Medication Summary
The medication summary section contains a description of the patient's medications relevant for the scope of the patient summary. The actual content could depend on the jurisdiction, it could report:
- the currently active medications;
- the current and past medications considered relevant by the authoring GP;
- the patient prescriptions or dispensations automatically extracted by a regional or a national EHR.
In all those cases however medications are documented in the Patient Summary as medication statements. This section requires either an entry indicating the subject is known not to be on any relevant medication; either an entry indicating that no information is available about medications; or entries summarizing the subject's relevant medications.
Medication Statement
Tree view
MedicationStatement-uv-ips (MedicationStatement) | http://hl7.org/fhir/StructureDefinition/MedicationStatement | ||
basedOn | |||
identifier | ..0 | ||
partOf | |||
identifier | ..0 | ||
context | |||
identifier | ..0 | ||
status | S | ||
category | Codeable Concept | ||
medication[x] | S | Binding | |
medicationCodeableConcept | Codeable Concept | ||
medicationReference | Reference(Medication) | ||
effective[x] | S | ||
informationSource | |||
identifier | ..0 | ||
subject | Reference(http://hl7.org/fhir/StructureDefinition/Patient) | ||
identifier | ..0 | ||
derivedFrom | |||
identifier | ..0 | ||
reasonNotTaken | Codeable Concept | ||
reasonCode | Codeable Concept | ||
reasonReference | |||
identifier | ..0 | ||
dosage | S | ||
text | S | ||
additionalInstruction | Codeable Concept | ||
patientInstruction | S | ||
timing | S | ||
repeat | |||
bounds[x] | |||
boundsDuration | Duration | ||
boundsPeriod | Period | ||
boundsRange | Range | ||
code | Codeable Concept | ||
coding | |||
system | |||
site | Codeable Concept | ||
coding | Binding | ||
system | Binding | ||
route | S | Codeable Concept | |
coding | Binding | ||
system | Binding | ||
method | Codeable Concept | ||
maxDosePerPeriod | ..0 | ||
maxDosePerAdministration | ..0 | Quantity | |
maxDosePerLifetime | ..0 | Quantity | |
rateQuantity | ..0 | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
MedicationStatement.basedOn.identifier | |
Cardinality | ...0 |
MedicationStatement.partOf.identifier | |
Cardinality | ...0 |
MedicationStatement.context.identifier | |
Cardinality | ...0 |
MedicationStatement.status | |
Must Support | True |
MedicationStatement.category | |
Type | Codeable Concept |
MedicationStatement.medication[x] | |
Definition | Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that gives a reason for absent or unknown Medication.. |
Type | Reference(Medication), Codeable Concept |
Binding | Representation of unknown or absent medications IPSNoMedsInfo (required) |
Must Support | True |
MedicationStatement.effective[x] | |
Must Support | True |
MedicationStatement.informationSource.identifier | |
Cardinality | ...0 |
MedicationStatement.subject | |
Type | Reference(http://hl7.org/fhir/StructureDefinition/Patient) |
MedicationStatement.subject.identifier | |
Cardinality | ...0 |
MedicationStatement.derivedFrom.identifier | |
Cardinality | ...0 |
MedicationStatement.reasonNotTaken | |
Type | Codeable Concept |
MedicationStatement.reasonCode | |
Type | Codeable Concept |
MedicationStatement.reasonReference.identifier | |
Cardinality | ...0 |
MedicationStatement.dosage | |
Must Support | True |
MedicationStatement.dosage.text | |
Must Support | True |
MedicationStatement.dosage.additionalInstruction | |
Type | Codeable Concept |
MedicationStatement.dosage.patientInstruction | |
Must Support | True |
MedicationStatement.dosage.timing | |
Must Support | True |
MedicationStatement.dosage.timing.repeat.bounds[x] | |
Type | Duration, Period, Range |
MedicationStatement.dosage.timing.code | |
Type | Codeable Concept |
MedicationStatement.dosage.timing.code.coding.system | |
Binding | ?? (example) |
MedicationStatement.dosage.site | |
Type | Codeable Concept |
MedicationStatement.dosage.site.coding | |
Binding | IPSTargetSiteCode (preferred) |
MedicationStatement.dosage.site.coding.system | |
Binding | IPSTargetSiteCode (preferred) |
MedicationStatement.dosage.route | |
Type | Codeable Concept |
Must Support | True |
MedicationStatement.dosage.route.coding | |
Binding | EDQM Standards Terms IPSRouteOfAdmin (preferred) |
MedicationStatement.dosage.route.coding.system | |
