Immunoglobulins


Parameter Case Report Form and Response Options

Immunoglobulins Yes No Unknown
Immunoglobulins

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 immunoglobulins. 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": "333710000"
  "display": "Product containing immunoglobulin (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"

Profile - Pharmacological Therapy Immunoglobulins

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

Snapshot

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
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
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemΣ1..1uriFixed Value
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
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
sequenceΣ0..1integer
textS Σ0..1string
additionalInstructionΣ0..*CodeableConcept
patientInstructionΣ0..1string
timingS Σ0..1Timing
asNeededBooleanboolean
asNeededCodeableConceptCodeableConcept
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
methodΣ0..1CodeableConcept
id0..1string
extensionI0..*Extension
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/immunoglobulins-atc

ValueSet 'ImmunoglobulinsATC'

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

Pharmacological therapy using immunoglobulins 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:


Examples

Patient takes immunoglobulins

{
    "resourceType": "MedicationStatement",
    "id": "pharmacological-therapy-immunoglobulins-active",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy-immunoglobulins"
        ]
    },
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "333710000",
                "system": "http://snomed.info/sct",
                "display": "Product containing immunoglobulin (product)"
            },
            {
                "code": "J06B",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "display": "IMMUNGLOBULINE"
            }
        ],
        "text": "immunoglobulins"
    },
    "status": "active",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-19T08:43:33+02:00"
}


Immunoglobulins not taken

{
    "resourceType": "MedicationStatement",
    "id": "pharmacological-therapy-immunoglobulins-not-taken",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy-immunoglobulins"
        ]
    },
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "333710000",
                "system": "http://snomed.info/sct",
                "display": "Product containing immunoglobulin (product)"
            },
            {
                "code": "J06B",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "display": "IMMUNGLOBULINE"
            }
        ],
        "text": "immunoglobulins"
    },
    "status": "not-taken",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-19T08:43:33+02:00"
}


Unknown if patient is taking immunoglobulins

{
    "resourceType": "MedicationStatement",
    "id": "pharmacological-therapy-immunoglobulins-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/pharmacological-therapy-immunoglobulins"
        ]
    },
    "medicationCodeableConcept": {
        "coding":  [
            {
                "code": "333710000",
                "system": "http://snomed.info/sct",
                "display": "Product containing immunoglobulin (product)"
            },
            {
                "code": "J06B",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "display": "IMMUNGLOBULINE"
            }
        ],
        "text": "immunoglobulins"
    },
    "status": "unknown",
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-19T08:43:33+02:00"
}