CH EMED EPR
1.0.1-ci-build - ci-build
CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 1.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-medicationrequest | Version: 1.0.1-ci-build | |||
Draft as of 2024-12-04 | Computable Name: CHEMEDEPRDosageMedicationRequest | |||
Copyright/Legal: CC0-1.0 |
Definition of the main dosage element (used in MedicationRequest)
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDDosageMedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Dosage | C | 0..* | CHEMEDDosageMedicationRequest | CH EMED Dosage (MedicationRequest) base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. |
extension | D | 0..* | Extension | ✕ This element is not supported |
modifierExtension | 0..0 | |||
text | SD | 0..1 | string | Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. |
additionalInstruction | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
patientInstruction | 0..1 | string | Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) | |
timing | ||||
id | D | 0..1 | string | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
modifierExtension | 0..0 | |||
event | D | 0..* | dateTime | ✕ This element is not supported |
repeat | ||||
id | D | 0..1 | string | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
bounds[x] | 0..1 | Period | Length/Range of lengths, or (Start and/or end) limits | |
count | D | 0..1 | positiveInt | ✕ This element is not supported |
countMax | D | 0..1 | positiveInt | ✕ This element is not supported |
duration | D | 0..1 | decimal | ✕ This element is not supported |
durationMax | D | 0..1 | decimal | ✕ This element is not supported |
durationUnit | D | 0..1 | code | ✕ This element is not supported |
frequency | D | 0..1 | positiveInt | ✕ This element is not supported |
frequencyMax | D | 0..1 | positiveInt | ✕ This element is not supported |
period | D | 0..1 | decimal | ✕ This element is not supported |
periodMax | D | 0..1 | decimal | ✕ This element is not supported |
periodUnit | D | 0..1 | code | ✕ This element is not supported |
dayOfWeek | D | 0..* | code | ✕ This element is not supported |
timeOfDay | D | 0..* | time | ✕ This element is not supported |
when | C | 0..* | code | ... It shall only contain values from Event Timings only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. |
offset | D | 0..1 | unsignedInt | ✕ This element is not supported |
code | D | 0..1 | CodeableConcept | ✕ This element is not supported |
asNeeded[x] | 0..1 | boolean | Take "as needed" (for x) | |
Slices for asNeeded[x] | Content/Rules for all slices | |||
asNeeded[x]:asNeededBoolean | 0..1 | boolean | In reserve (to be taken by the patient only if the need arises - e.g. pains) | |
site | D | 0..1 | CodeableConcept | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
route | 0..1 | CodeableConcept | Route of administration | |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
method | D | 0..1 | CodeableConcept | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
doseAndRate | ||||
type | D | 0..1 | CodeableConcept | ✕ This element is not supported |
Slices for dose[x] | 0..1 | CHCoreRangeWithEmedUnits, CHCoreQuantityWithEmedUnits | Amount of medication per dose Slice: Unordered, Open by type:$this | |
dose[x]:doseQuantity | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
dose[x]:doseRange | 0..1 | CHEMEDEPRAmountRange | Set of values bounded by low and high | |
rate[x] | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator | |
maxDosePerPeriod | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator | |
maxDosePerAdministration | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
maxDosePerLifetime | D | 0..1 | CHEMEDEPRAmountQuantity | ✕ This element is not supported |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
base-dosage-text | warning | Dosage | It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0 | |
only-standard-event-timings | error | Dosage.timing.repeat.when | The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT' |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Dosage | C | 0..* | CHEMEDDosageMedicationRequest | CH EMED Dosage (MedicationRequest) ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
text | SΣ | 0..1 | string | Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
text | Σ | 1..1 | string | Plain text representation of the concept |
patientInstruction | SΣ | 0..1 | string | Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) |
timing | Σ | 0..1 | Timing | When medication should be administered |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
event | Σ | 0..* | dateTime | ✕ This element is not supported |
repeat | ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
Slices for bounds[x] | Σ | 0..1 | Period | Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this |
bounds[x]:boundsPeriod | SΣ | 0..1 | Period | Start and/or end of treatment |
count | Σ | 0..1 | positiveInt | ✕ This element is not supported |
countMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
duration | Σ | 0..1 | decimal | ✕ This element is not supported |
durationMax | Σ | 0..1 | decimal | ✕ This element is not supported |
durationUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
frequency | Σ | 0..1 | positiveInt | ✕ This element is not supported |
frequencyMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
period | Σ | 0..1 | decimal | ✕ This element is not supported |
periodMax | Σ | 0..1 | decimal | ✕ This element is not supported |
periodUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
dayOfWeek | Σ | 0..* | code | ✕ This element is not supported Binding: DaysOfWeek (required) |
timeOfDay | Σ | 0..* | time | ✕ This element is not supported |
when | SΣC | 0..* | code | ... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. |
offset | Σ | 0..1 | unsignedInt | ✕ This element is not supported |
code | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. |
