Covid-19 therapy
PARAMETER CASE REPORT FORM | RESPONSE OPTIONS |
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Covid-19 therapy | Antipyretics / Corticosteroids / Atazanavir / Darunavir / Chloroquine phosphate / Hydroxychloroquine / Ivermectin / Lopinavir/ritonavir / Ganciclovir / Oseltamivir / Remdesivir / Ribavirin / Camostat / Favipiravir / Convalescent plasma / Steroids (> 0.5 mg/kg prednisone equivalents) / Steroids (<= 0.5 mg/kg prednisone equivalents) / Tocilizumab / Sarilumab / CNI or mTor inhibitors (e.g. cyclosporin A, tacrolimus, sirolimus, everolimus) / Anti-TNF-alpha inhibitors (e.g. adalimumab, etanercept) / Il1-receptor antangonists / Ruxolitinib / Colchicine / Interferone (any) / 25-Hydroxyvitamin D / Zinc / Other |
This profile of a FHIR MedicationStatement is derived from the MedicationStatement-profile of the Medical Informatics Initiative (MII).
Use MedicationStatement.medication[x]:medicationCodeableConcept to code the case parameter form response options.
Profile - Pharmacological Therapy
Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy
Snapshot
MedicationStatement | I | MedicationStatement | There are no (further) constraints on this element Element idMedicationStatement Record of medication being taken by a patient DefinitionA record of a medication that is being consumed by a patient. A MedicationStatement 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. 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. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
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id | S Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationStatement.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.meta.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.meta.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element idMedicationStatement.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element idMedicationStatement.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element idMedicationStatement.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element idMedicationStatement.meta.profile Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idMedicationStatement.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System.
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedicationStatement.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationStatement.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationStatement.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationStatement.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationStatement.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationStatement.identifier External identifier DefinitionIdentifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier.
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basedOn | Σ I | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | There are no (further) constraints on this element Element idMedicationStatement.basedOn Fulfils plan, proposal or order DefinitionA plan, proposal or order that is fulfilled in whole or in part by this event. Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(MedicationRequest | CarePlan | ServiceRequest) Constraints
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partOf | S Σ I | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | There are no (further) constraints on this element Element idMedicationStatement.partOf Part of referenced event DefinitionA larger event of which this particular event is a component or step. This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Constraints
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status | S Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idMedicationStatement.status active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken DefinitionA code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed. 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. A coded concept indicating the current status of a MedicationStatement.
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statusReason | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationStatement.statusReason Reason for current status DefinitionCaptures the reason for the current state of the MedicationStatement. This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here. A coded concept indicating the reason for the status of the statement.
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category | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationStatement.category Type of medication usage DefinitionIndicates where the medication is expected to be consumed or administered. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
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medication[x] | S Σ | 1..1 | Element idMedicationStatement.medication[x] What medication was taken DefinitionIdentifies 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. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Unordered, Open, by $this(Type) BindingA coded concept identifying the substance or product being taken.
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medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | Element idMedicationStatement.medication[x]:medicationCodeableConcept What medication was taken DefinitionIdentifies 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. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. A coded concept identifying the substance or product being taken.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 1..* | Coding | Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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atcClassDe | Σ | 0..* | CodingBindingPattern | Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fhir.de/CodeSystem/dimdi/atc" }
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/dimdi/atc
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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ops | Σ | 0..* | CodingBindingPattern | Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fhir.de/CodeSystem/dimdi/ops" }
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/dimdi/ops
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:ops.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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snomed | Σ | 0..* | CodingPattern | Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.coding:snomed.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationCodeableConcept.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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subject | S Σ I | 1..1 | MII-Reference(Patient | Group) | There are no (further) constraints on this element Element idMedicationStatement.subject A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. MII-Reference(Patient | Group) Constraints
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context | S Σ I | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element idMedicationStatement.context Encounter / Episode associated with MedicationStatement DefinitionThe encounter or episode of care that establishes the context for this MedicationStatement. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Encounter | EpisodeOfCare) Constraints
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effective[x] | S Σ | 1..1 | There are no (further) constraints on this element Element idMedicationStatement.effective[x] The date/time or interval when the medication is/was/will be taken DefinitionThe interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.
