ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MedicationStatement Prescripción ÚNICAS

Este profile define las restricciones del recurso MedicationStatement para representar el registro de la medicación inyectada durante el hospital o el tratamiento farmacológico previo, en el contexto del caso de uso de ÚNICAS.

Usages:

• Use this Profile: Bundle Antecedentes ÚNICAS and Bundle Prescripciones Hospitalarias ÚNICAS
• Refer to this Profile: CarePlan Gestor del Proceso ÚNICAS and Goal Objetivo ÚNICAS
• CapabilityStatements using this Profile: Configuración del Servidor FHIR de ÚNICAS

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el registro de la medicación inyectada durante el hospital Example General: 123456
status	?!Σ	1..1	code	recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
medication	Σ	1..1	CodeableReference(Medication Medicación ÚNICAS)	Medicación Binding: Value set de Fármacos (preferred): Value set de Fármacos
concept	Σ	1..1	CodeableConcept	Fármaco
text	Σ	0..1	string	Nombre comercial
reference	Σ	0..1	Reference()	Referencia al fármaco
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
display	ΣC	0..1	string	Nombre comercial
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456
effective[x]	Σ	1..1	Period	Fecha de inicio del tratamiento y/o Fecha de fin del tratamiento (Duración del tratamiento)
start	ΣC	1..1	dateTime	Fecha de inicio del tratamiento
end	ΣC	0..1	dateTime	Fecha de fin del tratamiento
dateAsserted	Σ	0..1	dateTime	Fecha de la prescripción
informationSource		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario que realizó la prescripción
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Comentarios para el farmacéutico
route	Σ	0..1	CodeableConcept	Vía de administración Binding: Value set de Vías de administración farmacológica (preferred): Value set de Vías de administración farmacológica
doseAndRate	Σ	1..*	Element	Amount of medication administered, to be administered or typical amount to be administered
dose[x]	Σ	1..1	SimpleQuantity	Dosis del medicamento
value	Σ	0..1	decimal	Número de dosis
unit	Σ	0..1	string	Unidad de dosis
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de la dosis
rate[x]	Σ	1..1	SimpleQuantity	Frecuencia de tomas (Posología)
value	Σ	0..1	decimal	Frecuencia de la toma durante el período
unit	Σ	0..1	string	Unidad de frecuencia de la toma durante el período
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de frecuencia de la toma durante el período
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 From the FHIR Standard
MedicationStatement.medication	preferred	ValuesetFarmacos https://unicas-fhir.sanidad.gob.es/ValueSet/Farmacos From this IG
MedicationStatement.medication.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.informationSource.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.informationSource.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.dosage.route	preferred	ValuesetViasAdministracionFarmacologica(a valid code from urn:oid:2.16.724.4.21.5.14.2) https://unicas-fhir.sanidad.gob.es/ValueSet/ViasAdministracionFarmacologica From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	MedicationStatement.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement			MedicationStatement
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system
value		1..1	string	Identificador interno del sistema para el registro de la medicación inyectada durante el hospital
medication		1..1	CodeableReference(Medication Medicación ÚNICAS)	Medicación Binding: Value set de Fármacos (preferred): Value set de Fármacos
concept		1..1	CodeableConcept	Fármaco
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del ATC | OID del DCSA
code		1..1	code	Código del fármaco
display		1..1	string	Descripción del fármaco
text		0..1	string	Nombre comercial
reference		0..1	Reference()	Referencia al fármaco
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
display		0..1	string	Nombre comercial
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS
value		0..1	string	Número CIP-SNS
display		0..1	string	Nombre completo del paciente
encounter		0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen
value		0..1	string	Identificador interno del sistema para la interacción clínica
effective[x]		1..1	Period	Fecha de inicio del tratamiento y/o Fecha de fin del tratamiento (Duración del tratamiento)
start		1..1	dateTime	Fecha de inicio del tratamiento
end		0..1	dateTime	Fecha de fin del tratamiento
dateAsserted		0..1	dateTime	Fecha de la prescripción
informationSource		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario que realizó la prescripción
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI
value		0..1	string	Número del DNI
display		0..1	string	Nombre completo del profesional sanitario
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
text		0..1	string	Comentarios para el farmacéutico
route		0..1	CodeableConcept	Vía de administración Binding: Value set de Vías de administración farmacológica (preferred): Value set de Vías de administración farmacológica
coding
system		0..1	uri	OID del Nomenclátor de Prescripción AEMPS. Vía de administración
code		0..1	code	Código de la vía de administración farmacológica
display		0..1	string	Descripción de la vía de administración farmacológica
doseAndRate		1..*	Element	Amount of medication administered, to be administered or typical amount to be administered
dose[x]		1..1	SimpleQuantity	Dosis del medicamento
value		0..1	decimal	Número de dosis
unit		0..1	string	Unidad de dosis
system		0..1	uri	URL del catálogo UCUM
code		0..1	code	Código de la unidad de la dosis
rate[x]		1..1	SimpleQuantity	Frecuencia de tomas (Posología)