Binding | IPSRouteOfAdmin (preferred) |
MedicationStatement.dosage.method | |
Type | Codeable Concept |
MedicationStatement.dosage.maxDosePerPeriod | |
Cardinality | ...0 |
MedicationStatement.dosage.maxDosePerAdministration | |
Cardinality | ...0 |
Type | Quantity |
MedicationStatement.dosage.maxDosePerAdministration.comparator | |
Cardinality | ...0 |
MedicationStatement.dosage.maxDosePerLifetime | |
Cardinality | ...0 |
Type | Quantity |
MedicationStatement.dosage.maxDosePerLifetime.comparator | |
Cardinality | ...0 |
MedicationStatement.dosage.rateQuantity:rateQuantity | |
Cardinality | ...0 |
Type | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
Medication
Tree view
Medication-uv-ips (Medication) | http://hl7.org/fhir/StructureDefinition/Medication | ||
code | S | ..1 | Codeable Concept |
coding | |||
pharmaceuticalProduct-L1 | ..1 | ||
system | 1.. | Fixed Value | |
code | 1.. | ||
pharmaceuticalProduct-L2 | ..1 | ||
system | 1.. | Fixed Value | |
code | 1.. | ||
pharmaceuticalProduct-L3 | ..1 | ||
system | 1.. | Fixed Value | |
code | 1.. | ||
pharmaceuticalProduct-L4 | ..1 | ||
system | 1.. | Fixed Value | |
code | 1.. | ||
medicinalProduct | ..1 | ||
system | 1.. | Fixed Value | |
code | 1.. | ||
packagedProduct | ..1 | ||
system | 1.. | Fixed Value | |
code | 1.. | ||
atcClass | ..1 | Binding | |
system | 1.. | Fixed Value | |
code | 1.. | ||
text | S | ||
status | ..0 | ||
isBrand | ..0 | ||
isOverTheCounter | ..0 | ||
manufacturer | ..0 | ||
form | S | Codeable Concept | |
coding | |||
system | Binding | ||
ingredient | S | ||
itemCodeableConcept | Codeable ConceptBinding | ||
coding | S | ||
system | Binding | ||
text | S | ||
isActive | ..0 | ||
amount | S | Ratio | |
package | ..0 |
Medication | |
Comments | IPS Medication |
Medication.code | |
Cardinality | ...1 |
Type | Codeable Concept |
Must Support | True |
Medication.code.coding | |
Definition | A representation of the medication in a code system. The representation can be granular or may also be a class or category. |
Slicing | Unordered, Open, by system(Value) |
Medication.code.coding:pharmaceuticalProduct-L1 | |
Definition | IDMP PhPID Level 1 (Implies ingredients) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product. |
Cardinality | ...1 |
Medication.code.coding:pharmaceuticalProduct-L1.system | |
Cardinality | 1 |
Fixed Value | http://hl7.org/fhir/sid/phpid-l1 |
Medication.code.coding:pharmaceuticalProduct-L1.code | |
Cardinality | 1 |
Medication.code.coding:pharmaceuticalProduct-L2 | |
Definition | IDMP PhPID Level 2 (Implies ingredients and strength) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product. |
Cardinality | ...1 |
Medication.code.coding:pharmaceuticalProduct-L2.system | |
Cardinality | 1 |
Fixed Value | http://hl7.org/fhir/sid/phpid-l2 |
Medication.code.coding:pharmaceuticalProduct-L2.code | |
Cardinality | 1 |
Medication.code.coding:pharmaceuticalProduct-L3 | |
Definition | IDMP PhPID Level 3 (Implies ingredients and dose form) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product. |
Cardinality | ...1 |
Medication.code.coding:pharmaceuticalProduct-L3.system | |
Cardinality | 1 |
Fixed Value | http://hl7.org/fhir/sid/phpid-l3 |
Medication.code.coding:pharmaceuticalProduct-L3.code | |
Cardinality | 1 |
Medication.code.coding:pharmaceuticalProduct-L4 | |
Definition | IDMP PhPID Level 4 (Implies ingredients, strength, and dose form) or any equivalent Pharmaceutical Product identifier. Pharmaceutical Product Identifier (PhPID): Uniquely identifies medicinal product based on the generic composition, such as ingredients and route of administration, separate from any other details such as regulatory authorisation, organisation, packaging or naming. The PhPID can be specified at various levels of detail for a given Pharmaceutical Product. |
Cardinality | ...1 |
Medication.code.coding:pharmaceuticalProduct-L4.system | |
Cardinality | 1 |
Fixed Value | http://hl7.org/fhir/sid/phpid-l4 |
Medication.code.coding:pharmaceuticalProduct-L4.code | |
Cardinality | 1 |
Medication.code.coding:medicinalProduct | |