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effectiveDateTime | dateTime | There are no (further) constraints on this element Data type | ||
effectivePeriod | Period | There are no (further) constraints on this element Data type | ||
dateAsserted | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationStatement.dateAsserted When the statement was asserted? DefinitionThe date when the medication statement was asserted by the information source.
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informationSource | I | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | There are no (further) constraints on this element Element idMedicationStatement.informationSource Person or organization that provided the information about the taking of this medication DefinitionThe person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Constraints
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derivedFrom | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idMedicationStatement.derivedFrom Additional supporting information DefinitionAllows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement. Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.
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reasonCode | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationStatement.reasonCode Reason for why the medication is being/was taken DefinitionA reason for why the medication is being/was taken. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference. A coded concept identifying why the medication is being taken.
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reasonReference | S I | 0..* | Reference(Condition | Observation | DiagnosticReport) | There are no (further) constraints on this element Element idMedicationStatement.reasonReference Condition or observation that supports why the medication is being/was taken DefinitionCondition or observation that supports why the medication is being/was taken. This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode. Reference(Condition | Observation | DiagnosticReport) Constraints
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note | 0..* | Annotation | There are no (further) constraints on this element Element idMedicationStatement.note Further information about the statement DefinitionProvides extra information about the medication statement that is not conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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dosage | S | 0..* | Dosage | There are no (further) constraints on this element Element idMedicationStatement.dosage Details of how medication is/was taken or should be taken DefinitionIndicates how the medication is/was or should be taken by the patient. The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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sequence | Σ | 0..1 | integer | There are no (further) constraints on this element Element idMedicationStatement.dosage.sequence The order of the dosage instructions DefinitionIndicates the order in which the dosage instructions should be applied or interpreted. If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. 32 bit number; for values larger than this, use decimal
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.text Free text dosage instructions e.g. SIG DefinitionFree text dosage instructions e.g. SIG. Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. Note that FHIR strings SHALL NOT exceed 1MB in size
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additionalInstruction | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationStatement.dosage.additionalInstruction Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" DefinitionSupplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text. A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
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patientInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.patientInstruction Patient or consumer oriented instructions DefinitionInstructions in terms that are understood by the patient or consumer. Note that FHIR strings SHALL NOT exceed 1MB in size
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timing | S Σ | 0..1 | Timing | There are no (further) constraints on this element Element idMedicationStatement.dosage.timing When medication should be administered DefinitionWhen medication should be administered. The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
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asNeeded[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationStatement.dosage.asNeeded[x] Take "as needed" (for x) DefinitionIndicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". 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.
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asNeededBoolean | boolean | There are no (further) constraints on this element Data type | ||
asNeededCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
site | S Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationStatement.dosage.site Body site to administer to DefinitionBody site to administer to. A coded specification of the anatomic site where the medication first enters the body. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | S Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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SNOMED | Σ | 0..* | CodingPattern | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. target site IPS
{ "system": "http://snomed.info/sct" }
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.site.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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route | S Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationStatement.dosage.route How drug should enter body DefinitionHow drug should enter body. A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | S Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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EDQM | S Σ | 0..* | CodingBindingPattern | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. EDQM Standard Terms
{ "system": "http://standardterms.edqm.eu" }
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://standardterms.edqm.eu
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:EDQM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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SNOMED | S Σ | 0..* | CodingPattern | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.route.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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method | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationStatement.dosage.method Technique for administering medication DefinitionTechnique for administering medication. A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. Terminologies used often pre-coordinate this term with the route and or form of administration. A coded concept describing the technique by which the medicine is administered.
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doseAndRate | S Σ | 0..* | Element | There are no (further) constraints on this element Element idMedicationStatement.dosage.doseAndRate Amount of medication administered DefinitionThe amount of medication administered.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationStatement.dosage.doseAndRate.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationStatement.dosage.doseAndRate.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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type | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationStatement.dosage.doseAndRate.type The kind of dose or rate specified DefinitionThe kind of dose or rate specified, for example, ordered or calculated. If the type is not populated, assume to be "ordered". Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The kind of dose or rate specified.