Slices for asNeeded[x] | Σ | 0..1 | boolean | Take "as needed" (for x) Slice: Unordered, Closed by type:$this |
asNeeded[x]:asNeededBoolean | Σ | 0..1 | boolean | In reserve (to be taken by the patient only if the need arises - e.g. pains) |
site | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
text | Σ | 1..1 | string | Plain text representation of the concept |
route | Σ | 0..1 | CodeableConcept | Route of administration Binding: EDQM - RouteOfAdministration (required) |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
text | Σ | 1..1 | string | Plain text representation of the concept |
method | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: EDQM - Administration Method (required) |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 1..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
text | Σ | 1..1 | string | Plain text representation of the concept |
doseAndRate | Σ | 0..1 | Element | Amount of medication administered |
type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified. |
Slices for dose[x] | SΣ | 0..1 | Amount of medication per dose Slice: Unordered, Closed by type:$this | |
doseRange | Range(CHCoreRangeWithEmedUnits) | |||
doseQuantity | Quantity(CHCoreQuantityWithEmedUnits) | |||
dose[x]:doseQuantity | SC | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
dose[x]:doseRange | SC | 0..1 | CHEMEDEPRAmountRange | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
rate[x] | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerPeriod | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerAdministration | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
maxDosePerLifetime | C | 0..1 | CHEMEDEPRAmountQuantity | ✕ This element is not supported qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | |
Dosage.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | |
Dosage.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
Dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | |
Dosage.route | required | RouteOfAdministrationEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration | |
Dosage.method | required | AdministrationMethodEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod | |
Dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
base-dosage-text | warning | Dosage | It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0 | |
ch-dosage-3 | error | Dosage | Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.exists()) | |
ch-dosage-4 | error | Dosage | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-emed-event-timing | warning | Dosage.timing.repeat.when | For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT' | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
only-standard-event-timings | error | Dosage.timing.repeat.when | The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT' | |
qty-3 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Dosage.doseAndRate.dose[x]:doseRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
sqty-1 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity : comparator.empty() | |
tim-1 | error | Dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | Dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | Dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | Dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | Dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | Dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | Dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | Dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | Dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Dosage | C | 0..* | CHEMEDDosageMedicationRequest | CH EMED Dosage (MedicationRequest) ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
sequence | ΣC | 0..1 | integer | The order of the dosage instructions ch-dosage-1: No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element) |
text | SΣ | 0..1 | string | Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 0..* | Coding | Code defined by a terminology system |
text | Σ | 1..1 | string | Plain text representation of the concept |
patientInstruction | SΣ | 0..1 | string | Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) |
timing | Σ | 0..1 | Timing | When medication should be administered |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
event | Σ | 0..* | dateTime | ✕ This element is not supported |
repeat | ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
Slices for bounds[x] | Σ | 0..1 | Period | Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this |
bounds[x]:boundsPeriod | SΣ | 0..1 | Period | Start and/or end of treatment |
count | Σ | 0..1 | positiveInt | ✕ This element is not supported |
countMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
duration | Σ | 0..1 | decimal | ✕ This element is not supported |
durationMax | Σ | 0..1 | decimal | ✕ This element is not supported |
durationUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
frequency | Σ | 0..1 | positiveInt | ✕ This element is not supported |
frequencyMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
period | Σ | 0..1 | decimal | ✕ This element is not supported |
periodMax | Σ | 0..1 | decimal | ✕ This element is not supported |
periodUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
dayOfWeek | Σ | 0..* | code | ✕ This element is not supported Binding: DaysOfWeek (required) |
timeOfDay | Σ | 0..* | time | ✕ This element is not supported |
when | SΣC | 0..* | code | ... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. |
offset | Σ | 0..1 | unsignedInt | ✕ This element is not supported |
code | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. |
Slices for asNeeded[x] | Σ | 0..1 | boolean | Take "as needed" (for x) Slice: Unordered, Closed by type:$this |
asNeeded[x]:asNeededBoolean | Σ | 0..1 | boolean | In reserve (to be taken by the patient only if the need arises - e.g. pains) |
site | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 0..* | Coding | Code defined by a terminology system |
