Anticoagulation


Parameter Case Report Form and Response Options

Anticoagulation Therapeutic intent - why the drug is taken
Unfractionated heparin ☐ prophylactical ☐
therapeutical ☐
Low molecular weight heparin ☐ prophylactical ☐
therapeutical ☐
Argatroban ☐ prophylactical ☐
therapeutical ☐
Platelet aggregation inhibitor ☐ prophylactical ☐
therapeutical ☐
Danaparoid ☐ prophylactical ☐
therapeutical ☐
Phenprocoumon ☐ prophylactical ☐
therapeutical ☐
Direct oral anticoagulants ☐ prophylactical ☐
therapeutical ☐
Other (Thrombosis prophylaxis / Therapeutic anticoagulation) ☐ prophylactical ☐
therapeutical ☐

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.

The therapeutic intent - prophylactical or therapeutical - can be specified with MedicationStatement.reasonCode.

RESPONSE OPTIONS MedicationStatement.reasonCode
prophylactical 360271000 |Prophylaxis - procedure intent (qualifier value)|
therapeutical 373808002 |Curative - procedure intent (qualifier value)|

Profile - Pharmacological Therapy - Anticoagulation

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

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
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)
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
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/anticoagulants-atc

ValueSet 'AnticoagulantsATC'

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

Pharmacological therapy using anticoagulants 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 B01
  • Include codes from Atc where concept IsA B01
  • Include codes from Atc where concept IsA B01


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/therapeutic-intent

ValueSet 'TherapeuticIntent'

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

The therapeutic intent why a medication is taken or administered.

Contact Information

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

This value set includes codes from the following code systems:

  • The following codes from system: SNOMED_CT

    CodeDisplay
    421974008Adjunct - intent (qualifier value)
    373846009Adjuvant - intent (qualifier value)
    373808002Curative - procedure intent (qualifier value)
    373847000Neo-adjuvant - intent (qualifier value)
    360271000Prophylaxis - procedure intent (qualifier value)
    399707004Supportive - procedure intent (qualifier value)


Examples

Patient takes heparin prophylactically

{
    "resourceType": "MedicationStatement",
    "id": "pharmacological-therapy-anticoagulants",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy-anticoagulants"
        ]
    },
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "360271000",
                    "display": "Prophylaxis - procedure intent (qualifier value)"
                }
            ]
        }
    ],
    "status": "active",
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "84812008",
                "system": "http://snomed.info/sct",
                "display": "Product containing heparin (medicinal product)"
            },
            {
                "code": "B01AB01",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "display": "Heparin"
            }
        ],
        "text": "Heparin"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-19T08:43:33+02:00"
}