## Profile Comparison between http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd vs http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd

Left: | MedicationStatementRwd (http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd)
Right: | MedicationStatementRwd (http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.0-ballot' vs '1.0.0'
Information | StructureDefinition.date | Values for date differ: '2022-12-04T19:34:20+00:00' vs '2023-05-26T22:53:14+10:00'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips' vs 'http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement'
Warning | MedicationStatement.status | Elements differ in comments: 'In the scope of the IPS the entered-in-error concept is not allowed.' vs 'MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.'
Warning | MedicationStatement.status | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | MedicationStatement.statusReason | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | MedicationStatement.medication[x] | Elements differ in definition: 'Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.' vs 'Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.'
Information | MedicationStatement.medication[x] | Example/preferred bindings differ at MedicationStatement.medication[x] using binding from MedicationStatementRwd
Warning | MedicationStatement.medication[x] | Elements differ in binding.description: 'SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication' vs 'A coded concept identifying the substance or product being taken.'
Warning | MedicationStatement.subject.reference | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | MedicationStatement.subject.reference | Element minimum cardinalities differ: '1' vs '0'
Information | MedicationStatement.effective[x] | Element minimum cardinalities differ: '1' vs '0'
Warning | MedicationStatement.informationSource | Elements differ in definition for mustSupport: 'false' vs 'true'
Error | MedicationStatement.informationSource | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitioner], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitionerrole], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
Warning | MedicationStatement.dosage.timing | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | MedicationStatement.dosage.route | Elements differ in short: 'Concept - reference to a terminology or just text' vs 'How drug should enter body'
Warning | MedicationStatement.dosage.route | Elements differ in definition: 'A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.' vs 'How drug should enter body.'
Information | MedicationStatement.dosage.route | Example/preferred bindings differ at MedicationStatement.dosage.route using binding from MedicationStatementRwd
Warning | MedicationStatement.dosage.route | Elements differ in binding.description: 'EDQM Standards Terms' vs 'A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips | http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement | Values Differ
copyright |  |
date | 2022-12-04T19:34:20+00:00 | 2023-05-26T22:53:14+10:00 | Values Differ
description | A profile on MedicationStatement that indicates the minimum set of attributes for use in research studies. |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
kind | resource |
name | MedicationStatementRwd |
publisher | HL7 International - Biomedical Research & Regulation Work Group |
purpose |  |
status | active |
title |  |
type | MedicationStatement |
url | http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationStatementRwd |
version | 1.0.0-ballot | 1.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatementIPS | Record of medication being taken by a patient |  | 0..* | IPAMedicationStatement | Record of medication being taken by a patient |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External identifier | Σ | 0..* | Identifier | External identifier |
basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | 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: ?? (required): A coded concept indicating the current status of a MedicationStatement. | ?!S Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: ?? (required): A coded concept indicating the current status of a MedicationStatement. | Elements differ in comments: 'In the scope of the IPS the entered-in-error concept is not allowed.' vs 'MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.' Elements differ in definition for mustSupport: 'false' vs 'true'
statusReason |  | 0..* | CodeableConcept | Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement. | S | 0..* | CodeableConcept | Reason for current status Binding: ?? (example): A coded concept indicating the reason for the status of the statement. | Elements differ in definition for mustSupport: 'false' vs 'true'
category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: ?? (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. |
medication[x] | S Σ | 1..1 | Reference(Medication (IPS)), ?? | What medication was taken Binding: ?? (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication | S Σ | 1..1 | CodeableConcept, Reference(IPA-Medication) | What medication was taken Binding: ?? (example): A coded concept identifying the substance or product being taken. | Elements differ in definition: 'Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.' vs 'Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.' Example/preferred bindings differ at MedicationStatement.medication[x] using binding from MedicationStatementRwd Elements differ in binding.description: 'SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication' vs 'A coded concept identifying the substance or product being taken.'
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who is/was taking the medication | S Σ | 1..1 | Reference(IPA-Patient) | Who is/was taking the medication |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource |
context | S Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | S Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
effective[x] | S Σ | 1..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken | S Σ | 0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken | Element minimum cardinalities differ: '1' vs '0'
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | 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 | S | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | IPA-Patient | Organization | RelatedPerson) | Person or organization that provided the information about the taking of this medication | Elements differ in definition for mustSupport: 'false' vs 'true' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]) vs Reference([CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitioner], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitionerrole], CanonicalType[http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
Slices for derivedFrom | S | 1..* | Reference(Resource) | Additional supporting information Slice: Unordered, Open by type:$this | S | 1..* | Reference(Resource) | Additional supporting information Slice: Unordered, Open by type:$this |
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: ?? (example): A coded concept identifying why the medication is being taken. |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: ?? (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 |  | 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 |  | 0..* | Annotation | Further information about the statement |
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken | S | 0..* | Dosage | Details of how medication is/was taken or should be taken |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
sequence | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions |
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG | S 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: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (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 | Σ | 0..1 | string | Patient or consumer oriented instructions |
timing | S Σ | 0..1 | Timing | When medication should be administered | Σ | 0..1 | Timing | When medication should be administered | Elements differ in definition for mustSupport: 'true' vs 'false'
asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (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. | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (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: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. |
route |  | 0..1 | ?? | Concept - reference to a terminology or just text Binding: ?? (preferred): EDQM Standards Terms | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | Elements differ in short: 'Concept - reference to a terminology or just text' vs 'How drug should enter body' Elements differ in definition: 'A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.' vs 'How drug should enter body.' Example/preferred bindings differ at MedicationStatement.dosage.route using binding from MedicationStatementRwd Elements differ in binding.description: 'EDQM Standards Terms' vs '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: ?? (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. |
doseAndRate | Σ | 0..* | Element | Amount of medication administered | Σ | 0..* | Element | Amount of medication administered |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 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: ?? (example): The kind of dose or rate specified. | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. |
dose[x] | Σ | 0..1 | Range, ?? | Amount of medication per dose | Σ | 0..1 | Range, ?? | Amount of medication per dose |
rate[x] | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time |
maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..1 | ?? | Upper limit on medication per administration |
maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient |
Documentation for this format