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dose[x] | S Σ | 0..1 | There are no (further) constraints on this element Element idMedicationStatement.dosage.doseAndRate.dose[x] Amount of medication per dose DefinitionAmount of medication per dose. The amount of therapeutic or other substance given at one administration event. Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
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doseRange | Range | There are no (further) constraints on this element Data type | ||
doseQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||
rate[x] | S Σ | 0..1 | There are no (further) constraints on this element Element idMedicationStatement.dosage.doseAndRate.rate[x] Amount of medication per unit of time DefinitionAmount of medication per unit of time. Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
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rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
rateRange | Range | There are no (further) constraints on this element Data type | ||
rateQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||
maxDosePerPeriod | Σ I | 0..1 | Ratio | There are no (further) constraints on this element Element idMedicationStatement.dosage.maxDosePerPeriod Upper limit on medication per unit of time DefinitionUpper limit on medication per unit of time. The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
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maxDosePerAdministration | Σ I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationStatement.dosage.maxDosePerAdministration Upper limit on medication per administration DefinitionUpper limit on medication per administration. The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
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maxDosePerLifetime | Σ I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationStatement.dosage.maxDosePerLifetime Upper limit on medication per lifetime of the patient DefinitionUpper limit on medication per lifetime of the patient. The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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ValueSets
Valuesets are provided with ATC and OPS codes for some medications.
Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/pharmacological-therapy-snomed
ValueSet 'DrugTherapySnomed'
Version | 1.0.4 |
Published by | Charité |
Status | Active |
Experimental | False |
Pharmacological therapy in the context of Covid-19, relevant SNOMED-Codes
This value set includes codes from the following code systems:
The following codes from system: SNOMED_CT
Code Display 768759001 Product containing steroid (product) 413591007 Product containing atazanavir (medicinal product) 424096001 Product containing darunavir (medicinal product) 14728000 Product containing chloroquine (medicinal product) 83490000 Product containing hydroxychloroquine (medicinal product) 96138006 Product containing ivermectin (medicinal product) 134573001 Product containing lopinavir and ritonavir (medicinal product) 78025001 Product containing ganciclovir (medicinal product) 386142008 Product containing oseltamivir (medicinal product) 870518005 Product containing remdesivir (medicinal product) 35063004 Product containing ribavirin (medicinal product) 444649004 Product containing tocilizumab (medicinal product) 763522001 Product containing sarilumab (medicinal product) 416587008 Product containing calcineurin inhibitor (product) 416897008 Product containing tumor necrosis factor alpha inhibitor (product) 430817009 Product containing interleukin 1 receptor antagonist (product) 703779004 Product containing ruxolitinib (medicinal product) 73133000 Product containing colchicine (medicinal product) 768865007 Product containing interferon (product) 88519001 Product containing calcifediol (medicinal product) 764877006 Product containing zinc (medicinal product) The following codes from system: ParameterCodeseCRF
