error MedicationStatement A QuestionnaireResponse must have at least one meta tag, one of which has system = 'https://wiki.mobilehealth.va.gov/x/Onc1C', a code, and a display value meta.tag.where(system = 'https://wiki.mobilehealth.va.gov/x/Onc1C' and code.exists() and display.exists()).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationStatement C 0..* MedicationStatement PGHD Governance Rules for MedicationStatements
Constraints: pghd-meta-tag-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier 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 | 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.
... medication[x] Σ 1..1 What medication was taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who is/was taking the medication
... context Σ 0..1 Reference(Encounter | 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(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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationStatement.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationStatement.​status Base required Medication status codes 📍4.0.1 FHIR Std.
MedicationStatement.​statusReason Base example SNOMED CT Drug Therapy Status codes 📍4.0.1 FHIR Std.
MedicationStatement.​category Base preferred Medication usage category codes 📍4.0.1 FHIR Std.
MedicationStatement.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationStatement.​reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationStatement 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 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-4 error MedicationStatement If 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-5 error MedicationStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pghd-meta-tag-1 error MedicationStatement A QuestionnaireResponse must have at least one meta tag, one of which has system = 'https://wiki.mobilehealth.va.gov/x/Onc1C', a code, and a display value meta.tag.where(system = 'https://wiki.mobilehealth.va.gov/x/Onc1C' and code.exists() and display.exists()).count() = 1

This structure is derived from MedicationStatement

Summary

 

Other representations of profile: CSV, Excel, Schematron