Medication
no-basis-AllergyIntolerance
no-basis-AllergyIntolerance is the basic profile for communicating Allergy intoleeance identifed for a patient. Defined by The Norwegian Directorate of eHealth and HL7 Norway. Used to describe risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance. The profile has the following changes from AllergyIntolerance:
- There are restrictions to use verificationStatus since KI is using Certainty that has similar use
- Reference to patient is changes. no-basis-patient should be used.
- Substance is required and should include one of: ATC, FestSubstance, FestMedication
manifestation is changed to use codingsystem 7497
the profile is extended with certanity and sourceOfInformation to support national KI standard
Link to the full documentation of the profile no-basis-AllergyIntolerance
Resource content
NoBasisAllergyIntolerance (AllergyIntolerance) | | | AllergyIntolerance | There are no (further) constraints on this element Element idDefinition Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
Norwegian profile:
no-basis-AllergyIntolerance is the basic profile for communicating Allergy intoleeance identifed for a patient. It is adapted to be used in Norway. The profile has the following changes from AllergyIntolerance:
- There are restrictions to use verificationStatus since KI is using Certainty that has similar use
- Reference to patient is changes. no-basis-patient should be used.
- Substance is required and should include one of: ATC, FestSubstance, FestMedication
- manifestation is changed to use codingsystem 7497
- the profile is extended with certanity and sourceOfInformation to support national KI standard
Data type AllergyIntolerance |
extension | | | | There are no (further) constraints on this element Element idAllergyIntolerance.extension Sliced: Unordered, Open, by url(Value) |
sourceofinformation | | | Extension(Complex) | There are no (further) constraints on this element Element idAllergyIntolerance.extension:sourceofinformation Data type Extension(Complex) Extension URL http://hl7.no/fhir/StructureDefinition/no-basis-sourceofinformation |
clinicalStatus | | | | There are no (further) constraints on this element Element idAllergyIntolerance.clinicalStatus Definition Inaktiv if refuted or entered-in-error, others = active.
|
verificationStatus | | | | There are no (further) constraints on this element Element idAllergyIntolerance.verificationStatus Short description unconfirmed | presumed | confirmed | refuted | entered-in-error Definition Mapping KI sannsynlighet: KJ:
Mistenkt=unconfirmed
Sannsynlig=presumed
Bekreftet=confirmed
Avkreftet = refuted
Slette = entered-in-error
|
coding | | | | There are no (further) constraints on this element |
system | | | Fixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.verificationStatus.coding.system Fixed value http://terminology.hl7.org/CodeSystem/allergyintolerance-verification |
code | | | | There are no (further) constraints on this element |
coding | | | | There are no (further) constraints on this element Element idAllergyIntolerance.code.coding Sliced: Unordered, Open, by system(Value) |
ATC | | | | There are no (further) constraints on this element Element idAllergyIntolerance.code.coding:ATC |
system | | | Fixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code.coding:ATC.system Fixed value |
FESTSubstance | | | | There are no (further) constraints on this element Element idAllergyIntolerance.code.coding:FESTSubstance |
system | | | Fixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code.coding:FESTSubstance.system Fixed value http://ehelse.no/FESTSubstance |
FESTMedication | | | | There are no (further) constraints on this element Element idAllergyIntolerance.code.coding:FESTMedication |
system | | | Fixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.code.coding:FESTMedication.system Fixed value http://ehelse.no/FESTMedication |
patient | | | Reference(NoBasisPatient) | There are no (further) constraints on this element Element idAllergyIntolerance.patient Data type Reference(NoBasisPatient) |
recorder | | | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | NoBasisPatient | no-basis-Practitioner | no-basis-PractitionerRole | no-basis-RelatedPerson) | There are no (further) constraints on this element Element idAllergyIntolerance.recorder Data type Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | NoBasisPatient | no-basis-Practitioner | no-basis-PractitionerRole | no-basis-RelatedPerson) |
asserter | | | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | no-basis-Practitioner | no-basis-PractitionerRole | NoBasisPatient | no-basis-RelatedPerson) | There are no (further) constraints on this element Element idAllergyIntolerance.asserter Data type Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | no-basis-Practitioner | no-basis-PractitionerRole | NoBasisPatient | no-basis-RelatedPerson) |
reaction | | 1..1 | | There are no (further) constraints on this element Element idAllergyIntolerance.reaction |
manifestation | | ..1 | | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.manifestation Definition Clinical symptoms and/or signs that are observed or associated with the adverse reaction event. Coding system 7497 shall be used.
|
coding | | 1..1 | | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.manifestation.coding |
system | | 1.. | Fixed Value | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.manifestation.coding.system Fixed value urn:uid:2.16.578.1.12.4.1.1.7497 |
code | | 1.. | | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.manifestation.coding.code |
display | | 1.. | | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.manifestation.coding.display |
severity | | | | There are no (further) constraints on this element Element idAllergyIntolerance.reaction.severity Definition Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. Mapping to KI standard is Severe=Alvorlig. Moderate=Mild=Mindre alvorlig.
|
no-basis-Medication
Defined by The Norwegian Directorate of eHealth and HL7 Norway.This resource is primarily used for the identification and definition of a medication. It covers the ingredients and the packaging for a medication.
