<status value="draft" /> <description value="Este profile define las restricciones del recurso MedicationStatement para representar el registro de la medicación inyectada durante el hospital o el tratamiento farmacológico previo, en el contexto del caso de uso de ÚNICAS." /> <fhirVersion value="5.0.0" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationStatement" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" /> <derivation value="constraint" /> <differential> <element id="MedicationStatement.identifier"> <path value="MedicationStatement.identifier" /> <short value="Identificador único" /> <definition value="External identifier. Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server." /> <min value="1" /> </element> <element id="MedicationStatement.identifier.system"> <path value="MedicationStatement.identifier.system" /> <short value="Sistema para identificar el origen" /> <definition value="Formato: urn:regcess:[CódigoREGCESS] Debe incluir el código REGCESS después de urn:regcess:" /> <min value="1" /> <constraint> <key value="regcess-system" /> <severity value="warning" /> <human value="system debe comenzar por urn:regcess: seguido del identificador del sistema." /> <expression value="matches('^urn:regcess:[A-Za-z0-9]+$')" /> </constraint> </element> <element id="MedicationStatement.identifier.value"> <path value="MedicationStatement.identifier.value" /> <short value="Identificador interno del sistema para el registro de la medicación inyectada durante el hospital" /> <definition value="Debe indicar el ID interno del sistema de origen utilizado para el registro de la medicación inyectada durante el hospital." /> <min value="1" /> </element> <element id="MedicationStatement.medication"> <path value="MedicationStatement.medication" /> <short value="Medicación" /> <definition value="What medication was taken. Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications." /> <type> <code value="CodeableReference" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASMedication" /> </type> <binding> <strength value="extensible" /> <description value="Value set de Fármacos" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/Farmacos" /> </binding> </element> <element id="MedicationStatement.medication.concept"> <path value="MedicationStatement.medication.concept" /> <short value="Fármaco" /> <definition value="Reference to a concept (by class). A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology." /> <min value="1" /> </element> <element id="MedicationStatement.medication.concept.coding.system"> <path value="MedicationStatement.medication.concept.coding.system" /> <short value="URL del SNOMED CT. Extensión para España del SNS | OID del ATC | OID del DCSA" /> <definition value="Posibles URLs y/o OIDs de terminología utilizada para indicar el fármaco y su descripción correspondiente: - SNOMED CT. Extensión para España del SNS con filtro aplicado al eje producto: http://snomed.info/sct/900000001000122104 - ATC: urn:oid:2.16.724.4.21.5.15.1 - DCSA: urn:oid:2.16.724.4.21.5.14.3" /> <min value="1" /> </element> <element id="MedicationStatement.medication.concept.coding.code"> <path value="MedicationStatement.medication.concept.coding.code" /> <short value="Código del fármaco" /> <min value="1" /> </element> <element id="MedicationStatement.medication.concept.coding.display"> <path value="MedicationStatement.medication.concept.coding.display" /> <short value="Descripción del fármaco" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> <min value="1" /> </element> <element id="MedicationStatement.medication.concept.text"> <path value="MedicationStatement.medication.concept.text" /> <short value="Nombre comercial" /> <definition value="Plain text representation of the concept. A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." /> </element> <element id="MedicationStatement.medication.reference"> <path value="MedicationStatement.medication.reference" /> <short value="Referencia al fármaco" /> <definition value="Reference to a resource (by instance). A reference to a resource the provides exact details about the information being referenced." /> </element> <element id="MedicationStatement.medication.reference.reference"> <path value="MedicationStatement.medication.reference.reference" /> <short value="Referencia recurso FHIR" /> <definition value="Formato: [base]/Medication?code=[URL del SNOMED CT. Extensión para España del SNS o urn:oid del ATC o DCSA]|[Código del fármaco]" /> </element> <element id="MedicationStatement.medication.reference.type"> <path value="MedicationStatement.medication.reference.type" /> <short value="Tipo de recurso FHIR" /> <definition value="Type the reference refers to (e.g. "Patient") - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> </element> <element id="MedicationStatement.medication.reference.display"> <path value="MedicationStatement.medication.reference.display" /> <short value="Nombre comercial" /> <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." /> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <short value="Referencia al paciente" /> <definition