Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	MedicationStatement	Descrive l'evento in cui il paziente assume il farmaco/integratore dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management medicationEccezioni: If medication[x].coding[eccezioni] is not empty, coding.text must be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:dataRegistrazione		1..1	instant	Data e ora di registrazione a sistema URL: http://hl7.it/fhir/taccuino/StructureDefinition/registration-date ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. ele-1: All FHIR elements must have a @value or children
medication[x]	Σ	1..1	CodeableConceptTaccuino	Farmaco/integratore assunto o somministrato Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient - Taccuino personale dell'assistito)	Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
Slices for effective[x]	Σ	0..1		Inizio e fine dell'assunzione del farmaco/integratore Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken ele-1: All FHIR elements must have a @value or children
start	ΣC	1..1	dateTime	Inizio dell'assunzione del farmaco/integratore ele-1: All FHIR elements must have a @value or children
end	ΣC	0..1	dateTime	Fine dell'assunzione del farmaco/integratore ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationEccezioni	error	MedicationStatement	If medication[x].coding[eccezioni] is not empty, coding.text must be present. : medication.as(CodeableConcept).coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists() implies medication.as(CodeableConcept).text.exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	MedicationStatement	Descrive l'evento in cui il paziente assume il farmaco/integratore medicationEccezioni: If medication[x].coding[eccezioni] is not empty, coding.text must be present.
meta
tag		1..1	Coding	Tags applied to this resource Binding: Classe documento (required)
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: TAC
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataRegistrazione		1..1	instant	Data e ora di registrazione a sistema URL: http://hl7.it/fhir/taccuino/StructureDefinition/registration-date
medication[x]		1..1	CodeableConceptTaccuino	Farmaco/integratore assunto o somministrato
subject		1..1	Reference(Patient - Taccuino personale dell'assistito)	Who is/was taking the medication
Slices for effective[x]		0..1	dateTime, Period	Inizio e fine dell'assunzione del farmaco/integratore Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod		0..1	Period	The date/time or interval when the medication is/was/will be taken
start		1..1	dateTime	Inizio dell'assunzione del farmaco/integratore
end		0..1	dateTime	Fine dell'assunzione del farmaco/integratore
dosage
site		0..1	CodeableConcept	Sito di assunzione/somministrazione
route		0..1	CodeableConcept	Via di assunzione/somministrazione
doseAndRate
dose[x]		0..1	Range, SimpleQuantity	Dose assunta/somministrata
rate[x]		0..1	Ratio, Range, SimpleQuantity	Frequenza di assunzione/somministrazione
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.meta.tag	required	VsclassCode (a valid code from Classe documento) http://hl7.it/fhir/taccuino/ValueSet/vs-it-class-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationEccezioni	error	MedicationStatement	If medication[x].coding[eccezioni] is not empty, coding.text must be present. : medication.as(CodeableConcept).coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists() implies medication.as(CodeableConcept).text.exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	MedicationStatement	Descrive l'evento in cui il paziente assume il farmaco/integratore medicationEccezioni: If medication[x].coding[eccezioni] is not empty, coding.text must be present.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	1..1	Coding	Tags applied to this resource Binding: Classe documento (required)
id		0..1	string	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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Required Pattern: TAC
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataRegistrazione		1..1	instant	Data e ora di registrazione a sistema URL: http://hl7.it/fhir/taccuino/StructureDefinition/registration-date
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	Σ	1..1	CodeableConceptTaccuino	Farmaco/integratore assunto o somministrato Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
subject	Σ	1..1	Reference(Patient - Taccuino personale dell'assistito)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	Σ	0..1		Inizio e fine dell'assunzione del farmaco/integratore Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	string	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	Inizio dell'assunzione del farmaco/integratore
end	ΣC	0..1	dateTime	Fine dell'assunzione del farmaco/integratore
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(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..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	string	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	Free text dosage instructions e.g. SIG
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[x]	Σ	0..1		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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Sito di assunzione/somministrazione Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	Via di assunzione/somministrazione Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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	0..*	Element	Amount of medication 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	0..1		Dose assunta/somministrata
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Frequenza di assunzione/somministrazione
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationStatement.meta.tag	required	VsclassCode (a valid code from Classe documento) http://hl7.it/fhir/taccuino/ValueSet/vs-it-class-code from this IG
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes 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.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationEccezioni	error	MedicationStatement	If medication[x].coding[eccezioni] is not empty, coding.text must be present. : medication.as(CodeableConcept).coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists() implies medication.as(CodeableConcept).text.exists()

Summary

Mandatory: 2 elements(4 nested mandatory elements)

Structures

This structure refers to these other structures:

• Codeable Concept (Taccuino) (http://hl7.it/fhir/taccuino/StructureDefinition/codeableConcept-taccuino)
• Patient - Taccuino personale dell'assistito (http://hl7.it/fhir/taccuino/StructureDefinition/patient-it-Taccuino)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/taccuino/StructureDefinition/registration-date

