ACE inhibitors


Parameter Case Report Form and Response Options

ACE inhibitors Yes No Unknown Stopped
Angiotensin-converting enzyme inhibitor

This profile of a FHIR MedicationStatement is derived from the MedicationStatement-profile of the Medical Informatics Initiative (MII).

Use MedicationStatement.medication[x]:medicationCodeableConcept to identify what medication was taken. There is a predifined slice with a SNOMED-CT coding for medication containing ACE inhibitors. In addition, the optional atcClassDe slice has a valueset binding to specifiy the medication in greater detail using ATC codes.

{
  "system": "http://snomed.info/sct",
  "code": "41549009"
  "display": "Product containing angiotensin-converting enzyme inhibitor (product)"
}

Control the different response options via the status of the MedicationStatement:

RESPONSE OPTIONS MedicationStatement.status
Yes "status": "active"
No "status": "not-taken"
Unknown "status": "unknown"
stopped "status": "stopped"

Profile - Pharmacological Therapy - ACE inhibitors

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy-ace-inhibitors

Snapshot

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(MedicationRequest | CarePlan | ServiceRequest)
partOfS Σ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)
statusS Σ ?!1..1codeBinding
statusReason0..*CodeableConcept
categoryΣ0..1CodeableConceptBinding
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1MII-Reference(Patient | Group)
contextS Σ I0..1Reference(Encounter | EpisodeOfCare)
effectiveDateTimedateTime
effectivePeriodPeriod
dateAssertedΣ0..1dateTime
informationSourceI0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
derivedFromI0..*Reference(Resource)
reasonCode0..*CodeableConcept
reasonReferenceS I0..*Reference(Condition | Observation | DiagnosticReport)
note0..*Annotation
sequenceΣ0..1integer
textS Σ0..1string
additionalInstructionΣ0..*CodeableConcept
patientInstructionΣ0..1string
timingS Σ0..1Timing
asNeededBooleanboolean
asNeededCodeableConceptCodeableConcept
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
methodΣ0..1CodeableConcept
typeΣ0..1CodeableConcept
doseRangeRange
doseQuantitySimpleQuantity
rateRatioRatio
rateRangeRange
rateQuantitySimpleQuantity
maxDosePerPeriodΣ I0..1Ratio
maxDosePerAdministrationΣ I0..1SimpleQuantity
maxDosePerLifetimeΣ I0..1SimpleQuantity


ValueSets

Valuesets are provided with ATC codes.


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/ace-inhibitors-atc

ValueSet 'AceInhibitorsATC'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

ACE inhibitors in the context of Covid-19

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:

  • Include codes from Atc where concept IsA C09A
  • Include codes from Atc where concept IsA C09B
  • Include codes from Atc where concept IsA C09A
  • Include codes from Atc where concept IsA C09B
  • Include codes from Atc where concept IsA C09A
  • Include codes from Atc where concept IsA C09B


Examples

Patient is taking ACE inhibitor

{
    "resourceType": "MedicationStatement",
    "id": "pharmacological-therapy-ace-inhibitors-active",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy-ace-inhibitors"
        ]
    },
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "41549009",
                "system": "http://snomed.info/sct",
                "display": "Product containing angiotensin-converting enzyme inhibitor (product)"
            },
            {
                "code": "C09A",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "display": "ACE-HEMMER, REIN"
            }
        ],
        "text": "ACE inhibitors"
    },
    "status": "active",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-19T08:43:33+02:00"
}