The resource has been changed to support norwegian FEST. The following changes are done:
- it is required to use a code identifying the medication in FEST. Special use when medication not present in FEST.
- ATC is a prefered code and should allways be identied if medication is present in FEST.
- form is required and will follow norwegian codingsystem
- the profile is extended with no-basis-Prescriptiongroup
Link to the full documentation of the profile no-basis-Medication
Resource content
NoBasisMedication (Medication) | | | Medication | There are no (further) constraints on this element Element idDefinition This resource is primarily used for the identification and definition of a medication. It covers the ingredients and the packaging for a medication.
The resource has been changed to support norwegian FEST. The following changes are done:
- it is required to use a code identifying the medication in FEST. Special use when medication not present in FEST.
- ATC is a prefered code and should allways be identied if medication is present in FEST.
- isBrand is a required filed.
- form is required and will follow norwegian codingsystem
- the profile is extended with no-basis-Prescriptiongroup
Data type Medication |
extension | | | | There are no (further) constraints on this element Element idSliced: Unordered, Open, by url(Value) |
prescriptiongroup | | | Extension(Complex) | There are no (further) constraints on this element Element idMedication.extension:prescriptiongroup Definition Prescription group is refered in IDMP as Legal status of supply.
Data type Extension(Complex) Extension URL http://hl7.no/fhir/StructureDefinition/no-basis-prescriptiongroup |
code | | 1.. | | There are no (further) constraints on this element Element id |
coding | | | | There are no (further) constraints on this element Element idSliced: Unordered, Open, by system(Value) |
FEST-Medication | | 1..1 | | There are no (further) constraints on this element Element idMedication.code.coding:FEST-Medication Short description Medication defined in FEST Definition Medication is one of the following types: LegemiddelVirkestoff, LegemiddelMerkevare, Legemiddelpakning, Legemiddeldose.
|
system | | 1.. | Fixed Value | There are no (further) constraints on this element Element idMedication.code.coding:FEST-Medication.system Fixed value http://ehelse.no/fhir/CodeSystem/FEST |
display | | 1.. | | There are no (further) constraints on this element Element idMedication.code.coding:FEST-Medication.display |
ATC | | ..1 | | There are no (further) constraints on this element Element idMedication.code.coding:ATC Short description ATC Definition Medications ATC code if present.
|
system | | 1.. | Fixed Value | There are no (further) constraints on this element Element idMedication.code.coding:ATC.system Fixed value |
code | | 1.. | | There are no (further) constraints on this element Element idMedication.code.coding:ATC.code |
display | | 1.. | | There are no (further) constraints on this element Element idMedication.code.coding:ATC.display |
form | | 1.. | | There are no (further) constraints on this element Element idShort description Code from volven 7448 Definition |
coding | | 1.. | | There are no (further) constraints on this element Element idSliced: Unordered, Open, by system(Value) |
FEST-Form | | ..1 | | There are no (further) constraints on this element Element idMedication.form.coding:FEST-Form Short description Form given by norwegian codingsystem Definition Norwegian coding of the medication form, as given in FEST and based on codingsystem 7448.
|
system | | 1.. | Fixed Value | There are no (further) constraints on this element Element idMedication.form.coding:FEST-Form.system Fixed value urn:oid:2.16.578.1.12.4.1.1.7448 |
code | | 1.. | | There are no (further) constraints on this element Element idMedication.form.coding:FEST-Form.code |
display | | 1.. | | There are no (further) constraints on this element Element idMedication.form.coding:FEST-Form.display |
no-basis-MedicationStatement
A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now, or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains
no-basis-Medication statement is the basic profile for communicating what the patient is using, has been using og plan to use. To be used in PLL and similar resources that communicate information about medication use. Defined by The Norwegian Directorate of eHealth and HL7 Norway. The profile has the following changes from MedicationStatement:
- PLL-id is added as an identifier
- reference to no-basis-medication is added and should be used as prefered reference.
- reference to no-basis-patient is added (subject) and should be used as prefered reference.
- ICPC2 and ICD10 is added as prefered reasonCode.
