ObservationCurrentMedicationUse
Introduction and scope
This profile is of the resource Observation. The profile contains information about medications that the patient takes, and aims to provide additional information about the patient. This information may have an impact on the treatment and the further course.
URL
https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE06
Usage
In this profile there are six elements. The element identifier is mandatory. The item status is mandatory and its fixed value is set to registered to indicate that the patient's current medication is listed. The element code is mandatory, but remains blank as the element uses terminology not used in this project. The element subject is also mandatory and contains a reference to the profile Patient, as all registrations must be tied up on the patient, while the element effectively ensures a timestamp for the profile. The element component contains information about any medications that the patient is taking and is therefore sliced into eight slices. The number of slices is determined by the content of PPJ, where eight possible registrations are predefined. Each of the eight slices contains SNOMED CT codes that match their description.
xml code for ObservationCurrentMedicationUse
<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="RE06" />
<url value="https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE06" />
<name value="PrehospitalDataInEHRObservationCurrentMedicationUseprofile" />
<status value="draft" />
<description value="This profile originates from the page Prior illnesses in the pre-hospital patient journal (PPJ). The registration contains information regarding any kinds of medication, the patient is currently using. It is only possible to select from predefined medications." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="workflow" />
<uri value="http://hl7.org/fhir/workflow" />
<name value="Workflow Pattern" />
</mapping>
<mapping>
<identity value="sct-concept" />
<uri value="http://snomed.info/conceptdomain" />
<name value="SNOMED CT Concept Domain Binding" />
</mapping>
<mapping>
<identity value="v2" />
<uri value="http://hl7.org/v2" />
<name value="HL7 v2 Mapping" />
</mapping>
<mapping>
<identity value="rim" />
<uri value="http://hl7.org/v3" />
<name value="RIM Mapping" />
</mapping>
<mapping>
<identity value="w5" />
<uri value="http://hl7.org/fhir/fivews" />
<name value="FiveWs Pattern Mapping" />
</mapping>
<mapping>
<identity value="sct-attr" />
<uri value="http://snomed.org/attributebinding" />
<name value="SNOMED CT Attribute Binding" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Observation" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
<derivation value="constraint" />
<differential>
<element id="Observation">
<path value="Observation" />
<short value="Information regarding the patient's current medication use" />
<definition value="This profile originates from the page Prior illnesses in the pre-hospital patient journal (PPJ). The registration contains information regarding any kinds of medication, the patient is currently using. It is only possible to select from predefined medications." />
</element>
<element id="Observation.identifier">
<path value="Observation.identifier" />
<short value="Danish social security number (CPR)" />
<min value="1" />
<max value="1" />
</element>
<element id="Observation.identifier.use">
<path value="Observation.identifier.use" />
<max value="0" />
</element>
<element id="Observation.identifier.type">
<path value="Observation.identifier.type" />
<max value="0" />
</element>
<element id="Observation.identifier.system">
<path value="Observation.identifier.system" />
<short value="Entry to Danish social security number database" />
<min value="1" />
</element>
<element id="Observation.identifier.value">
<path value="Observation.identifier.value" />
<short value="Unique identifier of 10 digits" />
<min value="1" />
</element>
<element id="Observation.identifier.period">
<path value="Observation.identifier.period" />
<max value="0" />
</element>
<element id="Observation.identifier.assigner">
<path value="Observation.identifier.assigner" />
<max value="0" />
</element>
<element id="Observation.basedOn">
<path value="Observation.basedOn" />
<max value="0" />
</element>
<element id="Observation.partOf">
<path value="Observation.partOf" />
<max value="0" />
</element>
<element id="Observation.status">
<path value="Observation.status" />
<fixedCode value="registered" />
</element>
<element id="Observation.category">
<path value="Observation.category" />
<max value="0" />
</element>
<element id="Observation.subject">
<path value="Observation.subject" />
<short value="Who takes the medication" />
<min value="1" />
<type>
<code value="Reference" />
<targetProfile value="https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE09" />
</type>
</element>
<element id="Observation.subject.reference">
<path value="Observation.subject.reference" />
<max value="0" />
</element>
<element id="Observation.subject.type">
<path value="Observation.subject.type" />
<max value="0" />
</element>
<element id="Observation.subject.identifier">
<path value="Observation.subject.identifier" />
<max value="0" />
</element>
<element id="Observation.subject.display">
<path value="Observation.subject.display" />
<max value="0" />
</element>
<element id="Observation.focus">
<path value="Observation.focus" />
<max value="0" />
</element>