value		0..1	decimal	Frecuencia de la toma durante el período
unit		0..1	string	Unidad de frecuencia de la toma durante el período
system		0..1	uri	URL del catálogo UCUM
code		0..1	code	Código de la unidad de frecuencia de la toma durante el período
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.medication	preferred	ValuesetFarmacos https://unicas-fhir.sanidad.gob.es/ValueSet/Farmacos From this IG
MedicationStatement.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.informationSource.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.dosage.route	preferred	ValuesetViasAdministracionFarmacologica(a valid code from urn:oid:2.16.724.4.21.5.14.2) https://unicas-fhir.sanidad.gob.es/ValueSet/ViasAdministracionFarmacologica From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
regcess-system	warning	MedicationStatement.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el registro de la medicación inyectada durante el hospital Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
partOf		0..*	Reference(Procedure | MedicationStatement)	Part of referenced event
status	?!Σ	1..1	code	recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
category	Σ	0..*	CodeableConcept	Type of medication statement Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication	Σ	1..1	CodeableReference(Medication Medicación ÚNICAS)	Medicación Binding: Value set de Fármacos (preferred): Value set de Fármacos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	1..1	CodeableConcept	Fármaco
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del ATC | OID del DCSA
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del fármaco
display	ΣC	1..1	string	Descripción del fármaco
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Nombre comercial
reference	Σ	0..1	Reference()	Referencia al fármaco
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Nombre comercial
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1	Period	Fecha de inicio del tratamiento y/o Fecha de fin del tratamiento (Duración del tratamiento)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Fecha de inicio del tratamiento
end	ΣC	0..1	dateTime	Fecha de fin del tratamiento
dateAsserted	Σ	0..1	dateTime	Fecha de la prescripción
informationSource		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario que realizó la prescripción
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
derivedFrom		0..*	Reference(Resource)	Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Reason for why the medication is being/was taken Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken.
note		0..*	Annotation	Further information about the usage
relatedClinicalInformation		0..*	Reference(Observation | Condition)	Link to information relevant to the usage of a medication
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Comentarios para el farmacéutico
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..*	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	Vía de administración Binding: Value set de Vías de administración farmacológica (preferred): Value set de Vías de administración farmacológica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	OID del Nomenclátor de Prescripción AEMPS. Vía de administración
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código de la vía de administración farmacológica
display	ΣC	0..1	string	Descripción de la vía de administración farmacológica
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	1..*	Element	Amount of medication administered, to be administered or typical amount to be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	1..1	SimpleQuantity	Dosis del medicamento
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Número de dosis
unit	Σ	0..1	string	Unidad de dosis
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de la dosis
rate[x]	Σ	1..1	SimpleQuantity	Frecuencia de tomas (Posología)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Frecuencia de la toma durante el período
unit	Σ	0..1	string	Unidad de frecuencia de la toma durante el período
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de frecuencia de la toma durante el período
maxDosePerPeriod	Σ	0..*	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
adherence	Σ	0..1	BackboneElement	Indicates whether the medication is or is not being consumed or administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of adherence Binding: MedicationStatementAdherenceCodes (example)
reason		0..1	CodeableConcept	Details of the reason for the current use of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 From the FHIR Standard
MedicationStatement.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location From the FHIR Standard
MedicationStatement.medication	preferred	ValuesetFarmacos https://unicas-fhir.sanidad.gob.es/ValueSet/Farmacos From this IG
MedicationStatement.medication.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.encounter.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.informationSource.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.informationSource.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.reason	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes From the FHIR Standard
MedicationStatement.dosage.route	preferred	ValuesetViasAdministracionFarmacologica(a valid code from urn:oid:2.16.724.4.21.5.14.2) https://unicas-fhir.sanidad.gob.es/ValueSet/ViasAdministracionFarmacologica From this IG
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence From the FHIR Standard
MedicationStatement.adherence.reason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	MedicationStatement.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from MedicationStatement