text | Σ | 1..1 | string | Plain text representation of the concept |
route | Σ | 0..1 | CodeableConcept | Route of administration Binding: EDQM - RouteOfAdministration (required) |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
system | Σ | 1..1 | uri | Identity of the terminology system |
version | Σ | 0..1 | string | Version of the system - if relevant |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
text | Σ | 1..1 | string | Plain text representation of the concept |
method | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: EDQM - Administration Method (required) |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 1..* | Coding | Code defined by a terminology system |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
system | Σ | 1..1 | uri | Identity of the terminology system |
version | Σ | 0..1 | string | Version of the system - if relevant |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
text | Σ | 1..1 | string | Plain text representation of the concept |
doseAndRate | Σ | 0..1 | Element | Amount of medication administered |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified. |
Slices for dose[x] | SΣ | 0..1 | Amount of medication per dose Slice: Unordered, Closed by type:$this | |
doseRange | Range(CHCoreRangeWithEmedUnits) | |||
doseQuantity | Quantity(CHCoreQuantityWithEmedUnits) | |||
dose[x]:doseQuantity | SC | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
dose[x]:doseRange | SC | 0..1 | CHEMEDEPRAmountRange | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
rate[x] | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerPeriod | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerAdministration | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
maxDosePerLifetime | C | 0..1 | CHEMEDEPRAmountQuantity | ✕ This element is not supported qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | |
Dosage.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | |
Dosage.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
Dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | |
Dosage.route | required | RouteOfAdministrationEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration | |
Dosage.method | required | AdministrationMethodEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod | |
Dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
base-dosage-text | warning | Dosage | It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0 | |
ch-dosage-1 | error | Dosage.sequence | No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element) : $this.count() = 0 or $this = 1 | |
ch-dosage-3 | error | Dosage | Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.exists()) | |
ch-dosage-4 | error | Dosage | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-emed-event-timing | warning | Dosage.timing.repeat.when | For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT' | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
only-standard-event-timings | error | Dosage.timing.repeat.when | The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT' | |
qty-3 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Dosage.doseAndRate.dose[x]:doseRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
sqty-1 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity : comparator.empty() | |
tim-1 | error | Dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | Dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | Dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | Dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | Dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | Dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | Dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | Dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | Dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from CHEMEDDosageMedicationRequest
Summary
Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 1 element
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CHEMEDDosageMedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Dosage | C | 0..* | CHEMEDDosageMedicationRequest | CH EMED Dosage (MedicationRequest) base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. |
extension | D | 0..* | Extension | ✕ This element is not supported |
modifierExtension | 0..0 | |||
text | SD | 0..1 | string | Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. |
additionalInstruction | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
patientInstruction | 0..1 | string | Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) | |
timing | ||||
id | D | 0..1 | string | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
modifierExtension | 0..0 | |||
event | D | 0..* | dateTime | ✕ This element is not supported |
repeat | ||||
id | D | 0..1 | string | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
bounds[x] | 0..1 | Period | Length/Range of lengths, or (Start and/or end) limits | |
count | D | 0..1 | positiveInt | ✕ This element is not supported |
countMax | D | 0..1 | positiveInt | ✕ This element is not supported |
duration | D | 0..1 | decimal | ✕ This element is not supported |
durationMax | D | 0..1 | decimal | ✕ This element is not supported |
durationUnit | D | 0..1 | code | ✕ This element is not supported |
frequency | D | 0..1 | positiveInt | ✕ This element is not supported |
frequencyMax | D | 0..1 | positiveInt | ✕ This element is not supported |
period | D | 0..1 | decimal | ✕ This element is not supported |
periodMax | D | 0..1 | decimal | ✕ This element is not supported |
periodUnit | D | 0..1 | code | ✕ This element is not supported |
dayOfWeek | D | 0..* | code | ✕ This element is not supported |
timeOfDay | D | 0..* | time | ✕ This element is not supported |
when | C | 0..* | code | ... It shall only contain values from Event Timings only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. |
offset | D | 0..1 | unsignedInt | ✕ This element is not supported |