<element id="Observation.encounter">
<path value="Observation.encounter" />
<min value="1" />
<type>
<code value="Reference" />
<targetProfile value="https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE02" />
</type>
</element>
<element id="Observation.encounter.reference">
<path value="Observation.encounter.reference" />
<max value="0" />
</element>
<element id="Observation.encounter.type">
<path value="Observation.encounter.type" />
<max value="0" />
</element>
<element id="Observation.encounter.identifier">
<path value="Observation.encounter.identifier" />
<max value="0" />
</element>
<element id="Observation.encounter.display">
<path value="Observation.encounter.display" />
<max value="0" />
</element>
<element id="Observation.effective[x]">
<path value="Observation.effective[x]" />
<min value="1" />
<type>
<code value="dateTime" />
</type>
</element>
<element id="Observation.issued">
<path value="Observation.issued" />
<max value="0" />
</element>
<element id="Observation.performer">
<path value="Observation.performer" />
<min value="1" />
<max value="1" />
<type>
<code value="Reference" />
<targetProfile value="https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE12" />
</type>
</element>
<element id="Observation.performer.reference">
<path value="Observation.performer.reference" />
<max value="0" />
</element>
<element id="Observation.performer.type">
<path value="Observation.performer.type" />
<max value="0" />
</element>
<element id="Observation.performer.identifier">
<path value="Observation.performer.identifier" />
<max value="0" />
</element>
<element id="Observation.performer.display">
<path value="Observation.performer.display" />
<max value="0" />
</element>
<element id="Observation.value[x]">
<path value="Observation.value[x]" />
<max value="0" />
</element>
<element id="Observation.dataAbsentReason">
<path value="Observation.dataAbsentReason" />
<max value="0" />
</element>
<element id="Observation.interpretation">
<path value="Observation.interpretation" />
<max value="0" />
</element>
<element id="Observation.note">
<path value="Observation.note" />
<max value="0" />
</element>
<element id="Observation.bodySite">
<path value="Observation.bodySite" />
<max value="0" />
</element>
<element id="Observation.method">
<path value="Observation.method" />
<max value="0" />
</element>
<element id="Observation.specimen">
<path value="Observation.specimen" />
<max value="0" />
</element>
<element id="Observation.device">
<path value="Observation.device" />
<max value="0" />
</element>
<element id="Observation.referenceRange">
<path value="Observation.referenceRange" />
<max value="0" />
</element>
<element id="Observation.hasMember">
<path value="Observation.hasMember" />
<max value="0" />
</element>
<element id="Observation.derivedFrom">
<path value="Observation.derivedFrom" />
<max value="0" />
</element>
<element id="Observation.component">
<path value="Observation.component" />
<slicing>
<discriminator>
<type value="exists" />
<path value="code.text" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Predifined medications" />
<max value="1" />
</element>
<element id="Observation.component:antibiotics">
<path value="Observation.component" />
<sliceName value="antibiotics" />
<short value="Antibiotics" />
<max value="1" />
</element>
<element id="Observation.component:antibiotics.code">
<path value="Observation.component.code" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="255631004" />
<display value="Antibiotika" />
</code>
</element>
<element id="Observation.component:antibiotics.code.coding">
<path value="Observation.component.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="255631004" />
<display value="Antibiotika" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Observation.component:antibiotics.code.coding.system">
<path value="Observation.component.code.coding.system" />
<max value="0" />
</element>
<element id="Observation.component:antibiotics.code.coding.version">
<path value="Observation.component.code.coding.version" />
<max value="0" />
</element>
<element id="Observation.component:antibiotics.code.coding.code">
<path value="Observation.component.code.coding.code" />
<max value="0" />
</element>
<element id="Observation.component:antibiotics.code.coding.display">
<path value="Observation.component.code.coding.display" />
<max value="0" />
</element>
<element id="Observation.component:antibiotics.code.coding.userSelected">
<path value="Observation.component.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Observation.component:antibiotics.code.text">
<path value="Observation.component.code.text" />
<short value="Registration of antibiotics" />
<min value="1" />
<fixedString value="Antibiotikum" />
</element>
<element id="Observation.component:antibiotics.value[x]">
<path value="Observation.component.value[x]" />
<max value="0" />
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:antibiotics.dataAbsentReason">
<path value="Observation.component.dataAbsentReason" />
<max value="0" />
</element>
<element id="Observation.component:antibiotics.interpretation">
<path value="Observation.component.interpretation" />
<max value="0" />
</element>
<element id="Observation.component:antibiotics.referenceRange">
<path value="Observation.component.referenceRange" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine">
<path value="Observation.component" />
<sliceName value="antiHistamine" />
<short value="Anti histamine" />
