Medication Statement

$10 / year

A record of a medication that is being consumed by a patient. A Medication Statement 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.

Complexity

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. Medication administration is more formal and is not missing detailed information.

Common usage includes:
– the recording of non-prescription and/or recreational drugs
– the recording of an intake medication list upon admission to hospital
– the summarization of a patient’s “active medications” in a patient profile

A Medication Statement may be used to record substance abuse or the use of other agents such as tobacco or alcohol. This would typically be done if these substances are intended to be included in clinical decision support checking (for example, interaction checking) and as part of an active medication list. If the intent is to populate social history and/or to include additional information (for example, desire to quit, amount per day, negative health effects), then it is better to record as an Observation that could then be used to populate Social History.

This resource does not produce a medication list, but it does produce individual medication statements that may be used in the List resource to construct various types of medication lists. Note that other medication lists can also be constructed from the other Pharmacy resources (e.g., Medication Request, Medication Administration).

A medication statement is not a part of the prescribe -> dispense -> administer sequence, but is a report by a patient, significant other or a clinician that one or more of the prescribe, dispense or administer actions has occurred, resulting is a belief that the patient is, has, or will be using a particular medication. Medication Statement is an event resource from a Fast Healthcare Interoperability Resources (FHIR) workflow perspective.

The Medication Statement resource is used to record a medications or substances that the patient reports as being taken, not taking, have taken in the past or may take in the future. It can also be used to record medication use that is derived from other records such as a Medication Request. The statement is not used to request or order a medication, supply or device. When requesting medication, supplies or devices when there is a patient focus or instructions regarding their use, a Medication Request, Supply Request or Device Request should be used instead.

Date Created

2018-09-20

Last Modified

2018-12-27

Version

4.0.0

Update Frequency

Annual

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Health Level Seven International;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

FHIR, HL7, Medical Terminology, Processes Data, Processes Information, Processes Documentation, Health Information Exchange, Electronic Health Records, FHIR Smart, Smart on FHIR

Other Titles

FHIR Medication Statement Resource, Electronic Health Records Exchange Through FHIR

NameDescriptionTypeConstraints
Concept_NameName of the concept in the FHIR structure.stringrequired : 1
Computer_Ready_NameA Computer-ready name (e.g. a token) that identifies the structure - suitable for code generation. Note that this name (and other names relevant for code generation, including element & slice names, codes etc) may collide with reserved words in the relevant target language, and code generators will need to handle this.string-
TypeThe type the structure describes.string-
Dollar_RefThe "$ref" string value contains a Uniform Resource Identifier (URI) which identifies the location of the JSON value being referenced.string-
DescriptionA free text natural language description of the structure and its use.string-
ItemsThe value of the keyword should be an object or an array of objects. If the keyword value is an object, then for the data array to be valid each item of the array should be valid according to the schema in this value.string-
RequiredThe value of the keyword should be an array of unique strings. The data object to be valid should contain all properties with names equal to the elements in the keyword value.string-
ConstThe value of this keyword can be anything. The data is valid if it is deeply equal to the value of the keyword.string-
Concept_NameComputer_Ready_NameTypeDollar_RefDescriptionItemsRequiredConst
MedicationStatement['subject', 'resourceType']
MedicationStatement_status#/definitions/ElementExtensions for status
MedicationStatement_language#/definitions/ElementExtensions for language
MedicationStatement_dateAsserted#/definitions/ElementExtensions for dateAsserted
MedicationStatement_implicitRules#/definitions/ElementExtensions for implicitRules
MedicationStatementresourceTypeThis is a MedicationStatement resourceMedicationStatement
MedicationStatement_effectiveDateTime#/definitions/ElementExtensions for effectiveDateTime
MedicationStatementlanguage#/definitions/codeThe base language in which the resource is written.
MedicationStatementsubject#/definitions/ReferenceThe person, animal or group who is/was taking the medication.
MedicationStatementreasonCodearrayA reason for why the medication is being/was taken.{'$ref': '#/definitions/CodeableConcept'}
Related Data Packages