Summary

Mandatory: 15 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Medication Medicación ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASMedication)
• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• Encounter Interacción Clínica ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement		0..*	MedicationStatement	Record of medication being taken by a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el registro de la medicación inyectada durante el hospital Example General: 123456
status	?!Σ	1..1	code	recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
medication	Σ	1..1	CodeableReference(Medication Medicación ÚNICAS)	Medicación Binding: Value set de Fármacos (preferred): Value set de Fármacos
concept	Σ	1..1	CodeableConcept	Fármaco
text	Σ	0..1	string	Nombre comercial
reference	Σ	0..1	Reference()	Referencia al fármaco
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
display	ΣC	0..1	string	Nombre comercial
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456
effective[x]	Σ	1..1	Period	Fecha de inicio del tratamiento y/o Fecha de fin del tratamiento (Duración del tratamiento)
start	ΣC	1..1	dateTime	Fecha de inicio del tratamiento
end	ΣC	0..1	dateTime	Fecha de fin del tratamiento
dateAsserted	Σ	0..1	dateTime	Fecha de la prescripción
informationSource		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario que realizó la prescripción
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Comentarios para el farmacéutico
route	Σ	0..1	CodeableConcept	Vía de administración Binding: Value set de Vías de administración farmacológica (preferred): Value set de Vías de administración farmacológica
doseAndRate	Σ	1..*	Element	Amount of medication administered, to be administered or typical amount to be administered
dose[x]	Σ	1..1	SimpleQuantity	Dosis del medicamento
value	Σ	0..1	decimal	Número de dosis
unit	Σ	0..1	string	Unidad de dosis
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de la dosis
rate[x]	Σ	1..1	SimpleQuantity	Frecuencia de tomas (Posología)
value	Σ	0..1	decimal	Frecuencia de la toma durante el período
unit	Σ	0..1	string	Unidad de frecuencia de la toma durante el período
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de frecuencia de la toma durante el período
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 From the FHIR Standard
MedicationStatement.medication	preferred	ValuesetFarmacos https://unicas-fhir.sanidad.gob.es/ValueSet/Farmacos From this IG
MedicationStatement.medication.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.informationSource.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.informationSource.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.dosage.route	preferred	ValuesetViasAdministracionFarmacologica(a valid code from urn:oid:2.16.724.4.21.5.14.2) https://unicas-fhir.sanidad.gob.es/ValueSet/ViasAdministracionFarmacologica From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	MedicationStatement.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationStatement			MedicationStatement
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system
value		1..1	string	Identificador interno del sistema para el registro de la medicación inyectada durante el hospital
medication		1..1	CodeableReference(Medication Medicación ÚNICAS)	Medicación Binding: Value set de Fármacos (preferred): Value set de Fármacos
concept		1..1	CodeableConcept	Fármaco
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del ATC | OID del DCSA
code		1..1	code	Código del fármaco
display		1..1	string	Descripción del fármaco
text		0..1	string	Nombre comercial
reference		0..1	Reference()	Referencia al fármaco
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
display		0..1	string	Nombre comercial
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS
value		0..1	string	Número CIP-SNS
display		0..1	string	Nombre completo del paciente
encounter		0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen
value		0..1	string	Identificador interno del sistema para la interacción clínica
effective[x]		1..1	Period	Fecha de inicio del tratamiento y/o Fecha de fin del tratamiento (Duración del tratamiento)
start		1..1	dateTime	Fecha de inicio del tratamiento
end		0..1	dateTime	Fecha de fin del tratamiento
dateAsserted		0..1	dateTime	Fecha de la prescripción
informationSource		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario que realizó la prescripción
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI
value		0..1	string	Número del DNI
display		0..1	string	Nombre completo del profesional sanitario
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
text		0..1	string	Comentarios para el farmacéutico
route		0..1	CodeableConcept	Vía de administración Binding: Value set de Vías de administración farmacológica (preferred): Value set de Vías de administración farmacológica
coding
system		0..1	uri	OID del Nomenclátor de Prescripción AEMPS. Vía de administración
code		0..1	code	Código de la vía de administración farmacológica
display		0..1	string	Descripción de la vía de administración farmacológica
doseAndRate		1..*	Element	Amount of medication administered, to be administered or typical amount to be administered
dose[x]		1..1	SimpleQuantity	Dosis del medicamento
value		0..1	decimal	Número de dosis
unit		0..1	string	Unidad de dosis
system		0..1	uri	URL del catálogo UCUM
code		0..1	code	Código de la unidad de la dosis
rate[x]		1..1	SimpleQuantity	Frecuencia de tomas (Posología)
value		0..1	decimal	Frecuencia de la toma durante el período
unit		0..1	string	Unidad de frecuencia de la toma durante el período
system		0..1	uri	URL del catálogo UCUM
code		0..1	code	Código de la unidad de frecuencia de la toma durante el período
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.medication	preferred	ValuesetFarmacos https://unicas-fhir.sanidad.gob.es/ValueSet/Farmacos From this IG
MedicationStatement.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.informationSource.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.dosage.route	preferred	ValuesetViasAdministracionFarmacologica(a valid code from urn:oid:2.16.724.4.21.5.14.2) https://unicas-fhir.sanidad.gob.es/ValueSet/ViasAdministracionFarmacologica From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
