MII IG Medikation DE v2024

Extension: Wirkstoffrelation

package/StructureDefinition-mii-ex-medikation-wirkstoffrelation.json

Beschreibung

Die Extension Wirkstoffrelation erlaubt es, Referenzen zwischen den Wirkstoffen abzubilden. Somit kann ein Wirkstoff, der als "genauer" Wirkstoff klassifiziert ist, eindeutig einem "allgemeinen" Wirkstoff zugeordnet werden. Dies erlaubt bspw. die Umrechnung, dass "10mg Bisoprolol hemifumarat" "8,49mg Bisoprolol" entsprechen.

Name	Status	Version	Canonical	Basis
MII_EX_Medikation_Wirkstoffrelation	active	2.0.0	https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation	http://hl7.org/fhir/StructureDefinition/Extension

Inhalt

MII_EX_Medikation_Wirkstoffrelation (Extension)	I		Extension	There are no (further) constraints on this element Element id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
ingredientReference	I	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:ingredientReference Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:ingredientReference.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:ingredientReference.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	Element id Extension.extension:ingredientReference.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value ingredientReference Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id Extension.extension:ingredientReference.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueReference			Reference(Medication \| Substance)	Data type Reference(Medication \| Substance)
ingredientUri	I	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:ingredientUri Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:ingredientUri.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:ingredientUri.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	Element id Extension.extension:ingredientUri.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value ingredientUri Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id Extension.extension:ingredientUri.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueUri			uri	Data type uri
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A

Die Extension ermöglicht die Zuordnung von einem genauem Wirkstoff (z.B. Salz, Ester) zu einem allgemeinem Wirkstoff.

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-ex-medikation-wirkstoffrelation" />
    <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation" />
    <version value="2.0.0" />
    <name value="MII_EX_Medikation_Wirkstoffrelation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII_EX_Medikation_IngredientRelation" />
            </extension>
        </extension>
    </name>
    <title value="MII EX Medikation Wirkstoffrelation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII EX Medikation Ingredient Relation" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <experimental value="false" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Die Extension erm&#246;glicht die Zuordnung von einem genauem Wirkstoff (z.B. Salz, Ester) zu einem allgemeinem Wirkstoff.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="The extension enables the assignment of an exact substance e.g. salt, ester to a general substance." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <kind value="complex-type" />
    <abstract value="false" />
    <context>
        <type value="element" />
        <expression value="Medication.ingredient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension.extension:ingredientReference">
            <path value="Extension.extension" />
            <sliceName value="ingredientReference" />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension:ingredientReference.extension">
            <path value="Extension.extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.extension:ingredientReference.url">
            <path value="Extension.extension.url" />
            <fixedUri value="ingredientReference" />
        </element>
        <element id="Extension.extension:ingredientReference.value[x]">
            <path value="Extension.extension.value[x]" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance" />
            </type>
        </element>
        <element id="Extension.extension:ingredientUri">
            <path value="Extension.extension" />
            <sliceName value="ingredientUri" />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension:ingredientUri.extension">
            <path value="Extension.extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.extension:ingredientUri.url">
            <path value="Extension.extension.url" />
            <fixedUri value="ingredientUri" />
        </element>
        <element id="Extension.extension:ingredientUri.value[x]">
            <path value="Extension.extension.value[x]" />
            <type>
                <code value="uri" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-ex-medikation-wirkstoffrelation",
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation",
    "version": "2.0.0",
    "name": "MII_EX_Medikation_Wirkstoffrelation",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_EX_Medikation_IngredientRelation"
                    }
                ]
            }
        ]
    },
    "title": "MII EX Medikation Wirkstoffrelation",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII EX Medikation Ingredient Relation"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "experimental": false,
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Die Extension ermöglicht die Zuordnung von einem genauem Wirkstoff (z.B. Salz, Ester) zu einem allgemeinem Wirkstoff.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "The extension enables the assignment of an exact substance e.g. salt, ester to a general substance."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Medication.ingredient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension.extension:ingredientReference",
                "path": "Extension.extension",
                "sliceName": "ingredientReference",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension:ingredientReference.extension",
                "path": "Extension.extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.extension:ingredientReference.url",
                "path": "Extension.extension.url",
                "fixedUri": "ingredientReference"
            },
            {
                "id": "Extension.extension:ingredientReference.value[x]",
                "path": "Extension.extension.value[x]",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Medication",
                            "http://hl7.org/fhir/StructureDefinition/Substance"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.extension:ingredientUri",
                "path": "Extension.extension",
                "sliceName": "ingredientUri",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension:ingredientUri.extension",
                "path": "Extension.extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.extension:ingredientUri.url",
                "path": "Extension.extension.url",
                "fixedUri": "ingredientUri"
            },
            {
                "id": "Extension.extension:ingredientUri.value[x]",
                "path": "Extension.extension.value[x]",
                "type":  [
                    {
                        "code": "uri"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

package/StructureDefinition-mii-ex-medikation-wirkstoffrelation.json

Beispiele

Beispiel

Beispiel Medication-Ressource mit Liste von Wirkstoffen in Medication.ingredient. Klassifizierung jedes Wirkstofftyps mittels Wirkstofftyp-Extension. Zusätzlich Wirkstoffrelation-Extension zur Darstellung, dass eine Brausetablette 2945.15 mg Calcium lactate gluconate (id:ing_1, Typ:PIN) und 300 mg Calcium carbonate (id:ing_2, Typ:PIN) enthält entsprechend 500 mg Calcium (id:ing_3, Typ:IN):

