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{
  "resourceType": "StructureDefinition",
  "id": "ie-core-medicationstatement",
  "url": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medicationstatement",
  "version": "0.2.0",
  "name": "IECoreMedicationStatement",
  "title": "IE Core MedicationStatement",
  "status": "draft",
  "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.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationStatement",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
  "derivation": "constraint",
  "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]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Medication (NMPC preferred; SNOMED CT Irish Edition and ATC as secondary codes)",
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.medication[x]:medicationCodeableConcept",
        "path": "MedicationStatement.medication[x]",
        "sliceName": "medicationCodeableConcept",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-codes"
        }
      },
      {
        "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",
        "short": "Author of the medication statement",
        "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"
            ]
          }
        ],
        "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",
        "path": "MedicationStatement.dosage",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationStatement.dosage.text",
        "path": "MedicationStatement.dosage.text",
        "short": "Human-readable dosage instructions",
        "min": 1,
        "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
      }
    ]
  }
}