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MedicationStatement

ResourceClinical · MedicationsTrial useMaturity 3

A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.

Tested supportFull test results →
Backends
PostgreSQLElasticsearch
Interactions
CreateReadUpdatePatchDelete
Search
11 of 11 parameters tested

Structure​

ElementCard.TypeDescription
identifierΣ
0..*IdentifierExternal identifier
basedOnΣ
0..*Reference(MedicationRequest | CarePlan | ServiceRequest)Fulfils plan, proposal or order
partOfΣ
0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)Part of referenced event
statusRequired?!Σ
1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-takenBinding (required): medication-statement-status
statusReason
0..*CodeableConceptReason for current statusBinding (example): reason-medication-status-codes
categoryΣ
0..1CodeableConceptType of medication usageBinding (preferred): medication-statement-category
medication[x]RequiredΣ
1..1CodeableConcept | Reference(Medication)What medication was takenBinding (example): medication-codes
subjectRequiredΣ
1..1Reference(Patient | Group)Who is/was taking the medication
contextΣ
0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with MedicationStatement
effective[x]Σ
0..1dateTime | PeriodThe date/time or interval when the medication is/was/will be taken
dateAssertedΣ
0..1dateTimeWhen the statement was asserted?
informationSource
0..1Reference(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..*CodeableConceptReason for why the medication is being/was takenBinding (example): condition-code
reasonReference
0..*Reference(Condition | Observation | DiagnosticReport)Condition or observation that supports why the medication is being/was taken
note
0..*AnnotationFurther information about the statement
dosage
0..*DosageDetails of how medication is/was taken or should be taken

Σ in _summary results · ?! modifier element · 1.. required · inherited elements in grey

Search parameters​

Query with GET [base]/MedicationStatement?[parameter]=[value]. Type decides which modifiers and prefixes apply, see search features.

ParameterTypeDescriptionPGES
categorytoken

Returns statements of this category of medicationstatement

MedicationStatement.category
codetoken

Return statements of this medication code

(MedicationStatement.medication.ofType(CodeableConcept))
contextreference

Returns statements for a specific context (episode or episode of Care).

MedicationStatement.context
effectivedate

Date when patient was taking (or not taking) the medication

MedicationStatement.effective
identifiertoken

Return statements with this external identifier

MedicationStatement.identifier
medicationreference

Return statements of this medication reference

(MedicationStatement.medication.ofType(Reference))
part-ofreference

Returns statements that are part of another event.

MedicationStatement.partOf
patientreference

Returns statements for a specific patient.

MedicationStatement.subject.where(resolve() is Patient)
sourcereference

Who or where the information in the statement came from

MedicationStatement.informationSource
statustoken

Return statements that match the given status

MedicationStatement.status
subjectreference

The identity of a patient, animal or group to list statements for

MedicationStatement.subject

PG: PostgreSQL, ES: Elasticsearch. passes its TestScript checks, fails, not tested yet.

Common parameters on every resource (8)
_haste-health-authorreference

The author of the resource

_idtoken

Logical id of this artifact

_lastUpdateddate

When the resource version last changed

_profileuri

Profiles this resource claims to conform to

_securitytoken

Security Labels applied to this resource

_sourceuri

Identifies where the resource comes from

_tagtoken

Tags applied to this resource

_typetoken

Derived from the R4B Definition