{
    "resourceType": "Medication",
    "id": "mii-exa-medikation-medication-calcium",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "00169644",
                "system": "http://fhir.de/CodeSystem/ifa/pzn",
                "display": "CALCIUM SANDOZ forte Brausetabletten"
            },
            {
                "code": "A12AA20",
                "system": "http://fhir.de/CodeSystem/bfarm/atc",
                "version": "2023",
                "display": "Calcium (verschiedene Salze in Kombination)"
            },
            {
                "code": "A12AA20",
                "system": "http://www.whocc.no/atc",
                "version": "2023",
                "display": "calcium (different salts in combination)"
            }
        ]
    },
    "form": {
        "coding":  [
            {
                "code": "10222000",
                "system": "http://standardterms.edqm.eu",
                "display": "Effervescent tablet"
            }
        ]
    },
    "ingredient":  [
        {
            "id": "ing_1",
            "extension":  [
                {
                    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp",
                    "valueCoding": {
                        "code": "PIN",
                        "system": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/CodeSystem/wirkstofftyp"
                    }
                }
            ],
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "472LWJ3Y9N",
                        "system": "http://fdasis.nlm.nih.gov",
                        "display": "CALCIUM LACTATE GLUCONATE"
                    },
                    {
                        "code": "11116-97-5",
                        "system": "http://terminology.hl7.org/CodeSystem/CAS",
                        "display": "Calcium lactate gluconate"
                    },
                    {
                        "code": "422232005",
                        "system": "http://snomed.info/sct",
                        "version": "http://snomed.info/sct/900000000000207008/version/20230731",
                        "display": "Calcium lactate gluconate (substance)"
                    }
                ]
            },
            "strength": {
                "numerator": {
                    "value": 2945.15,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "milligram"
                },
                "denominator": {
                    "value": 1,
                    "code": "10222000",
                    "system": "http://standardterms.edqm.eu",
                    "unit": "Effervescent tablet"
                }
            }
        },
        {
            "id": "ing_2",
            "extension":  [
                {
                    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp",
                    "valueCoding": {
                        "code": "PIN",
                        "system": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/CodeSystem/wirkstofftyp"
                    }
                }
            ],
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "H0G9379FGK",
                        "system": "http://fdasis.nlm.nih.gov",
                        "display": "CALCIUM CARBONATE"
                    },
                    {
                        "code": "471-34-1",
                        "system": "http://terminology.hl7.org/CodeSystem/CAS",
                        "display": "Calcium carbonate"
                    },
                    {
                        "code": "387307005",
                        "system": "http://snomed.info/sct",
                        "version": "http://snomed.info/sct/900000000000207008/version/20230731",
                        "display": "Calcium carbonate (substance)"
                    }
                ]
            },
            "strength": {
                "numerator": {
                    "value": 300,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "milligram"
                },
                "denominator": {
                    "value": 1,
                    "code": "10222000",
                    "system": "http://standardterms.edqm.eu",
                    "unit": "Effervescent tablet"
                }
            }
        },
        {
            "id": "ing_3",
            "extension":  [
                {
                    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstofftyp",
                    "valueCoding": {
                        "code": "IN",
                        "system": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/CodeSystem/wirkstofftyp"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "ingredientUri",
                            "valueUri": "#ing_1"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation"
                },
                {
                    "extension":  [
                        {
                            "url": "ingredientUri",
                            "valueUri": "#ing_2"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/wirkstoffrelation"
                }
            ],
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "code": "2M83C4R6ZB",
                        "system": "http://fdasis.nlm.nih.gov",
                        "display": "CALCIUM CATION"
                    },
                    {
                        "code": "14127-61-8",
                        "system": "http://terminology.hl7.org/CodeSystem/CAS",
                        "display": "Calcium cation"
                    },
                    {
                        "code": "5540006",
                        "system": "http://snomed.info/sct",
                        "version": "http://snomed.info/sct/900000000000207008/version/20230731",
                        "display": "Calcium (substance)"
                    }
                ]
            },
            "strength": {
                "numerator": {
                    "value": 500.54,
                    "code": "mg",
                    "system": "http://unitsofmeasure.org",
                    "unit": "milligram"
                },
                "denominator": {
                    "value": 1,
                    "code": "10222000",
                    "system": "http://standardterms.edqm.eu",
                    "unit": "Effervescent tablet"
                }
            }
        }
    ]
}