Link to the full documentation of the profile no-basis-MedicationStatement
Resource content
NoBasisMedicationStatement (MedicationStatement) | | | MedicationStatement | There are no (further) constraints on this element Element idDefinition A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now, or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains
Norwegian profile:
no-basis-Medication statement is the basic profile for communicating what the patient is using, has been using og plan to use. To be used in PLL and similar resources that communicate information about medication use. The profile has the following changes from MedicationStatement:
- PLL-id is added as an identifier
- reference to no-basis-medication is added and should be used as prefered reference.
- reference to no-basis-patient is added (subject) and should be used as prefered reference.
- ICPC2 and ICD10 is added as prefered reasonCode.
Data type MedicationStatement |
identifier | | | | There are no (further) constraints on this element Element idMedicationStatement.identifier Sliced: Ordered, Open At End, by system(Value) |
PLL-id | | ..1 | | There are no (further) constraints on this element Element idMedicationStatement.identifier:PLL-id Short description Identifier of norwegian PLL registration Definition If the medicationstatement is part of PLL, then PLL-id shall be registered.
|
type | | | Fixed Value | There are no (further) constraints on this element Element idMedicationStatement.identifier:PLL-id.type Fixed value |
text | | 1.. | Fixed Value | There are no (further) constraints on this element Element idMedicationStatement.identifier:PLL-id.type.text Fixed value |
status | | | | There are no (further) constraints on this element Element idMedicationStatement.status Definition A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally this will be active or completed.
active = start date has passed and end date is not reached
completed = end date is passed (for treatement that had an initial stop date)
entered-in-error = deleted (ref Norwegian laws)
intended = start date is not reached
stopped = end date is passed and it was an active desition to stop the treatment
on-hold = the treatment is paused
|
medication[x] | | | | There are no (further) constraints on this element Element idMedicationStatement.medication[x] Sliced: Unordered, Open At End, by $this(Type) |
medicationReference | | 1.. | Reference(no-basis-Medication) | There are no (further) constraints on this element Element idMedicationStatement.medication[x]:medicationReference Data type Reference(no-basis-Medication) Allowed aggregation: bundled |
subject | | | Reference(NoBasisPatient) | There are no (further) constraints on this element Element idMedicationStatement.subject Data type Reference(NoBasisPatient) |
reasonCode | | | | There are no (further) constraints on this element Element idMedicationStatement.reasonCode Sliced: Unordered, Open, by coding.system(Value) |
ICPC2 | | ..1 | | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICPC2 |
coding | | | | There are no (further) constraints on this element |
system | | 1.. | Fixed Value | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICPC2.coding.system Fixed value urn:oid:2.16.578.1.12.4.1.1.7170 |
code | | 1.. | | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICPC2.coding.code |
display | | 1.. | | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICPC2.coding.display |
ICD10 | | ..1 | | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICD10 |
coding | | | | There are no (further) constraints on this element |
system | | 1.. | Fixed Value | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICD10.coding.system Fixed value urn:oid:2.16.578.1.12.4.1.1.7110 |
code | | 1.. | | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICD10.coding.code |
display | | 1.. | | There are no (further) constraints on this element Element idMedicationStatement.reasonCode:ICD10.coding.display |
no-basis-Substance
no-basis-Substance is the basic profile for communicating Allergy intoleeance identifed for a patient. Defined by The Norwegian Directorate of eHealth and HL7 Norway. Desrcribes homogeneous material with a definite composition. The profile is adapted to use FEST information for coding the substance.
Link to the full documentation of the profile no-basis-Substance
Resource content
NoBasisSubstance (Substance) | | | Substance | There are no (further) constraints on this element Element idDefinition A homogeneous material with a definite composition.
The profile is adapted to use FEST information for coding the substance.
Data type Substance |
code | | | | There are no (further) constraints on this element |
coding | | | | There are no (further) constraints on this element Element idSliced: Unordered, Open At End, by system(Value) |
FEST-Substance | | ..1 | | There are no (further) constraints on this element Element idSubstance.code.coding:FEST-Substance Short description Substance defined in FEST Definition A reference to a substance defined in FEST. Using the Substance-id in FEST as code and the Substance name as display. When communicating with other systems in Norway FEST Id shouuld be provided.
|
system | | 1.. | Fixed Value | There are no (further) constraints on this element Element idSubstance.code.coding:FEST-Substance.system Short description FEST Definition Fixed value http://ehelse.no/fhir/CodeSystem/FEST |
code | | 1.. | | There are no (further) constraints on this element Element idSubstance.code.coding:FEST-Substance.code Short description Substance Id in FEST Definition The FEST Id is unique across versions of FEST.
|
display | | 1.. | | There are no (further) constraints on this element Element idSubstance.code.coding:FEST-Substance.display Short description Substance name from FEST Definition The name of the substance as defiend in FEST.
|