code | D | 0..1 | CodeableConcept | ✕ This element is not supported |
asNeeded[x] | 0..1 | boolean | Take "as needed" (for x) | |
Slices for asNeeded[x] | Content/Rules for all slices | |||
asNeeded[x]:asNeededBoolean | 0..1 | boolean | In reserve (to be taken by the patient only if the need arises - e.g. pains) | |
site | D | 0..1 | CodeableConcept | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
route | 0..1 | CodeableConcept | Route of administration | |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
method | D | 0..1 | CodeableConcept | ✕ This element is not supported |
extension | D | 0..* | Extension | ✕ This element is not supported |
text | 1..1 | string | Plain text representation of the concept | |
doseAndRate | ||||
type | D | 0..1 | CodeableConcept | ✕ This element is not supported |
Slices for dose[x] | 0..1 | CHCoreRangeWithEmedUnits, CHCoreQuantityWithEmedUnits | Amount of medication per dose Slice: Unordered, Open by type:$this | |
dose[x]:doseQuantity | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
dose[x]:doseRange | 0..1 | CHEMEDEPRAmountRange | Set of values bounded by low and high | |
rate[x] | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator | |
maxDosePerPeriod | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator | |
maxDosePerAdministration | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
maxDosePerLifetime | D | 0..1 | CHEMEDEPRAmountQuantity | ✕ This element is not supported |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
base-dosage-text | warning | Dosage | It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0 | |
only-standard-event-timings | error | Dosage.timing.repeat.when | The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT' |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Dosage | C | 0..* | CHEMEDDosageMedicationRequest | CH EMED Dosage (MedicationRequest) ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
text | SΣ | 0..1 | string | Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
text | Σ | 1..1 | string | Plain text representation of the concept |
patientInstruction | SΣ | 0..1 | string | Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) |
timing | Σ | 0..1 | Timing | When medication should be administered |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
event | Σ | 0..* | dateTime | ✕ This element is not supported |
repeat | ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
Slices for bounds[x] | Σ | 0..1 | Period | Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this |
bounds[x]:boundsPeriod | SΣ | 0..1 | Period | Start and/or end of treatment |
count | Σ | 0..1 | positiveInt | ✕ This element is not supported |
countMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
duration | Σ | 0..1 | decimal | ✕ This element is not supported |
durationMax | Σ | 0..1 | decimal | ✕ This element is not supported |
durationUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
frequency | Σ | 0..1 | positiveInt | ✕ This element is not supported |
frequencyMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
period | Σ | 0..1 | decimal | ✕ This element is not supported |
periodMax | Σ | 0..1 | decimal | ✕ This element is not supported |
periodUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
dayOfWeek | Σ | 0..* | code | ✕ This element is not supported Binding: DaysOfWeek (required) |
timeOfDay | Σ | 0..* | time | ✕ This element is not supported |
when | SΣC | 0..* | code | ... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. |
offset | Σ | 0..1 | unsignedInt | ✕ This element is not supported |
code | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. |
Slices for asNeeded[x] | Σ | 0..1 | boolean | Take "as needed" (for x) Slice: Unordered, Closed by type:$this |
asNeeded[x]:asNeededBoolean | Σ | 0..1 | boolean | In reserve (to be taken by the patient only if the need arises - e.g. pains) |
site | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
text | Σ | 1..1 | string | Plain text representation of the concept |
route | Σ | 0..1 | CodeableConcept | Route of administration Binding: EDQM - RouteOfAdministration (required) |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
text | Σ | 1..1 | string | Plain text representation of the concept |
method | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: EDQM - Administration Method (required) |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 1..* | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
text | Σ | 1..1 | string | Plain text representation of the concept |
doseAndRate | Σ | 0..1 | Element | Amount of medication administered |
type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified. |
Slices for dose[x] | SΣ | 0..1 | Amount of medication per dose Slice: Unordered, Closed by type:$this | |
doseRange | Range(CHCoreRangeWithEmedUnits) | |||
doseQuantity | Quantity(CHCoreQuantityWithEmedUnits) | |||
dose[x]:doseQuantity | SC | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
dose[x]:doseRange | SC | 0..1 | CHEMEDEPRAmountRange | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
rate[x] | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerPeriod | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerAdministration | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
maxDosePerLifetime | C | 0..1 | CHEMEDEPRAmountQuantity | ✕ This element is not supported qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | |
Dosage.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | |
Dosage.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
Dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | |
Dosage.route | required | RouteOfAdministrationEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration | |
Dosage.method | required | AdministrationMethodEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod | |
Dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
base-dosage-text | warning | Dosage | It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0 | |