Code Display antipyretic Product containing antipyretic camostat Product containing camostat favipiravir Product containing favipiravir convalescent-plasma Convalescent plasma steroids-gt Steroids (> 0.5 mg/kg prednisone equivalents) steroids-lt Steroids (<= 0.5 mg/kg prednisone equivalents)
Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/pharmacological-therapy-atc
ValueSet 'DrugTherapyATC'
Version | 1.0.5 |
Published by | Charité |
Status | Active |
Experimental | False |
Pharmacological therapy in the context of Covid-19
This value set includes codes from the following code systems:
The following codes from system: ATC
Code Display N02B ANDERE ANALGETIKA UND ANTIPYRETIKA N02BA Salicylsäure und Derivate N02BA01 Acetylsalicylsäure N02BA02 Aloxiprin N02BA03 Cholinsalicylat N02BA04 Natriumsalicylat N02BA05 Salicylamid N02BA06 Salsalat N02BA07 Ethenzamid N02BA08 Morpholinsalicylat N02BA09 Dipyrocetyl N02BA10 Benorilat N02BA11 Diflunisal N02BA12 Kaliumsalicylat N02BA13 Lysin-Acetylsalicylat N02BA14 Guacetisal N02BA15 Carbasalat calcium N02BA16 Imidazolsalicylat N02BA19 Cholin-Magnesium-Tris-Salicylat N02BA20 Kombinationen N02BA51 Acetylsalicylsäure, Kombinationen exkl. Psycholeptika N02BA55 Salicylamid, Kombinationen exkl. Psycholeptika N02BA57 Ethenzamid, Kombinationen exkl. Psycholeptika N02BA59 Dipyrocetyl, Kombinationen exkl. Psycholeptika N02BA65 Carbasalat calcium, Kombinationen exkl. Psycholeptika N02BA71 Acetylsalicylsäure, Kombinationen mit Psycholeptika N02BA75 Salicylamid, Kombinationen mit Psycholeptika N02BA77 Ethenzamid, Kombinationen mit Psycholeptika N02BA79 Dipyrocetyl, Kombinationen mit Psycholeptika N02BB Pyrazolone N02BB01 Phenazon N02BB02 Metamizol-Natrium N02BB03 Aminophenazon N02BB04 Propyphenazon N02BB05 Nifenazon N02BB06 Phenazonsalicylat N02BB51 Phenazon, Kombinationen exkl. Psycholeptika N02BB52 Metamizol-Natrium, Kombinationen exkl. Psycholeptika N02BB53 Aminophenazon, Kombinationen exkl. Psycholeptika N02BB54 Propyphenazon, Kombinationen exkl. Psycholeptika** N02BB56 Phenazonsalicylat, Kombinationen exkl. Psycholeptika N02BB71 Phenazon, Kombinationen mit Psycholeptika N02BB72 Metamizol-Natrium, Kombinationen mit Psycholeptika N02BB73 Aminophenazon, Kombinationen mit Psycholeptika N02BB74 Propyphenazon, Kombinationen mit Psycholeptika N02BB76 Phenazonsalicylat, Kombinationen mit Psycholeptika N02BE Anilide N02BE01 Paracetamol N02BE03 Phenacetin N02BE04 Bucetin N02BE05 Propacetamol N02BE51 Paracetamol, Kombinationen exkl. Psycholeptika N02BE53 Phenacetin, Kombinationen exkl. Psycholeptika N02BE54 Bucetin, Kombinationen exkl. Psycholeptika N02BE61 Paracetamol, Kombinationen mit Coffein N02BE71 Paracetamol, Kombinationen mit Psycholeptika N02BE73 Phenacetin, Kombinationen mit Psycholeptika N02BE74 Bucetin, Kombinationen mit Psycholeptika N02BG Andere Analgetika und Antipyretika N02BG02 Rimazolium N02BG03 Glafenin N02BG04 Floctafenin N02BG05 Viminol N02BG06 Nefopam N02BG07 Flupirtin N02BG08 Ziconotid N02BG09 Methoxyfluran N02BG10 Cannabinoide N02BG11 Mirogabalin N02BG12 Tanezumab N02BH Homöopathische und anthroposophische Analgetika und Antipyretika N02BH01 Aconitum N02BH10 