value="Who is/was taking the medication. The person, animal or group who is/was taking the medication." /> <type> <code value="Reference" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient" /> </type> </element> <element id="MedicationStatement.subject.reference"> <path value="MedicationStatement.subject.reference" /> <short value="Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR" /> <definition value="Formato: [base]/Patient?identifier=[OID registro de número de CIP-SNS]|[Número CIP-SNS]" /> </element> <element id="MedicationStatement.subject.type"> <path value="MedicationStatement.subject.type" /> <short value="Tipo de recurso FHIR" /> <definition value="Type the reference refers to (e.g. "Patient") - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> <min value="1" /> </element> <element id="MedicationStatement.subject.identifier"> <path value="MedicationStatement.subject.identifier" /> <short value="Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS" /> <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." /> <min value="1" /> </element> <element id="MedicationStatement.subject.identifier.type"> <path value="MedicationStatement.subject.identifier.type" /> <short value="Tipos de documentos de identificación para persona ÚNICAS" /> <definition value="Description of identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." /> <binding> <strength value="extensible" /> <description value="Value set de Tipos de documentos de identificación para persona ÚNICAS" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDocumentosIdentificacionPersona" /> </binding> </element> <element id="MedicationStatement.subject.identifier.type.coding.system"> <path value="MedicationStatement.subject.identifier.type.coding.system" /> <short value="URL del SNOMED CT. Extensión para España del SNS" /> <definition value="Posible URL de terminología utilizada para indicar el tipo de documentos de identificación y su descripción correspondiente: - SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" /> </element> <element id="MedicationStatement.subject.identifier.type.coding.code"> <path value="MedicationStatement.subject.identifier.type.coding.code" /> <short value="Código del identificador" /> </element> <element id="MedicationStatement.subject.identifier.type.coding.display"> <path value="MedicationStatement.subject.identifier.type.coding.display" /> <short value="Decripción del identificador" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> </element> <element id="MedicationStatement.subject.identifier.system"> <path value="MedicationStatement.subject.identifier.system" /> <short value="OID registro de número de CIP-SNS" /> <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." /> </element> <element id="MedicationStatement.subject.identifier.value"> <path value="MedicationStatement.subject.identifier.value" /> <short value="Número CIP-SNS" /> <definition value="The value that is unique. The portion of the identifier typically relevant to the user and which is unique within the context of the system." /> </element> <element id="MedicationStatement.subject.display"> <path value="MedicationStatement.subject.display" /> <short value="Nombre completo del paciente" /> <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." /> </element> <element id="MedicationStatement.encounter"> <path value="MedicationStatement.encounter" /> <short value="Referencia a la interacción clínica" /> <definition value="Encounter associated with MedicationStatement. The encounter that establishes the context for this MedicationStatement." /> <type> <code value="Reference" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter" /> </type> </element> <element id="MedicationStatement.encounter.reference"> <path value="MedicationStatement.encounter.reference" /> <short value="Referencia recurso FHIR" /> <definition value="Formato: [base]/Encounter?identifier=urn:regcess:[CódigoREGCESS]|[Id interno del sistema para la interacción clínica]" /> </element> <element id="MedicationStatement.encounter.type"> <path value="MedicationStatement.encounter.type" /> <short value="Tipo de recurso FHIR" /> <definition value="Type the reference refers to (e.g. "Patient") - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> </element> <element id="MedicationStatement.encounter.identifier"> <path value="MedicationStatement.encounter.identifier" /> <short value="Identificador del recurso FHIR" /> <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." /> </element> <element id="MedicationStatement.encounter.identifier.system"> <path value="MedicationStatement.encounter.identifier.system" /> <short value="Sistema para identificar el origen" /> <definition value="Formato: urn:regcess:[CódigoREGCESS] Debe incluir el código REGCESS después de urn:regcess:" /> </element> <element id="MedicationStatement.encounter.identifier.value"> <path value="MedicationStatement.encounter.identifier.value" /> <short value="Identificador interno del sistema para la interacción clínica" /> <definition value="Debe indicar el ID interno del sistema de