<max value="1" />
</element>
<element id="Observation.component:antiHistamine.code">
<path value="Observation.component.code" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372806008" />
<display value="Antihistamin" />
</code>
</element>
<element id="Observation.component:antiHistamine.code.coding">
<path value="Observation.component.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372806008" />
<display value="Antihistamin" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Observation.component:antiHistamine.code.coding.system">
<path value="Observation.component.code.coding.system" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine.code.coding.version">
<path value="Observation.component.code.coding.version" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine.code.coding.code">
<path value="Observation.component.code.coding.code" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine.code.coding.display">
<path value="Observation.component.code.coding.display" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine.code.coding.userSelected">
<path value="Observation.component.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine.code.text">
<path value="Observation.component.code.text" />
<short value="Registration of anti histamine" />
<min value="1" />
<fixedString value="Antihistamin" />
</element>
<element id="Observation.component:antiHistamine.value[x]">
<path value="Observation.component.value[x]" />
<max value="0" />
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:antiHistamine.dataAbsentReason">
<path value="Observation.component.dataAbsentReason" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine.interpretation">
<path value="Observation.component.interpretation" />
<max value="0" />
</element>
<element id="Observation.component:antiHistamine.referenceRange">
<path value="Observation.component.referenceRange" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist">
<path value="Observation.component" />
<sliceName value="B2-agonist" />
<max value="1" />
</element>
<element id="Observation.component:B2-agonist.code">
<path value="Observation.component.code" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="373215002" />
<display value="B2-agonist" />
</code>
</element>
<element id="Observation.component:B2-agonist.code.coding">
<path value="Observation.component.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="373215002" />
<display value="B2-agonist" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Observation.component:B2-agonist.code.coding.system">
<path value="Observation.component.code.coding.system" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist.code.coding.version">
<path value="Observation.component.code.coding.version" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist.code.coding.code">
<path value="Observation.component.code.coding.code" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist.code.coding.display">
<path value="Observation.component.code.coding.display" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist.code.coding.userSelected">
<path value="Observation.component.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist.code.text">
<path value="Observation.component.code.text" />
<short value="Registration of B2-agonist" />
<min value="1" />
<fixedString value="B2-agonist" />
</element>
<element id="Observation.component:B2-agonist.value[x]">
<path value="Observation.component.value[x]" />
<max value="0" />
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:B2-agonist.dataAbsentReason">
<path value="Observation.component.dataAbsentReason" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist.interpretation">
<path value="Observation.component.interpretation" />
<max value="0" />
</element>
<element id="Observation.component:B2-agonist.referenceRange">
<path value="Observation.component.referenceRange" />
<max value="0" />
</element>
<element id="Observation.component:epipien">
<path value="Observation.component" />
<sliceName value="epipien" />
<short value="Epi-pen" />
<max value="1" />
</element>
<element id="Observation.component:epipien.code">
<path value="Observation.component.code" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="313191000" />
<display value="Epipien" />
</code>
</element>
<element id="Observation.component:epipien.code.coding">
<path value="Observation.component.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="313191000" />
<display value="Epipien" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Observation.component:epipien.code.coding.system">
<path value="Observation.component.code.coding.system" />
<max value="0" />
</element>
<element id="Observation.component:epipien.code.coding.version">
<path value="Observation.component.code.coding.version" />
<max value="0" />
</element>
<element id="Observation.component:epipien.code.coding.code">
<path value="Observation.component.code.coding.code" />
<max value="0" />
</element>
<element id="Observation.component:epipien.code.coding.display">
<path value="Observation.component.code.coding.display" />
<max value="0" />
</element>
<element id="Observation.component:epipien.code.coding.userSelected">
<path value="Observation.component.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Observation.component:epipien.code.text">
<path value="Observation.component.code.text" />
<short value="registration of use of epi-pen" />
<min value="1" />
<fixedString value="Epipien" />