Verschiedene N02BH20 Kombinationen N02BP Pflanzliche Analgetika und Antipyretika N02BP01 Blauer Eisenhut N02BP02 Lindenblüten G01B ANTIINFEKTIVA/ANTISEPTIKA IN KOMBINATION MIT CORTICOSTEROIDEN G01BA Antibiotika und Corticosteroide G01BA01 Antibiotika und Corticosteroide G01BC Chinolin-Derivate und Corticosteroide G01BD Antiseptika und Corticosteroide G01BD01 Antiseptika und Corticosteroide G01BE Sulfonamide und Corticosteroide G01BE50 Sulfonamide und Corticosteroide, Kombinationen mit Antibiotika G01BF Imidazol-Derivate und Corticosteroide H02 CORTICOSTEROIDE ZUR SYSTEMISCHEN ANWENDUNG H02A CORTICOSTEROIDE ZUR SYSTEMISCHEN ANWENDUNG, REIN H02AA Mineralocorticoide H02AA01 Aldosteron H02AA02 Fludrocortison H02AA03 Desoxycorton H02AB Glucocorticoide H02AB01 Betamethason H02AB02 Dexamethason H02AB03 Fluocortolon H02AB04 Methylprednisolon H02AB05 Paramethason H02AB06 Prednisolon H02AB07 Prednison H02AB08 Triamcinolon H02AB09 Hydrocortison H02AB10 Cortison H02AB11 Prednyliden H02AB12 Rimexolon H02AB13 Deflazacort H02AB14 Cloprednol H02AB15 Meprednison H02AB17 Cortivazol H02AB51 Betamethason-Depot H02AB54 Methylprednisolon-Depot H02AB56 Prednisolon-Depot H02AB58 Triamcinolon-Depot H02B CORTICOSTEROIDE ZUR SYSTEMISCHEN ANWENDUNG, KOMBINATIONEN H02BX Corticosteroide zur systemischen Anwendung, Kombinationen H02BX01 Methylprednisolon, Kombinationen H02BX02 Dexamethason, Kombinationen H02BX06 Prednisolon, Kombinationen H02BX08 Triamcinolon, Kombinationen H02BX09 Betamethason, Kombinationen H02BX20 Kombinationen H02BX21 Desoxycorton, Kombinationen H02C NEBENNIERENHEMMSTOFFE H02CA Anticorticosteroide H02CA01 Trilostan H02CA02 Osilodrostat H02CA03 Ketoconazol M01BA Antiphlogistika/Antirheumatika in Kombination mit Corticosteroiden M01BA01 Phenylbutazon und Corticosteroide M01BA02 Dipyrocetyl und Corticosteroide M01BA03 Acetylsalicylsäure und Corticosteroide M01BA04 Mofebutazon und Corticosteroide M01BA05 Oxyphenbutazon und Corticosteroide M01BA06 Salicylamid und Corticosteroide M01BA07 Metamizol und Corticosteroide M01BA08 Kebuzon und Corticosteroide R03AK Sympathomimetika in Kombination mit Corticosteroiden oder anderen Mitteln, exkl. Anticholinergika R03AK01 Epinephrin und andere Mittel bei obstruktiven Atemwegserkrankungen R03AK02 Isoprenalin und andere Mittel bei obstruktiven Atemwegserkrankungen R03AK03 Fenoterol und Cromoglicinsäure, Dinatriumsalz R03AK04 Salbutamol und Cromoglicinsäure, Dinatriumsalz R03AK05 Reproterol und Cromoglicinsäure, Dinatriumsalz R03AK06 Salmeterol und Fluticason R03AK07 Formoterol und Budesonid R03AK08 Formoterol und Beclometason R03AK09 Formoterol und Mometason R03AK10 Vilanterol und Fluticasonfuroat R03AK11 Formoterol und Fluticason R03AK12 Salmeterol und Budesonid R03AK13 Salbutamol und Beclometason R03AK14 Indacaterol und Mometason R03AL Sympathomimetika in Kombination mit Anticholinergika inkl. Dreifachkombinationen mit Corticosteroiden R03AL01 Fenoterol und Ipratropiumbromid R03AL02 Salbutamol und Ipratropiumbromid R03AL03 Vilanterol und Umeclidiniumbromid R03AL04 Indacaterol und Glycopyrroniumbromid R03AL05 Formoterol und Aclidiniumbromid R03AL06 Olodaterol und Tiotropiumbromid R03AL07 Formoterol und Glycopyrroniumbromid R03AL08 Vilanterol, Umeclidiniumbromid und Fluticasonfuroat R03AL09 Formoterol, Glycopyrroniumbromid und Beclometason S02B CORTICOSTEROIDE S02BA Corticosteroide S02BA01 Hydrocortison S02BA03 Prednisolon S02BA06 Dexamethason S02BA07 Betamethason S02BA08 Fluocinolonacetonid S02BA56 Dexamethason, Kombinationen L04AD Calcineurin-Inhibitoren L04AD01 