Definition | IDMP Medicinal Product Identifier (MPID) or any equivalent Medicinal Product Identifier. IDMP MPID uniquely identifies a Medicinal Product, reflecting (but not replacing) any other authorisation numbers allocated by a regulator. MPID implies one (set of) PhPID. The MPID shall use a common segment pattern related to a Medicinal Product, which when each segment is valued shall define a specific MPID concept. The pattern is: • a) Country code segment (ISO 3166-1 alpha-2 code elements); • b) Marketing Authorization Holder (Organization Identifier) code segment; • c) Medicinal Product code segment (Unique Medicinal Product Identifier). • Any change of the values related to these three code segments shall result in the assignment of a new MPID. |
Cardinality | ...1 |
Medication.code.coding:medicinalProduct.system | |
Cardinality | 1 |
Fixed Value | http://hl7.org/fhir/sid/mpid |
Medication.code.coding:medicinalProduct.code | |
Cardinality | 1 |
Medication.code.coding:packagedProduct | |
Definition | IDMP Packaged Medicinal Product Identifier or any equivalent Packaged Medicinal Product Identifier. Uniquely identifies a Medicinal Product based on its packaging. This implies one MPID can be associated with more than one PCID, if the same Medicinal Product has more than one type of package; The PCID shall use a common segment pattern related to a package of a Medicinal Product, which when each segment is valued, shall define a specific PCID concept. The pattern is: • a) MPID for the Medicinal Product • b) package description code segment, which refers to a unique identifier for each package. |
Cardinality | ...1 |
Medication.code.coding:packagedProduct.system | |
Cardinality | 1 |
Fixed Value | http://hl7.org/fhir/sid/pcid |
Medication.code.coding:packagedProduct.code | |
Cardinality | 1 |
Medication.code.coding:atcClass | |
Definition | ATC classification for medication product |
Cardinality | ...1 |
Binding | ATC class for the medication WHOATC (extensible) |
Medication.code.coding:atcClass.system | |
Cardinality | 1 |
Fixed Value | http://www.whocc.no/atc |
Medication.code.coding:atcClass.code | |
Cardinality | 1 |
Medication.code.text | |
Definition | This element is supposed to be valorized with the complete Medicinal Product Name as approved by the Medicines Regulatory Agency in a jurisdiction. The name may be applicable in one or more country/language combinations. |
Must Support | True |
Medication.status | |
Cardinality | ...0 |
Medication.isBrand | |
Cardinality | ...0 |
Medication.isOverTheCounter | |
Cardinality | ...0 |
Medication.manufacturer | |
Cardinality | ...0 |
Medication.form | |
Definition | Describes the form of the item. Powder; tablets; capsule. Administrable Pharmaceutical Dose Form. This code represents the form of the medication (e.g. tablet, capsule, liquid) Since the EDQM Standards Terms, together with UCUM, is one of the IDMP terminologies actually available for usage, this code system has been selected as referecne terminology for representing Pharmaceutical Dose forms;Pakages and Route of Administration. It is known that also alternative jurisdictional and international terminologies are known to be used for this concept domain, as NCI or SNOMED CT. |
Type | Codeable Concept |
Binding | IPSDoseForm (example) |
Must Support | True |
Medication.form.coding.system | |
Binding | EDQM Standard Terms IPSDoseForm (required) |
Medication.ingredient | |
Must Support | True |
Medication.ingredient.itemCodeableConcept:itemCodeableConcept | |
Type | Codeable Concept |
Binding | SNOMED CT drug substances IPSActiveSubstances (preferred) |
Comments | The IDMP ISO 11238 standard addresses the identification and exchange of regulated information on substances. The Global Ingredient Archival System (GInAS) will provide a common global identifier for all of the substances used in medicinal products, providing a definition of substances globally consistent with this standard. Those identifiers however are yet available for concrete usage, therefore in this version of the template, SNOMED CT has been chosen as reference terminology also for the active substances. This choice will be revised based on the availability and the maturity of GInAS. |
Medication.ingredient.itemCodeableConcept:itemCodeableConcept.coding | |
Must Support | True |
Medication.ingredient.itemCodeableConcept:itemCodeableConcept.coding.system | |
Binding | IPSActiveSubstances (preferred) |
Medication.ingredient.itemCodeableConcept:itemCodeableConcept.text | |
Must Support | True |
Medication.ingredient.isActive | |
Cardinality | ...0 |
Medication.ingredient.amount | |
Type | Ratio |
Must Support | True |
Medication.package | |
Definition | Removed as pre-adoption of R4. |
Cardinality | ...0 |