Resumen de Historia Clínica del Paciente (IPS)

Perfil FHIR

MedicationStatementIPS (MedicationStatement)	S		http://hl7.org/fhir/StructureDefinition/MedicationStatement	There are no (further) constraints on this element Element id MedicationStatement Data type http://hl7.org/fhir/StructureDefinition/MedicationStatement
id	S			There are no (further) constraints on this element Element id MedicationStatement.id
meta	S			There are no (further) constraints on this element Element id MedicationStatement.meta
profile	S			There are no (further) constraints on this element Element id MedicationStatement.meta.profile
status	S			There are no (further) constraints on this element Element id MedicationStatement.status Comments In the scope of the IPS the entered-in-error concept is not allowed.
medication[x]	S		Binding	There are no (further) constraints on this element Element id MedicationStatement.medication[x] Definition Identifies the medication being administered or the reason for absent or unknown Medication. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available. Binding Representation of unknown or absent medications IPSNoMedsInfo (preferred)
medicationCodeableConcept			Codeable Concept (IPS)	There are no (further) constraints on this element Data type Codeable Concept (IPS)
medicationReference			Reference(Medication (IPS))	There are no (further) constraints on this element Data type Reference(Medication (IPS))
subject	S		Reference(Patient (IPS))	There are no (further) constraints on this element Element id MedicationStatement.subject Data type Reference(Patient (IPS))
reference	S	1..		There are no (further) constraints on this element Element id MedicationStatement.subject.reference
effective[x]	S	1..1		There are no (further) constraints on this element Element id MedicationStatement.effective[x]
extension	S	..1	Extension(code)	There are no (further) constraints on this element Element id MedicationStatement.effective[x].extension Short description effective[x] absence reason Definition Provides a reason why the effective is missing. Data type Extension(code) Extension URL Data Absent Reason
informationSource	S			There are no (further) constraints on this element Element id MedicationStatement.informationSource
reasonCode	S		Codeable Concept (IPS)	There are no (further) constraints on this element Element id MedicationStatement.reasonCode Data type Codeable Concept (IPS)
reasonReference	S			There are no (further) constraints on this element Element id MedicationStatement.reasonReference
dosage	S			There are no (further) constraints on this element Element id MedicationStatement.dosage
text	S			There are no (further) constraints on this element Element id MedicationStatement.dosage.text
timing	S			There are no (further) constraints on this element Element id MedicationStatement.dosage.timing
site	S		Codeable Concept (IPS)Binding	There are no (further) constraints on this element Element id MedicationStatement.dosage.site Data type Codeable Concept (IPS) Binding IPSTargetSiteCode (preferred)
route	S		Codeable Concept (IPS)Binding	There are no (further) constraints on this element Element id MedicationStatement.dosage.route Data type Codeable Concept (IPS) Binding EDQM Standards Terms IPSRouteOfAdmin (required)

Medicación Actual

Para cada medicación que el paciente tenga recetada/activa, generar una entry en el bundle con un recurso MedicationStatement (se detallan solo los elementos obligatorios)

MedicationStatement	Descripción
text[1]	Texto vacío o copia del texto de la sección, derivado en forma legible del contenido de sus elementos
status[1]/value	Un código de http://hl7.org/fhir/codesystem-medication-statement-status.html\|\| medicationReference[1]/reference[1]	Referencia interna al recurso Medication con el detalle del producto recetado
medicationReference[1]/subject[1]	Referencia interna al recurso Paciente con la información del paciente
effectivePeriod[1]/start[1]/@value	Fecha desde la cual el paciente debe utilizar la medicación
dosage[1]/timing[1]/repeat[1]/count[1]	Cantidad de repeticiones por período
dosage[1]/timing[1]/repeat[1]/periodUnit[1]	Código de período: s	min	h	d	wk	m
dosage[1]/timing[1]/repeat[1]/count[1]	Cantidad de repeticiones por período
dosage[1]/route[1]/coding[1]/system[1]	Valor Fijo: "http://snomed.info/sct"
dosage[1]/route[1]/coding[1]/code[1]	Código en SNOMED para la ruta de administración, de este valueset http://hl7.org/fhir/ValueSet/route-codes\|
dosage[1]/route[1]/coding[1]/display[1]	Descripción en SNOMED para la ruta de administración
dosage[1]/doseAndRate[1]/type[1]/coding[1]/system[1]	Valor Fijo "http://terminology.hl7.org/CodeSystem/dose-rate-type"
dosage[1]/doseAndRate[1]/type[1]/coding[1]/code[1]	Valor Fijo "ordered"
dosage[1]/doseAndRate[1]/type[1]/coding[1]/display[1]	Valor Fijo "ordered"
dosage[1]/doseAndRate[1]/doseQuantity[1]/value[1]	Cantidad de Unidades
dosage[1]/doseAndRate[1]/doseQuantity[1]/unit[1]	Código de Unidad, de cualquier hijo de Snomed CT (732935002)
dosage[1]/doseAndRate[1]/doseQuantity[1]/system[1]	Valor Fijo "http://snomed.info/sct"
dosage[1]/doseAndRate[1]/doseQuantity[1]/display[1]	Descripcion para la unidad