SubstanceActiveIngredient
Introduction and scope
This profile is of the resource Substance. The profile contains information about the medications that can be administered to the ambulance rescuers during treatment of the patient.
URL
https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE11
Usage
In this profile there are two elements. The item identifier is mandatory. The element code contains information about the active substance in any medication that the patient has received as part of the treatment, and is therefore sliced into 38 slices based on the list of medications that are predefined in PPJ. Each of the 38 slices contains the appropriate SNOMED CT code, but incomplete SNOMED CT codes were used for the S-ketamine and isoprenaline records, as these two substances are not found in the SNOMED CT database. Therefore, resp. the code for 373464007 | Ketamin and code for 49602000 | Isoprenalini were used instead.
xml code for SubstanceActiveIngredient
<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="RE11" />
<url value="https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE11" />
<name value="PrehospitalDataInEHRSubstanceActiveIngredientprofile" />
<status value="draft" />
<description value="This profile originates from the page “Medicine” in the pre-hospital patient journal (PPJ). The registration contains information regarding the active ingredient of the medications from the list of potential medications that can be administered by the paramedics before arrival to the ER." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="rim" />
<uri value="http://hl7.org/v3" />
<name value="RIM Mapping" />
</mapping>
<mapping>
<identity value="orim" />
<uri value="http://hl7.org/orim" />
<name value="Ontological RIM Mapping" />
</mapping>
<mapping>
<identity value="w5" />
<uri value="http://hl7.org/fhir/fivews" />
<name value="FiveWs Pattern Mapping" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Substance" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Substance" />
<derivation value="constraint" />
<differential>
<element id="Substance">
<path value="Substance" />
<short value="Information regarding the active ingredient of the medication" />
<definition value="This profile originates from the page “Medicine” in the pre-hospital patient journal (PPJ). The registration contains information regarding the active ingredient of the medications from the list of potential medications that can be administered by the paramedics before arrival to the ER." />
</element>
<element id="Substance.identifier">
<path value="Substance.identifier" />
<short value="Danish social security number (CPR)" />
<min value="1" />
<max value="1" />
</element>
<element id="Substance.identifier.use">
<path value="Substance.identifier.use" />
<max value="0" />
</element>
<element id="Substance.identifier.type">
<path value="Substance.identifier.type" />
<max value="0" />
</element>
<element id="Substance.identifier.system">
<path value="Substance.identifier.system" />
<short value="Entry to Danish social security number database" />
<min value="1" />
</element>
<element id="Substance.identifier.value">
<path value="Substance.identifier.value" />
<short value="Unique identifier of 10 digits" />
<min value="1" />
</element>
<element id="Substance.identifier.period">
<path value="Substance.identifier.period" />
<max value="0" />
</element>
<element id="Substance.identifier.assigner">
<path value="Substance.identifier.assigner" />
<max value="0" />
</element>
<element id="Substance.status">
<path value="Substance.status" />
<max value="0" />
</element>
<element id="Substance.category">
<path value="Substance.category" />
<max value="0" />
</element>
<element id="Substance.code">
<path value="Substance.code" />
<slicing>
<discriminator>
<type value="exists" />
<path value="text" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Active ingredient of predefined medications" />
</element>
<element id="Substance.code:acetylsalicylicAcid">
<path value="Substance.code" />
<sliceName value="acetylsalicylicAcid" />
<short value="Acetylsalicylic acid" />
</element>
<element id="Substance.code:acetylsalicylicAcid.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="387458008" />
<display value="Acetylsalicylsyre" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:acetylsalicylicAcid.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:acetylsalicylicAcid.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:acetylsalicylicAcid.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:acetylsalicylicAcid.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:acetylsalicylicAcid.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:acetylsalicylicAcid.text">
<path value="Substance.code.text" />
<short value="Registration of acetylsalicylic acid" />
<min value="1" />
<fixedString value="Acetylsalicylsyre" />
</element>
<element id="Substance.code:adenosine">
<path value="Substance.code" />
<sliceName value="adenosine" />
<short value="Adenosine" />
</element>
<element id="Substance.code:adenosine.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="35431001" />
<display value="Adenosin" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:adenosine.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:adenosine.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:adenosine.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:adenosine.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:adenosine.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:adenosine.text">
<path value="Substance.code.text" />
<short value="Registration of adenosine" />
<min value="1" />
<fixedString value="Adenosin" />
</element>
<element id="Substance.code:adrenaline">
<path value="Substance.code" />
<sliceName value="adrenaline" />
<short value="Adrenaline" />
</element>
<element id="Substance.code:adrenaline.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="387362001" />
<display value="Adrenalin" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:adrenaline.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:adrenaline.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:adrenaline.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:adrenaline.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:adrenaline.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:adrenaline.text">
<path value="Substance.code.text" />
<short value="Registration of adrenaline" />
<min value="1" />
<fixedString value="Adrenalin" />
</element>
<element id="Substance.code:alfentanil">
<path value="Substance.code" />
<sliceName value="alfentanil" />
<short value="Alfentanil" />
</element>
<element id="Substance.code:alfentanil.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="387560008" />
<display value="Alfentanil" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:alfentanil.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:alfentanil.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:alfentanil.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:alfentanil.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:alfentanil.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:alfentanil.text">
<path value="Substance.code.text" />
<short value="Registration of alfentanil" />
<min value="1" />
<fixedString value="Alfentanil" />
</element>
<element id="Substance.code:atropine">
<path value="Substance.code" />
<sliceName value="atropine" />
<short value="Atropine" />
</element>
<element id="Substance.code:atropine.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372832002" />
<display value="Atropin" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:atropine.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:atropine.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:atropine.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:atropine.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:atropine.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:atropine.text">
<path value="Substance.code.text" />