origen utilizado para la interacción clínica" /> </element> <element id="MedicationStatement.effective[x]"> <path value="MedicationStatement.effective[x]" /> <short value="Fecha de inicio del tratamiento y/o Fecha de fin del tratamiento (Duración del tratamiento)" /> <definition value="The date/time or interval when the medication is/was/will be taken. The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.adherence element is Not Taking)." /> <min value="1" /> <type> <code value="Period" /> </type> </element> <element id="MedicationStatement.effective[x].start"> <path value="MedicationStatement.effective[x].start" /> <short value="Fecha de inicio del tratamiento" /> <definition value="Starting time with inclusive boundary. The start of the period. The boundary is inclusive." /> <min value="1" /> </element> <element id="MedicationStatement.effective[x].end"> <path value="MedicationStatement.effective[x].end" /> <short value="Fecha de fin del tratamiento" /> <definition value="End time with inclusive boundary, if not ongoing. The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time." /> </element> <element id="MedicationStatement.dateAsserted"> <path value="MedicationStatement.dateAsserted" /> <short value="Fecha de la prescripción" /> <definition value="When the usage was asserted? The date when the Medication Statement was asserted by the information source." /> </element> <element id="MedicationStatement.informationSource"> <path value="MedicationStatement.informationSource" /> <short value="Referencia al profesional sanitario que realizó la prescripción" /> <definition value="Person or organization that provided the information about the taking of this medication. The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner" /> <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization" /> </type> </element> <element id="MedicationStatement.informationSource.reference"> <path value="MedicationStatement.informationSource.reference" /> <short value="Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR" /> <definition value="Formato: [base]/Practitioner?identifier=[OID registro de DNI]|[Número DNI]" /> </element> <element id="MedicationStatement.informationSource.type"> <path value="MedicationStatement.informationSource.type" /> <short value="Tipo de recurso FHIR" /> <definition value="Type the reference refers to (e.g. "Patient") - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." /> <min value="1" /> </element> <element id="MedicationStatement.informationSource.identifier"> <path value="MedicationStatement.informationSource.identifier" /> <short value="Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado" /> <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." /> <min value="1" /> </element> <element id="MedicationStatement.informationSource.identifier.extension:numeroColegiadoProfesionalSanitario"> <path value="MedicationStatement.informationSource.identifier.extension" /> <sliceName value="numeroColegiadoProfesionalSanitario" /> <type> <code value="Extension" /> <profile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario" /> </type> <isModifier value="false" /> </element> <element id="MedicationStatement.informationSource.identifier.type"> <path value="MedicationStatement.informationSource.identifier.type" /> <short value="Tipos de documentos de identificación para persona ÚNICAS" /> <definition value="Description of identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." /> <binding> <strength value="extensible" /> <description value="Value set de Tipos de documentos de identificación para persona ÚNICAS" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDocumentosIdentificacionPersona" /> </binding> </element> <element id="MedicationStatement.informationSource.identifier.type.coding.system"> <path value="MedicationStatement.informationSource.identifier.type.coding.system" /> <short value="URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS" /> <definition value="Posible URL de terminología utilizada para indicar el tipo de documentos de identificación y su descripción correspondiente: - Refset Tipos de documento para identificación personal del SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104?fhir_vs-refset/900000251000122107" /> </element> <element id="MedicationStatement.informationSource.identifier.type.coding.code"> <path value="MedicationStatement.informationSource.identifier.type.coding.code" /> <short value="Código del identificador" /> </element> <element id="MedicationStatement.informationSource.identifier.type.coding.display"> <path value="MedicationStatement.informationSource.identifier.type.coding.display" /> <short value="Decripción del identificador" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> </element> <element id="MedicationStatement.informationSource.identifier.system"> <path value="MedicationStatement.informationSource.identifier.system" /> <short value="OID registro de DNI" /> <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." /> </element> <element id="MedicationStatement.informationSource.identifier.value"> <path value="MedicationStatement.informationSource.identifier.value" /> <short value="Número del DNI" /> <definition value="The value that is unique. The portion of the identifier typically relevant to the user and which is unique within the context of the system." /> </element> <element id="MedicationStatement.informationSource.display"> <path value="MedicationStatement.informationSource.display" /> <short value="Nombre completo del profesional sanitario" /> <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." /> </element> <element id="MedicationStatement.dosage"> <path value="MedicationStatement.dosage" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.text"> <path value="MedicationStatement.dosage.text" /> <short value="Comentarios para el farmacéutico" /> </element> <element id="MedicationStatement.dosage.route"> <path value="MedicationStatement.dosage.route" /> <short value="Vía de administración" /> <binding> <strength value="extensible" /> <description value="Value set de Vías de administración farmacológica" /> <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/ViasAdministracionFarmacologica" /> </binding> </element> <element id="MedicationStatement.dosage.route.coding.system"> <path value="MedicationStatement.dosage.route.coding.system" /> <short value="OID del Nomenclátor de Prescripción AEMPS. Vía de administración" /> <definition value="Posible OID de catálogo utilizado para indicar la vía de administración farmacológica y su descripción correspondiente: - Nomenclátor de Prescripción AEMPS. Vía de administración: urn:oid:2.16.724.4.21.5.14.2" /> </element> <element id="MedicationStatement.dosage.route.coding.code"> <path value="MedicationStatement.dosage.route.coding.code" /> <short value="Código de la vía de administración farmacológica" /> </element> <element id="MedicationStatement.dosage.route.coding.display"> <path value="MedicationStatement.dosage.route.coding.display" /> <short value="Descripción de la vía de administración farmacológica" /> <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." /> </element> <element id="MedicationStatement.dosage.doseAndRate"> <path value="MedicationStatement.dosage.doseAndRate" /> <min value="1" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x]"> <path value="MedicationStatement.dosage.doseAndRate.dose[x]" /> <short value="Dosis del medicamento" /> <min value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x].value"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].value" /> <short value="Número de dosis" /> <definition value="Numerical value (with implicit precision). The value of the measured amount. The value includes an implicit precision in the presentation of the value." /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x].unit"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].unit" /> <short value="Unidad de dosis" /> <definition value="Unit representation. A human-readable form of the unit." /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x].system"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].system" /> <short value="URL del catálogo UCUM" /> <definition value="- Unified Code for Units of Measure (UCUM): http://unitsofmeasure.org" /> </element> <element id="MedicationStatement.dosage.doseAndRate.dose[x].code"> <path value="MedicationStatement.dosage.doseAndRate.dose[x].code" /> <short value="Código de la unidad de la dosis" /> <definition value="Coded form of the unit. A computer processable form of the unit in some unit representation system." /> </element> <element id="MedicationStatement.dosage.doseAndRate.rate[x]"> <path value="MedicationStatement.dosage.doseAndRate.rate[x]" /> <short value="Frecuencia de tomas (Posología)" /> <min value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="MedicationStatement.dosage.doseAndRate.rate[x].value"> <path value="MedicationStatement.dosage.doseAndRate.rate[x].value" /> <short value="Frecuencia de la toma durante el período" /> <definition value="Numerical value (with implicit precision). The value of the measured amount. The value includes an implicit precision in the presentation of the value." /> </element> <element id="MedicationStatement.dosage.doseAndRate.rate[x].unit"> <path value="MedicationStatement.dosage.doseAndRate.rate[x].unit" /> <short value="Unidad de frecuencia de la toma durante el período" /> <definition value="Unit representation. A human-readable form of the unit." /> </element> <element id="MedicationStatement.dosage.doseAndRate.rate[x].system"> <path value="MedicationStatement.dosage.doseAndRate.rate[x].system" /> <short value="URL del catálogo UCUM" /> <definition value="- Unified Code for Units of Measure (UCUM): http://unitsofmeasure.org" /> </element> <element id="MedicationStatement.dosage.doseAndRate.rate[x].code"> <path value="MedicationStatement.dosage.doseAndRate.rate[x].code" /> <short value="Código de la unidad de frecuencia de la toma durante el período" /> <definition value="Coded form of the unit. A computer processable form of the unit in some unit representation system." /> </element> </differential> </StructureDefinition>