Ciclosporin L04AD02 Tacrolimus L04AD03 Voclosporin L04AB Tumornekrosefaktor alpha(TNF-alpha)-Inhibitoren L04AB01 Etanercept L04AB02 Infliximab L04AB03 Afelimomab L04AB04 Adalimumab L04AB05 Certolizumab pegol L04AB06 Golimumab L04AB07 Opinercept L04AC Interleukin-Inhibitoren L04AC01 Daclizumab L04AC02 Basiliximab L04AC03 Anakinra L04AC04 Rilonacept L04AC05 Ustekinumab L04AC07 Tocilizumab L04AC08 Canakinumab L04AC09 Briakinumab L04AC10 Secukinumab L04AC11 Siltuximab L04AC12 Brodalumab L04AC13 Ixekizumab L04AC14 Sarilumab L04AC15 Sirukumab L04AC16 Guselkumab L04AC17 Tildrakizumab L04AC18 Risankizumab L04AC19 Satralizumab L04AC20 Netakimab L04AC21 Bimekizumab L03AB Interferone L03AB01 Interferon alfa, natürlich L03AB02 Interferon beta, natürlich L03AB03 Interferon gamma L03AB04 Interferon alfa-2a L03AB05 Interferon alfa-2b L03AB06 Interferon alfa-n1 L03AB07 Interferon beta-1a L03AB08 Interferon beta-1b L03AB09 Interferon alfacon-1 L03AB10 Peginterferon alfa-2b L03AB11 Peginterferon alfa-2a L03AB12 Albinterferon alfa-2b L03AB13 Peginterferon beta-1a L03AB14 Cepeginterferon alfa-2b L03AB15 Ropeginterferon alfa-2b L03AB18 Interferon gamma-1b L03AB60 Peginterferon alfa-2b, Kombinationen L03AB61 Peginterferon alfa-2a, Kombinationen A12CB Zink A12CB01 Zinksulfat A12CB02 Zinkgluconat A12CB03 Zinkprotein-Komplex A12CB05 Zinkhydrogenaspartat A12CB06 Zinkorotat D01AC20 Imidazole/Triazole in Kombination mit Corticosteroiden J05AE08 Atazanavir J05AR15 Atazanavir und Cobicistat J05AR23 Atazanavir und Ritonavir J05AE10 Darunavir J05AR14 Darunavir und Cobicistat J05AR22 Emtricitabin, Tenofoviralafenamid, Darunavir und Cobicistat P01BA01 Chloroquin P01BA02 Hydroxychloroquin P02CF01 Ivermectin D11AX22 Ivermectin J05AR10 Lopinavir und Ritonavir J05AB06 Ganciclovir S01AD09 Ganciclovir J05AH02 Oseltamivir J05AP01 Ribavirin B02AB04 Camostat J05AX27 Favipiravir L04AC07 Tocilizumab L04AC14 Sarilumab S01XA18 Ciclosporin D11AH01 Tacrolimus L04AA10 Sirolimus L04AA18 Everolimus L01XE10 Everolimus L01XE18 Ruxolitinib M04AC01 Colchicin S01AD05 Interferon A11CC06 Calcifediol
Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/pharmacological-therapy-ops
ValueSet 'DrugTherapyOPS'
Version | 1.0.5 |
Published by | Charité |
Status | Active |
Experimental | False |
Pharmacological therapy in the context of Covid-19, relevant OPS-Codes
This value set includes codes from the following code systems:
The following codes from system: OPS
Code Display 6-00a.g Sarilumab, parenteral 6-005.8 Everolimus, oral 6-005.7 Certolizumab, parenteral 6-005.2 Golimumab, parenteral 6-006.7 Canakinumab, parenteral 6-009.4 Ruxolitinib, oral - Include codes from OPS where concept IsA 6-005.m
- Include codes from OPS where concept IsA 6-005.n
- Include codes from OPS where concept IsA 6-004.e
- Include codes from OPS where concept IsA 6-001.d
- Include codes from OPS where concept IsA 6-002.b
- Include codes from OPS where concept IsA 6-001.e
Examples
Patient is taking atazanavir
{ "resourceType": "MedicationStatement", "id": "a85311b0-0489-484f-8ee2-1d6257299ded", "meta": { "profile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy" ] }, "status": "active", "medicationCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "413591007", "display": "Product containing atazanavir (medicinal product)" }, { "system": "http://fhir.de/CodeSystem/dimdi/atc", "code": "J05AE08", "display": "Atazanavir" } ], "text": "Atazanavir" }, "subject": { "reference": "Patient/c786ac3c-0579-4aa2-adda-db784b214ad6" }, "effectiveDateTime": "2020-10-19T08:43:33+02:00" }