</element>
<element id="Observation.component:epipien.value[x]">
<path value="Observation.component.value[x]" />
<max value="0" />
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:epipien.dataAbsentReason">
<path value="Observation.component.dataAbsentReason" />
<max value="0" />
</element>
<element id="Observation.component:epipien.interpretation">
<path value="Observation.component.interpretation" />
<max value="0" />
</element>
<element id="Observation.component:epipien.referenceRange">
<path value="Observation.component.referenceRange" />
<max value="0" />
</element>
<element id="Observation.component:nitrates">
<path value="Observation.component" />
<sliceName value="nitrates" />
<short value="Nitrates" />
<max value="1" />
</element>
<element id="Observation.component:nitrates.code">
<path value="Observation.component.code" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="387404004" />
<display value="Nitrater" />
</code>
</element>
<element id="Observation.component:nitrates.code.coding">
<path value="Observation.component.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="387404004" />
<display value="Nitrater" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Observation.component:nitrates.code.coding.system">
<path value="Observation.component.code.coding.system" />
<max value="0" />
</element>
<element id="Observation.component:nitrates.code.coding.version">
<path value="Observation.component.code.coding.version" />
<max value="0" />
</element>
<element id="Observation.component:nitrates.code.coding.code">
<path value="Observation.component.code.coding.code" />
<max value="0" />
</element>
<element id="Observation.component:nitrates.code.coding.display">
<path value="Observation.component.code.coding.display" />
<max value="0" />
</element>
<element id="Observation.component:nitrates.code.coding.userSelected">
<path value="Observation.component.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Observation.component:nitrates.code.text">
<path value="Observation.component.code.text" />
<short value="Registration of nitrates" />
<min value="1" />
<fixedString value="Nitrater" />
</element>
<element id="Observation.component:nitrates.value[x]">
<path value="Observation.component.value[x]" />
<max value="0" />
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:nitrates.dataAbsentReason">
<path value="Observation.component.dataAbsentReason" />
<max value="0" />
</element>
<element id="Observation.component:nitrates.interpretation">
<path value="Observation.component.interpretation" />
<max value="0" />
</element>
<element id="Observation.component:nitrates.referenceRange">
<path value="Observation.component.referenceRange" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol">
<path value="Observation.component" />
<sliceName value="paracetamol" />
<short value="Paracetamol" />
<max value="1" />
</element>
<element id="Observation.component:paracetamol.code">
<path value="Observation.component.code" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="90332006" />
<display value="Paracetamol" />
</code>
</element>
<element id="Observation.component:paracetamol.code.coding">
<path value="Observation.component.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="90332006" />
<display value="Paracetamol" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Observation.component:paracetamol.code.coding.system">
<path value="Observation.component.code.coding.system" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol.code.coding.version">
<path value="Observation.component.code.coding.version" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol.code.coding.code">
<path value="Observation.component.code.coding.code" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol.code.coding.display">
<path value="Observation.component.code.coding.display" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol.code.coding.userSelected">
<path value="Observation.component.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol.code.text">
<path value="Observation.component.code.text" />
<short value="Registration of paracetamol" />
<min value="1" />
<fixedString value="Paracetamol" />
</element>
<element id="Observation.component:paracetamol.value[x]">
<path value="Observation.component.value[x]" />
<max value="0" />
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:paracetamol.dataAbsentReason">
<path value="Observation.component.dataAbsentReason" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol.interpretation">
<path value="Observation.component.interpretation" />
<max value="0" />
</element>
<element id="Observation.component:paracetamol.referenceRange">
<path value="Observation.component.referenceRange" />
<max value="0" />
</element>
<element id="Observation.component:protonPumpInhibitor">
<path value="Observation.component" />
<sliceName value="protonPumpInhibitor" />
<short value="Proton pump inhibitor" />
<max value="1" />
</element>
<element id="Observation.component:protonPumpInhibitor.code">
<path value="Observation.component.code" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372525000" />
<display value="Protonpumpehaemmer" />
</code>
</element>
<element id="Observation.component:protonPumpInhibitor.code.coding">
<path value="Observation.component.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372525000" />
<display value="Protonpumpehaemmer" />
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