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	MedicationStatement	Descrive l'evento in cui il paziente assume il farmaco/integratore dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management medicationEccezioni: If medication[x].coding[eccezioni] is not empty, coding.text must be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:dataRegistrazione		1..1	instant	Data e ora di registrazione a sistema URL: http://hl7.it/fhir/taccuino/StructureDefinition/registration-date ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. ele-1: All FHIR elements must have a @value or children
medication[x]	Σ	1..1	CodeableConceptTaccuino	Farmaco/integratore assunto o somministrato Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient - Taccuino personale dell'assistito)	Who is/was taking the medication ele-1: All FHIR elements must have a @value or children
Slices for effective[x]	Σ	0..1		Inizio e fine dell'assunzione del farmaco/integratore Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken ele-1: All FHIR elements must have a @value or children
start	ΣC	1..1	dateTime	Inizio dell'assunzione del farmaco/integratore ele-1: All FHIR elements must have a @value or children
end	ΣC	0..1	dateTime	Fine dell'assunzione del farmaco/integratore ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationEccezioni	error	MedicationStatement	If medication[x].coding[eccezioni] is not empty, coding.text must be present. : medication.as(CodeableConcept).coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists() implies medication.as(CodeableConcept).text.exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	MedicationStatement	Descrive l'evento in cui il paziente assume il farmaco/integratore medicationEccezioni: If medication[x].coding[eccezioni] is not empty, coding.text must be present.
meta
tag		1..1	Coding	Tags applied to this resource Binding: Classe documento (required)
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: TAC
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataRegistrazione		1..1	instant	Data e ora di registrazione a sistema URL: http://hl7.it/fhir/taccuino/StructureDefinition/registration-date
medication[x]		1..1	CodeableConceptTaccuino	Farmaco/integratore assunto o somministrato
subject		1..1	Reference(Patient - Taccuino personale dell'assistito)	Who is/was taking the medication
Slices for effective[x]		0..1	dateTime, Period	Inizio e fine dell'assunzione del farmaco/integratore Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod		0..1	Period	The date/time or interval when the medication is/was/will be taken
start		1..1	dateTime	Inizio dell'assunzione del farmaco/integratore
end		0..1	dateTime	Fine dell'assunzione del farmaco/integratore
dosage
site		0..1	CodeableConcept	Sito di assunzione/somministrazione
route		0..1	CodeableConcept	Via di assunzione/somministrazione
doseAndRate
dose[x]		0..1	Range, SimpleQuantity	Dose assunta/somministrata
rate[x]		0..1	Ratio, Range, SimpleQuantity	Frequenza di assunzione/somministrazione
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationStatement.meta.tag	required	VsclassCode (a valid code from Classe documento) http://hl7.it/fhir/taccuino/ValueSet/vs-it-class-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationEccezioni	error	MedicationStatement	If medication[x].coding[eccezioni] is not empty, coding.text must be present. : medication.as(CodeableConcept).coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists() implies medication.as(CodeableConcept).text.exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	C	0..*	MedicationStatement	Descrive l'evento in cui il paziente assume il farmaco/integratore medicationEccezioni: If medication[x].coding[eccezioni] is not empty, coding.text must be present.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	1..1	Coding	Tags applied to this resource Binding: Classe documento (required)
id		0..1	string	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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Required Pattern: TAC
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataRegistrazione		1..1	instant	Data e ora di registrazione a sistema URL: http://hl7.it/fhir/taccuino/StructureDefinition/registration-date
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!Σ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	Σ	1..1	CodeableConceptTaccuino	Farmaco/integratore assunto o somministrato Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
subject	Σ	1..1	Reference(Patient - Taccuino personale dell'assistito)	Who is/was taking the medication
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	Σ	0..1		Inizio e fine dell'assunzione del farmaco/integratore Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	The date/time or interval when the medication is/was/will be taken
id		0..1	string	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	Inizio dell'assunzione del farmaco/integratore
end	ΣC	0..1	dateTime	Fine dell'assunzione del farmaco/integratore
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource		0..1	Reference(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..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	string	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	Free text dosage instructions e.g. SIG
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[x]	Σ	0..1		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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Sito di assunzione/somministrazione Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	Via di assunzione/somministrazione Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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	0..*	Element	Amount of medication 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	0..1		Dose assunta/somministrata
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Frequenza di assunzione/somministrazione
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationStatement.meta.tag	required	VsclassCode (a valid code from Classe documento) http://hl7.it/fhir/taccuino/ValueSet/vs-it-class-code from this IG
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes 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.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medicationEccezioni	error	MedicationStatement	If medication[x].coding[eccezioni] is not empty, coding.text must be present. : medication.as(CodeableConcept).coding.where(system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists() implies medication.as(CodeableConcept).text.exists()

Summary

Mandatory: 2 elements(4 nested mandatory elements)

Structures

This structure refers to these other structures:

• Codeable Concept (Taccuino) (http://hl7.it/fhir/taccuino/StructureDefinition/codeableConcept-taccuino)
• Patient - Taccuino personale dell'assistito (http://hl7.it/fhir/taccuino/StructureDefinition/patient-it-Taccuino)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/taccuino/StructureDefinition/registration-date

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationStatement.effective[x]