## Profile Comparison between https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-medication-statement vs https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-medication-statement

Left: | FI SMART MedicationStatement (https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-medication-statement)
Right: | FI SMART MedicationStatement (https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-medication-statement)

### Messages

Error | StructureDefinition.version | Values for version differ: '2.0.0-rc1' vs '2.0.0-rc2'
Information | StructureDefinition.date | Values for date differ: '2025-02-06T11:50:42+02:00' vs '2025-05-11T17:05:15+03:00'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-statement |
copyright |  |
date | 2025-02-06T11:50:42+02:00 | 2025-05-11T17:05:15+03:00 | Values Differ
description | This is the Finnish patient facing profile for the MedicationStatement resource. |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#FI |
kind | resource |
name | FiSMARTMedicationStatement |
publisher | HL7 Finland ry |
purpose |  |
status | draft |
title | FI SMART MedicationStatement |
type | MedicationStatement |
url | https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-medication-statement |
version | 2.0.0-rc1 | 2.0.0-rc2 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MedicationStatement |  | 0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement |  | 0..* | FiBaseMedicationStatement | Record of medication being taken by a patient This profile also imposes the profile IPA-MedicationStatement (1.1.0) |
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(FI Base MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | Σ | 0..* | Reference(FI Base MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order |
partOf | Σ | 0..* | Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) | Part of referenced event | Σ | 0..* | Reference(FI Base MedicationAdministration | MedicationDispense | FI Base MedicationStatement | Fi Base Procedure | FI Base Observation) | Part of referenced event |
status | ?!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. | ?!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. |
statusReason | S | 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. |
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. |
Slices for medication[x] | S Σ | 1..1 | CodeableConcept, Reference(IPA-Medication) | What medication was taken Slice: Unordered, Open by type:$this Binding: ?? (example): A coded concept identifying the substance or product being taken. | S Σ | 1..1 | CodeableConcept, Reference(IPA-Medication(1.1.0)) | What medication was taken Slice: Unordered, Open by type:$this Binding: ?? (example): A coded concept identifying the substance or product being taken. |
subject | S Σ | 1..1 | Reference(FI Base Patient) | Who is/was taking the medication | S Σ | 1..1 | Reference(FI Base Patient) | Who is/was taking the medication |
context | S Σ | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | S Σ | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter / Episode associated with MedicationStatement |
effective[x] | S Σ | 0..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 |
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted? | Σ | 0..1 | dateTime | When the statement was asserted? |
informationSource | S | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) | Person or organization that provided the information about the taking of this medication | S | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole | FI Base Organization | RelatedPerson) | Person or organization that provided the information about the taking of this medication |
derivedFrom |  | 0..* | Reference(Resource) | Additional supporting information |  | 0..* | Reference(Resource) | Additional supporting information |
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(FI Base Condition | FI Base Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken |  | 0..* | Reference(FI Base Condition | FI Base 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 | Σ | 0..1 | Timing | When medication should be administered | Σ | 0..1 | Timing | When medication should be administered |
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 | 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. | 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. |
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