<short value="Registration of atropine" />
<min value="1" />
<fixedString value="Atropin" />
</element>
<element id="Substance.code:benzylpenicillin">
<path value="Substance.code" />
<sliceName value="benzylpenicillin" />
<short value="Benzylpenicillin" />
</element>
<element id="Substance.code:benzylpenicillin.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="78507004" />
<display value="Benzylpenicillin" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:benzylpenicillin.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:benzylpenicillin.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:benzylpenicillin.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:benzylpenicillin.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:benzylpenicillin.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:benzylpenicillin.text">
<path value="Substance.code.text" />
<short value="Registration of benzylpenicillin" />
<min value="1" />
<fixedString value="Benzylpenicillin" />
</element>
<element id="Substance.code:calciumChloride">
<path value="Substance.code" />
<sliceName value="calciumChloride" />
<short value="Calcium chloride" />
</element>
<element id="Substance.code:calciumChloride.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="68395000" />
<display value="Calciumchlorid" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:calciumChloride.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:calciumChloride.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:calciumChloride.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:calciumChloride.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:calciumChloride.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:calciumChloride.text">
<path value="Substance.code.text" />
<short value="Registration of calcium chloride" />
<min value="1" />
<fixedString value="Calciumchlorid" />
</element>
<element id="Substance.code:cefotaxime">
<path value="Substance.code" />
<sliceName value="cefotaxime" />
<short value="Cefotaxime" />
</element>
<element id="Substance.code:cefotaxime.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372704003" />
<display value="Cetotaxim" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:cefotaxime.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:cefotaxime.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:cefotaxime.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:cefotaxime.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:cefotaxime.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:cefotaxime.text">
<path value="Substance.code.text" />
<short value="Registration of cefotaxim" />
<min value="1" />
<fixedString value="Cefotaxim" />
</element>
<element id="Substance.code:clemastin">
<path value="Substance.code" />
<sliceName value="clemastin" />
<short value="Clemastin" />
</element>
<element id="Substance.code:clemastin.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372744005" />
<display value="Celemastin" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:clemastin.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:clemastin.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:clemastin.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:clemastin.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:clemastin.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:clemastin.text">
<path value="Substance.code.text" />
<short value="Registration of clemastin" />
<min value="1" />
<fixedString value="Clemastin" />
</element>
<element id="Substance.code:dexamethasone">
<path value="Substance.code" />
<sliceName value="dexamethasone" />
<short value="Dexamethasone" />
</element>
<element id="Substance.code:dexamethasone.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="372584003" />
<display value="Dexamethason" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:dexamethasone.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:dexamethasone.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:dexamethasone.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:dexamethasone.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:dexamethasone.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:dexamethasone.text">
<path value="Substance.code.text" />
<short value="Registration of dexamethasone" />
<min value="1" />
<fixedString value="Dexamethason" />
</element>
<element id="Substance.code:diazepam">
<path value="Substance.code" />
<sliceName value="diazepam" />
<short value="Diazepam" />
</element>
<element id="Substance.code:diazepam.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="387264003" />
<display value="Diazepam" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:diazepam.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:diazepam.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:diazepam.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:diazepam.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:diazepam.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:diazepam.text">
<path value="Substance.code.text" />
<short value="Registration of diazepam" />
<min value="1" />
<fixedString value="Diazepam" />
</element>
<element id="Substance.code:fenoterol">
<path value="Substance.code" />
<sliceName value="fenoterol" />
<short value="Fenoterol" />
</element>
<element id="Substance.code:fenoterol.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="395976006" />
<display value="Fenoterol" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:fenoterol.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:fenoterol.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:fenoterol.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:fenoterol.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:fenoterol.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:fenoterol.text">
<path value="Substance.code.text" />
<short value="Registration of fenoterol" />
<min value="1" />
<fixedString value="Fenoterol" />
</element>
<element id="Substance.code:fentanyl">
<path value="Substance.code" />
<sliceName value="fentanyl" />
<short value="Fentanyl" />
</element>
<element id="Substance.code:fentanyl.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="373492002" />
<display value="Fentanyl" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:fentanyl.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:fentanyl.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:fentanyl.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:fentanyl.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:fentanyl.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:fentanyl.text">
<path value="Substance.code.text" />
<short value="Registration of fentanyl" />
<min value="1" />
<fixedString value="Fentanyl" />
</element>
<element id="Substance.code:flumazenil">
<path value="Substance.code" />
<sliceName value="flumazenil" />
<short value="Flumazenil" />
</element>
<element id="Substance.code:flumazenil.coding">
<path value="Substance.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="387575000" />
<display value="Flumazemil" />
</code>
<min value="1" />
<max value="1" />
</element>
<element id="Substance.code:flumazenil.coding.system">
<path value="Substance.code.coding.system" />
<max value="0" />
</element>
<element id="Substance.code:flumazenil.coding.version">
<path value="Substance.code.coding.version" />
<max value="0" />
</element>
<element id="Substance.code:flumazenil.coding.code">
<path value="Substance.code.coding.code" />
<max value="0" />
</element>
<element id="Substance.code:flumazenil.coding.display">
<path value="Substance.code.coding.display" />
<max value="0" />
</element>
<element id="Substance.code:flumazenil.coding.userSelected">
<path value="Substance.code.coding.userSelected" />
<max value="0" />
</element>
<element id="Substance.code:flumazenil.text">
<path value="Substance.code.text" />
<short value="Registration of flumazenil" />
<min value="1" />
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