regcess-system	warning	MedicationStatement.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el registro de la medicación inyectada durante el hospital Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
partOf		0..*	Reference(Procedure | MedicationStatement)	Part of referenced event
status	?!Σ	1..1	code	recorded | entered-in-error | draft Binding: MedicationStatementStatusCodes (required): A coded concept indicating the current status of a MedicationStatement.
category	Σ	0..*	CodeableConcept	Type of medication statement Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication	Σ	1..1	CodeableReference(Medication Medicación ÚNICAS)	Medicación Binding: Value set de Fármacos (preferred): Value set de Fármacos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	1..1	CodeableConcept	Fármaco
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del ATC | OID del DCSA
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del fármaco
display	ΣC	1..1	string	Descripción del fármaco
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Nombre comercial
reference	Σ	0..1	Reference()	Referencia al fármaco
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Nombre comercial
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1	Period	Fecha de inicio del tratamiento y/o Fecha de fin del tratamiento (Duración del tratamiento)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Fecha de inicio del tratamiento
end	ΣC	0..1	dateTime	Fecha de fin del tratamiento
dateAsserted	Σ	0..1	dateTime	Fecha de la prescripción
informationSource		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario que realizó la prescripción
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
derivedFrom		0..*	Reference(Resource)	Link to information used to derive the MedicationStatement
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Reason for why the medication is being/was taken Binding: ConditionProblemDiagnosisCodes (example): A coded concept identifying why the medication is being taken.
note		0..*	Annotation	Further information about the usage
relatedClinicalInformation		0..*	Reference(Observation | Condition)	Link to information relevant to the usage of a medication
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions
dosage		1..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Comentarios para el farmacéutico
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..*	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	Vía de administración Binding: Value set de Vías de administración farmacológica (preferred): Value set de Vías de administración farmacológica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	OID del Nomenclátor de Prescripción AEMPS. Vía de administración
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código de la vía de administración farmacológica
display	ΣC	0..1	string	Descripción de la vía de administración farmacológica
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	1..*	Element	Amount of medication administered, to be administered or typical amount to be administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	1..1	SimpleQuantity	Dosis del medicamento
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Número de dosis
unit	Σ	0..1	string	Unidad de dosis
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de la dosis
rate[x]	Σ	1..1	SimpleQuantity	Frecuencia de tomas (Posología)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Frecuencia de la toma durante el período
unit	Σ	0..1	string	Unidad de frecuencia de la toma durante el período
system	ΣC	0..1	uri	URL del catálogo UCUM
code	ΣC	0..1	code	Código de la unidad de frecuencia de la toma durante el período
maxDosePerPeriod	Σ	0..*	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
adherence	Σ	0..1	BackboneElement	Indicates whether the medication is or is not being consumed or administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of adherence Binding: MedicationStatementAdherenceCodes (example)
reason		0..1	CodeableConcept	Details of the reason for the current use of the medication Binding: SNOMEDCTDrugTherapyStatusCodes (example)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
MedicationStatement.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.status	required	MedicationStatementStatusCodes http://hl7.org/fhir/ValueSet/medication-statement-status|5.0.0 From the FHIR Standard
MedicationStatement.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location From the FHIR Standard
MedicationStatement.medication	preferred	ValuesetFarmacos https://unicas-fhir.sanidad.gob.es/ValueSet/Farmacos From this IG
MedicationStatement.medication.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.encounter.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.informationSource.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationStatement.informationSource.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
MedicationStatement.informationSource.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationStatement.reason	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes From the FHIR Standard
MedicationStatement.dosage.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes From the FHIR Standard
MedicationStatement.dosage.route	preferred	ValuesetViasAdministracionFarmacologica(a valid code from urn:oid:2.16.724.4.21.5.14.2) https://unicas-fhir.sanidad.gob.es/ValueSet/ViasAdministracionFarmacologica From this IG
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes From the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationStatement.adherence.code	example	MedicationStatementAdherenceCodes http://hl7.org/fhir/ValueSet/medication-statement-adherence From the FHIR Standard
MedicationStatement.adherence.reason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	MedicationStatement.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from MedicationStatement

Summary

Mandatory: 15 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Medication Medicación ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASMedication)
• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• Encounter Interacción Clínica ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario