Medication
Die Medikation, die angesetzt, geplant oder verabreicht wird. Es kann sich um ein Fertigarzneimittel oder eine Rezeptur handeln. Auch die Angabe nur des Wirkstoffes ist möglich. Die Angabe mindestens eines Wirkstoffes wird verlangt.
Differential
Medication | I | Medication | Element IdMedication Definition of a Medication DefinitionThis resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. MI-I Medikation
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id | S Σ | 0..1 | System.String | There are no (further) constraints on this element Element IdMedication.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element IdMedication.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element IdMedication.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdMedication.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element IdMedication.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element IdMedication.meta.profile Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdMedication.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdMedication.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element IdMedication.identifier Business identifier for this medication DefinitionBusiness identifier for this medication. The serial number could be included as an identifier.
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code | S Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedication.code Codes that identify this medication DefinitionA code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems. Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one). A coded concept that defines the type of a medication. SNOMEDCTMedicationCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedication.code.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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Pharmazentralnummer | S Σ | 0..* | Coding | Element IdMedication.code.coding:Pharmazentralnummer Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fhir.de/CodeSystem/ifa/pzn" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassDe | S Σ | 0..* | Coding | Element IdMedication.code.coding:atcClassDe ATC Klassifikation deutsche Version DefinitionATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. http://fhir.de/ValueSet/bfarm/atc (example) Constraints
{ "system": "http://fhir.de/CodeSystem/bfarm/atc" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassEn | S Σ | 0..* | Coding | Element IdMedication.code.coding:atcClassEn Anatomical Therapeutic Chemical Classification System DefinitionATC Classification International WHO Version Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://www.whocc.no/atc" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.text Plain text representation of the concept DefinitionA 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. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedication.status active | inactive | entered-in-error DefinitionA code to indicate if the medication is in active use. This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status. A coded concept defining if the medication is in active use. Medication Status Codes (required)Constraints
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manufacturer | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdMedication.manufacturer Manufacturer of the item DefinitionDescribes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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form | S | 0..1 | CodeableConceptBinding | Element IdMedication.form powder | tablets | capsule + DefinitionDescribes the form of the item. Powder; tablets; capsule. When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form. A coded concept defining the form of a medication. DoseFormUvIps (preferred)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedication.form.coding Code defined by a terminology system DefinitionEDQM pharmaceutical dose forms sind bevorzugt zu verwenden. SNOMED CT und IFA Codes sind Alternativen. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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EDQM | S Σ | 0..* | Coding | Element IdMedication.form.coding:EDQM Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://standardterms.edqm.eu" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.form.text Plain text representation of the concept DefinitionA 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. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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amount | Σ I | 0..1 | Ratio | There are no (further) constraints on this element Element IdMedication.amount Amount of drug in package DefinitionSpecific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.). The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.
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ingredient | S | 1..* | BackboneElement | There are no (further) constraints on this element Element IdMedication.ingredient Active or inactive ingredient DefinitionIdentifies a particular constituent of interest in the product. The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.
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extension | I | 0..* | Extension | Element IdMedication.ingredient.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Constraints
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Wirkstofftyp | S I | 0..1 | Extension(Coding) | Element IdMedication.ingredient.extension:Wirkstofftyp Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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.
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Wirkstoffrelation | S I | 0..* | Extension(Complex) | Element IdMedication.ingredient.extension:Wirkstoffrelation Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. Extension(Complex) Extension URL Constraints
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item[x] | 1..1 | There are no (further) constraints on this element Element IdMedication.ingredient.item[x] The actual ingredient or content DefinitionThe actual ingredient - either a substance (simple ingredient) or another medication of a medication. The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). Unordered, ??, by $this(Type) Constraints
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itemReference | Reference(Substance | Medication) | There are no (further) constraints on this element Data Type | ||
itemCodeableConcept | S | 0..1 | CodeableConcept | Element IdMedication.ingredient.item[x]:itemCodeableConcept The actual ingredient or content DefinitionThe actual ingredient - either a substance (simple ingredient) or another medication of a medication. The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).
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coding | S Σ | 1..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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ASK | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK Arzneistoffkatalog(ASK)-Nummer DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. http://fhir.de/ValueSet/ask (example) Constraints
{ "system": "http://fhir.de/CodeSystem/ask" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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UNII | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII Unique Ingredient Identifier DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fdasis.nlm.nih.gov" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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CAS | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS Chemical abstract codes DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "urn:oid:2.16.840.1.113883.6.61" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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SNOMED | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.text Plain text representation of the concept DefinitionA 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. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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isActive | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.isActive Active ingredient indicator DefinitionIndication of whether this ingredient affects the therapeutic action of the drug. True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).
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strength | S I | 0..1 | Ratio | There are no (further) constraints on this element Element IdMedication.ingredient.strength Quantity of ingredient present DefinitionSpecifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet. The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.
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numerator | S Σ I | 0..1 | Quantity | There are no (further) constraints on this element Element IdMedication.ingredient.strength.numerator Numerator value DefinitionThe value of the numerator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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denominator | S Σ I | 0..1 | Quantity | There are no (further) constraints on this element Element IdMedication.ingredient.strength.denominator Denominator value DefinitionThe value of the denominator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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batch | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdMedication.batch Details about packaged medications DefinitionInformation that only applies to packages (not products).
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lotNumber | 0..1 | string | There are no (further) constraints on this element Element IdMedication.batch.lotNumber Identifier assigned to batch DefinitionThe assigned lot number of a batch of the specified product. Note that FHIR strings SHALL NOT exceed 1MB in size
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expirationDate | 0..1 | dateTime | There are no (further) constraints on this element Element IdMedication.batch.expirationDate When batch will expire DefinitionWhen this specific batch of product will expire.
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Snapshot
Medication | I | Medication | Element IdMedication Definition of a Medication DefinitionThis resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. MI-I Medikation
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id | S Σ | 0..1 | System.String | There are no (further) constraints on this element Element IdMedication.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element IdMedication.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element IdMedication.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdMedication.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element IdMedication.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element IdMedication.meta.profile Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdMedication.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdMedication.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element IdMedication.identifier Business identifier for this medication DefinitionBusiness identifier for this medication. The serial number could be included as an identifier.
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code | S Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedication.code Codes that identify this medication DefinitionA code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems. Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one). A coded concept that defines the type of a medication. SNOMEDCTMedicationCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedication.code.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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Pharmazentralnummer | S Σ | 0..* | Coding | Element IdMedication.code.coding:Pharmazentralnummer Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fhir.de/CodeSystem/ifa/pzn" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.code.coding:Pharmazentralnummer.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassDe | S Σ | 0..* | Coding | Element IdMedication.code.coding:atcClassDe ATC Klassifikation deutsche Version DefinitionATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. http://fhir.de/ValueSet/bfarm/atc (example) Constraints
{ "system": "http://fhir.de/CodeSystem/bfarm/atc" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassDe.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassEn | S Σ | 0..* | Coding | Element IdMedication.code.coding:atcClassEn Anatomical Therapeutic Chemical Classification System DefinitionATC Classification International WHO Version Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://www.whocc.no/atc" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.code.coding:atcClassEn.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.code.text Plain text representation of the concept DefinitionA 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. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedication.status active | inactive | entered-in-error DefinitionA code to indicate if the medication is in active use. This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status. A coded concept defining if the medication is in active use. Medication Status Codes (required)Constraints
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manufacturer | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdMedication.manufacturer Manufacturer of the item DefinitionDescribes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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form | S | 0..1 | CodeableConceptBinding | Element IdMedication.form powder | tablets | capsule + DefinitionDescribes the form of the item. Powder; tablets; capsule. When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form. A coded concept defining the form of a medication. DoseFormUvIps (preferred)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedication.form.coding Code defined by a terminology system DefinitionEDQM pharmaceutical dose forms sind bevorzugt zu verwenden. SNOMED CT und IFA Codes sind Alternativen. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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EDQM | S Σ | 0..* | Coding | Element IdMedication.form.coding:EDQM Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://standardterms.edqm.eu" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.form.coding:EDQM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.form.text Plain text representation of the concept DefinitionA 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. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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amount | Σ I | 0..1 | Ratio | There are no (further) constraints on this element Element IdMedication.amount Amount of drug in package DefinitionSpecific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.). The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.
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ingredient | S | 1..* | BackboneElement | There are no (further) constraints on this element Element IdMedication.ingredient Active or inactive ingredient DefinitionIdentifies a particular constituent of interest in the product. The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.
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extension | I | 0..* | Extension | Element IdMedication.ingredient.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Constraints
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Wirkstofftyp | S I | 0..1 | Extension(Coding) | Element IdMedication.ingredient.extension:Wirkstofftyp Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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.
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Wirkstoffrelation | S I | 0..* | Extension(Complex) | Element IdMedication.ingredient.extension:Wirkstoffrelation Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. Extension(Complex) Extension URL Constraints
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item[x] | 1..1 | There are no (further) constraints on this element Element IdMedication.ingredient.item[x] The actual ingredient or content DefinitionThe actual ingredient - either a substance (simple ingredient) or another medication of a medication. The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). Unordered, ??, by $this(Type) Constraints
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itemReference | Reference(Substance | Medication) | There are no (further) constraints on this element Data Type | ||
itemCodeableConcept | S | 0..1 | CodeableConcept | Element IdMedication.ingredient.item[x]:itemCodeableConcept The actual ingredient or content DefinitionThe actual ingredient - either a substance (simple ingredient) or another medication of a medication. The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).
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coding | S Σ | 1..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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ASK | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK Arzneistoffkatalog(ASK)-Nummer DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. http://fhir.de/ValueSet/ask (example) Constraints
{ "system": "http://fhir.de/CodeSystem/ask" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:ASK.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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UNII | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII Unique Ingredient Identifier DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fdasis.nlm.nih.gov" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:UNII.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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CAS | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS Chemical abstract codes DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "urn:oid:2.16.840.1.113883.6.61" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:CAS.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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SNOMED | S Σ | 0..* | Coding | Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedication.ingredient.item[x]:itemCodeableConcept.text Plain text representation of the concept DefinitionA 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. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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isActive | 0..1 | boolean | There are no (further) constraints on this element Element IdMedication.ingredient.isActive Active ingredient indicator DefinitionIndication of whether this ingredient affects the therapeutic action of the drug. True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).
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strength | S I | 0..1 | Ratio | There are no (further) constraints on this element Element IdMedication.ingredient.strength Quantity of ingredient present DefinitionSpecifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet. The Ratio datatype should only be used to express a relationship of two numbers if the relationship cannot be suitably expressed using a Quantity and a common unit. Where the denominator value is known to be fixed to "1", Quantity should be used instead of Ratio.
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numerator | S Σ I | 0..1 | Quantity | There are no (further) constraints on this element Element IdMedication.ingredient.strength.numerator Numerator value DefinitionThe value of the numerator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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denominator | S Σ I | 0..1 | Quantity | There are no (further) constraints on this element Element IdMedication.ingredient.strength.denominator Denominator value DefinitionThe value of the denominator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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batch | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdMedication.batch Details about packaged medications DefinitionInformation that only applies to packages (not products).
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lotNumber | 0..1 | string | There are no (further) constraints on this element Element IdMedication.batch.lotNumber Identifier assigned to batch DefinitionThe assigned lot number of a batch of the specified product. Note that FHIR strings SHALL NOT exceed 1MB in size
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expirationDate | 0..1 | dateTime | There are no (further) constraints on this element Element IdMedication.batch.expirationDate When batch will expire DefinitionWhen this specific batch of product will expire.
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FHIR-Element | Erklärung |
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Medication.id | Must-support, jedoch optional |
Medication.meta | Must-support, jedoch optional |
Medication.identifier | Business-Identifier der Medikation |
Medication.code | Der Code aus einem externen Codesystem für ein Arzneimittelprodukt oder eine Wirkstoffklasse. |
Medication.status | Indikator, ob die Medikation aktuell angewendet wird oder verschrieben werden kann. |
Medication.manufacturer | Hersteller |
Medication.form | Darreichungsform |
Medication.amount | Wirkstärke gemäß Handelsname |
Medication.ingredient | Wirkstoff |
Medication.batch | Informationen zum Arzneimittel wie Ablaufdatum |
FHIR-Element | Logischer Datensatz |
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Medication | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur |
Medication.code | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Arzneimittelprodukt |
Medication.code.coding:Pharmazentralnummer.display | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Arzneimittelprodukt.Arzneimittelname |
Medication.code.coding:Pharmazentralnummer.code | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Arzneimittelprodukt.Arzneimittel-Code |
Medication.code.coding:atcClass.display | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Arzneimittelprodukt.Arzneimittelname |
Medication.code.coding:atcClass.code | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Arzneimittelprodukt.Arzneimittel-Code |
Medication.amount | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Arzneimittelprodukt.Arzneimittelwirkstärke |
Medication.code.text | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Rezeptur.Freitextzeile |
Medication.ingredient | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Wirkstoff |
Medication.ingredient.strength | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Wirkstoff.Menge/Stärke |
Medication.form | Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur.Darreichungsform |
Beispiele
Beispiel einer Medication-Ressource für ein Fertigarzneimittel mit Angabe einer Pharmazentralnummer, Darreichungsform, Wirkstoff und Wirkstärke:
{ "resourceType": "Medication", "id": "mii-exa-medikation-medication-ass-100", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" ] }, "code": { "coding": [ { "code": "06312077", "system": "http://fhir.de/CodeSystem/ifa/pzn", "display": "ASS 100 - 1a Pharma TAH Tabletten" }, { "code": "B01AC06", "system": "http://fhir.de/CodeSystem/bfarm/atc", "display": "acetylsalicylic acid" } ] }, "form": { "coding": [ { "code": "10219000", "system": "http://standardterms.edqm.eu", "display": "Tablet" } ] }, "ingredient": [ { "itemCodeableConcept": { "coding": [ { "code": "00002", "system": "http://fhir.de/CodeSystem/ask", "display": "Acetylsalicylsäure" } ] }, "strength": { "numerator": { "value": 100, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "milligram" }, "denominator": { "value": 1, "code": "10219000", "system": "http://standardterms.edqm.eu", "unit": "Tablet" } } } ] }
Beispiel einer Medication-Ressource für eine Infusionslösung mit Angabe der Darreichungsform, Wirkstoff und Wirkstärke, sowie weitere Bestandteile in Form einer Referenz auf eine eigene Medication-Ressource für die Glucoselösung. Medication.code enthält in diesem Fall nur das text-Element:
{ "resourceType": "Medication", "id": "mii-exa-medikation-medication-rezeptur", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" ] }, "code": { "text": "Infusion bestehend aus 85mg Doxorubicin aufgeloest zur Verabreichung in 250ml 5-%iger (50 mg/ml) Glucose-Infusionsloesung" }, "form": { "coding": [ { "code": "11210000", "system": "http://standardterms.edqm.eu", "display": "Solution for infusion" } ] }, "ingredient": [ { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "L01DB01", "system": "http://fhir.de/CodeSystem/bfarm/atc", "display": "Doxorubicin" } ] }, "strength": { "denominator": { "value": 250, "code": "mL", "system": "http://unitsofmeasure.org", "unit": "milliliter" }, "numerator": { "value": 85, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "mg" } } }, { "isActive": true, "itemReference": { "reference": "Medication/mii-exa-medikation-medication-glucoseloesung" } } ], "status": "active" }
Die im vorrangegangenen Beispiel referenzierte Medication-Ressource:
{ "resourceType": "Medication", "id": "mii-exa-medikation-medication-glucoseloesung", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" ] }, "code": { "coding": [ { "code": "03705422", "system": "http://fhir.de/CodeSystem/ifa/pzn", "display": "Glucose 5% B.braun Ecoflac Plus" }, { "code": "V06DC01", "system": "http://fhir.de/CodeSystem/bfarm/atc", "display": "Glucose" }, { "code": "V06DC01", "system": "http://www.whocc.no/atc", "display": "glucose" } ] }, "form": { "coding": [ { "code": "11210000", "system": "http://standardterms.edqm.eu", "display": "Solution for infusion" } ] }, "ingredient": [ { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "12829", "system": "http://fhir.de/CodeSystem/ask", "display": "Glucose" }, { "code": "50-99-7", "system": "urn:oid:2.16.840.1.113883.6.61", "display": "Glucose" }, { "code": "5SL0G7R0OK", "system": "http://fdasis.nlm.nih.gov", "display": "ANHYDROUS DEXTROSE" }, { "code": "67079006", "system": "http://snomed.info/sct", "display": "Glucose (substance)" } ] }, "strength": { "denominator": { "value": 1000, "code": "ml", "system": "http://unitsofmeasure.org", "unit": "ml" }, "numerator": { "value": 50, "code": "g", "system": "http://unitsofmeasure.org", "unit": "g" } } }, { "isActive": false, "itemCodeableConcept": { "coding": [ { "code": "00343", "system": "http://fhir.de/CodeSystem/ask", "display": "Wasser für Injektionszwecke" }, { "code": "7732-18-5", "system": "urn:oid:2.16.840.1.113883.6.61", "display": "WATER" }, { "code": "059QF0KO0R", "system": "http://fdasis.nlm.nih.gov", "display": "WATER" }, { "code": "11713004", "system": "http://snomed.info/sct", "display": "Water (substance)" } ] } } ], "status": "active" }
Die folgenden drei Ressourcen bilden zusammen ein Beispiel für die Darstellung von Kombipackungen. Bei dem Beispiel handelt es sich um eine Arzneimittel dessen Packung zwei unterschiedliche pharmazeutische Produkte enthält. Die erste Instanz der Medication Ressource enthält den PZN Code für das Produkt. In Medication.amount
steht die vollständige Anzahl der in der Packung enthaltenen Tabletten. In Medication.ingredient.itemReference
wird auf die zwei separate Medication Instanzen referenziert, die jeweils die in der Packung enthaltenen pharmazeutischen Produkte beschreiben mit Anzahl der Tabletten, Wirkstoffen und deren Wirkstärke.
{ "resourceType": "Medication", "id": "mii-exa-medikation-medication-dolomo", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" ] }, "code": { "coding": [ { "code": "02758994", "system": "http://fhir.de/CodeSystem/ifa/pzn", "display": "dolomo® TN" }, { "code": "N02BE51", "system": "http://fhir.de/CodeSystem/bfarm/atc", "display": "Paracetamol, Kombinationen exkl. Psycholeptika" } ] }, "form": { "coding": [ { "code": "10219000", "system": "http://standardterms.edqm.eu", "display": "Tablet" } ] }, "amount": { "numerator": { "value": 27, "unit": "Tablet", "system": "http://standardterms.edqm.eu", "code": "10219000" }, "denominator": { "value": 1, "system": "http://unitsofmeasure.org", "code": "1" } }, "ingredient": [ { "itemReference": { "reference": "Medication/mii-exa-medikation-medication-dolomo-tag" } }, { "itemReference": { "reference": "Medication/mii-exa-medikation-medication-dolomo-nacht" } } ] }
Medication Ressource des ersten referenzierten pharmazeutischen Produktes.
{ "resourceType": "Medication", "id": "mii-exa-medikation-medication-dolomo-tag", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" ] }, "code": { "coding": [ { "code": "N02BE51", "system": "http://fhir.de/CodeSystem/bfarm/atc", "display": "Paracetamol, Kombinationen exkl. Psycholeptika" } ] }, "form": { "coding": [ { "code": "10219000", "system": "http://standardterms.edqm.eu", "display": "Tablet" } ] }, "amount": { "numerator": { "value": 18, "unit": "Tablet", "system": "http://standardterms.edqm.eu", "code": "10219000" }, "denominator": { "value": 1, "system": "http://unitsofmeasure.org", "code": "1" } }, "ingredient": [ { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "00002", "system": "http://fhir.de/CodeSystem/ask", "display": "Acetylsalicylsäure" } ] }, "strength": { "denominator": { "value": 1, "code": "10219000", "system": "http://standardterms.edqm.eu", "unit": "Tablet" }, "numerator": { "value": 250, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "mg" } } }, { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "01212", "system": "http://fhir.de/CodeSystem/ask", "display": "Paracetamol" } ] }, "strength": { "denominator": { "value": 1, "code": "10219000", "system": "http://standardterms.edqm.eu", "unit": "Tablet" }, "numerator": { "value": 250, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "mg" } } }, { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "00088", "system": "http://fhir.de/CodeSystem/ask", "display": "Coffein" } ] }, "strength": { "denominator": { "value": 1, "code": "10219000", "system": "http://standardterms.edqm.eu", "unit": "Tablet" }, "numerator": { "value": 50, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "mg" } } } ] }
Medication Ressource des zweiten referenzierten pharmazeutischen Produktes.
{ "resourceType": "Medication", "id": "mii-exa-medikation-medication-dolomo-nacht", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication" ] }, "code": { "coding": [ { "code": "N02BE51", "system": "http://fhir.de/CodeSystem/bfarm/atc", "display": "Paracetamol, Kombinationen exkl. Psycholeptika" } ] }, "form": { "coding": [ { "code": "10219000", "system": "http://standardterms.edqm.eu", "display": "Tablet" } ] }, "amount": { "numerator": { "value": 9, "unit": "Tablet", "system": "http://standardterms.edqm.eu", "code": "10219000" }, "denominator": { "value": 1, "system": "http://unitsofmeasure.org", "code": "1" } }, "ingredient": [ { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "00002", "system": "http://fhir.de/CodeSystem/ask", "display": "Acetylsalicylsäure" } ] }, "strength": { "denominator": { "value": 1, "code": "10219000", "system": "http://standardterms.edqm.eu", "unit": "Tablet" }, "numerator": { "value": 250, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "mg" } } }, { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "01212", "system": "http://fhir.de/CodeSystem/ask", "display": "Paracetamol" } ] }, "strength": { "denominator": { "value": 1, "code": "10219000", "system": "http://standardterms.edqm.eu", "unit": "Tablet" }, "numerator": { "value": 250, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "mg" } } }, { "isActive": true, "itemCodeableConcept": { "coding": [ { "code": "00087", "system": "http://fhir.de/CodeSystem/ask", "display": "Codeinphosphat-Hemihydrat" } ] }, "strength": { "denominator": { "value": 1, "code": "10219000", "system": "http://standardterms.edqm.eu", "unit": "Tablet" }, "numerator": { "value": 30, "code": "mg", "system": "http://unitsofmeasure.org", "unit": "mg" } } } ] }