ch-dosage-3 | error | Dosage | Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.exists()) | |
ch-dosage-4 | error | Dosage | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-emed-event-timing | warning | Dosage.timing.repeat.when | For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT' | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
only-standard-event-timings | error | Dosage.timing.repeat.when | The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT' | |
qty-3 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Dosage.doseAndRate.dose[x]:doseRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
sqty-1 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity : comparator.empty() | |
tim-1 | error | Dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | Dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | Dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | Dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | Dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | Dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | Dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | Dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | Dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Dosage | C | 0..* | CHEMEDDosageMedicationRequest | CH EMED Dosage (MedicationRequest) ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
sequence | ΣC | 0..1 | integer | The order of the dosage instructions ch-dosage-1: No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element) |
text | SΣ | 0..1 | string | Narrative representation of the full dosage (including split dosage elements if they exist) information. SHOULD be provided. |
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 0..* | Coding | Code defined by a terminology system |
text | Σ | 1..1 | string | Plain text representation of the concept |
patientInstruction | SΣ | 0..1 | string | Patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage) |
timing | Σ | 0..1 | Timing | When medication should be administered |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
event | Σ | 0..* | dateTime | ✕ This element is not supported |
repeat | ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa |
id | 0..1 | string | ✕ This element is not supported | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
Slices for bounds[x] | Σ | 0..1 | Period | Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Closed by type:$this |
bounds[x]:boundsPeriod | SΣ | 0..1 | Period | Start and/or end of treatment |
count | Σ | 0..1 | positiveInt | ✕ This element is not supported |
countMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
duration | Σ | 0..1 | decimal | ✕ This element is not supported |
durationMax | Σ | 0..1 | decimal | ✕ This element is not supported |
durationUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
frequency | Σ | 0..1 | positiveInt | ✕ This element is not supported |
frequencyMax | Σ | 0..1 | positiveInt | ✕ This element is not supported |
period | Σ | 0..1 | decimal | ✕ This element is not supported |
periodMax | Σ | 0..1 | decimal | ✕ This element is not supported |
periodUnit | Σ | 0..1 | code | ✕ This element is not supported Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
dayOfWeek | Σ | 0..* | code | ✕ This element is not supported Binding: DaysOfWeek (required) |
timeOfDay | Σ | 0..* | time | ✕ This element is not supported |
when | SΣC | 0..* | code | ... It shall only contain values from Event Timings Binding: EventTiming (required): Real world event relating to the schedule. ch-emed-event-timing: For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. only-standard-event-timings: The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. |
offset | Σ | 0..1 | unsignedInt | ✕ This element is not supported |
code | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. |
Slices for asNeeded[x] | Σ | 0..1 | boolean | Take "as needed" (for x) Slice: Unordered, Closed by type:$this |
asNeeded[x]:asNeededBoolean | Σ | 0..1 | boolean | In reserve (to be taken by the patient only if the need arises - e.g. pains) |
site | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 0..* | Coding | Code defined by a terminology system |
text | Σ | 1..1 | string | Plain text representation of the concept |
route | Σ | 0..1 | CodeableConcept | Route of administration Binding: EDQM - RouteOfAdministration (required) |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | SΣ | 1..* | Coding | Code defined by a terminology system |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
system | Σ | 1..1 | uri | Identity of the terminology system |
version | Σ | 0..1 | string | Version of the system - if relevant |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
text | Σ | 1..1 | string | Plain text representation of the concept |
method | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: EDQM - Administration Method (required) |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
coding | Σ | 1..* | Coding | Code defined by a terminology system |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
system | Σ | 1..1 | uri | Identity of the terminology system |
version | Σ | 0..1 | string | Version of the system - if relevant |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
text | Σ | 1..1 | string | Plain text representation of the concept |
doseAndRate | Σ | 0..1 | Element | Amount of medication administered |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
type | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: DoseAndRateType (example): The kind of dose or rate specified. |
Slices for dose[x] | SΣ | 0..1 | Amount of medication per dose Slice: Unordered, Closed by type:$this | |
doseRange | Range(CHCoreRangeWithEmedUnits) | |||
doseQuantity | Quantity(CHCoreQuantityWithEmedUnits) | |||
dose[x]:doseQuantity | SC | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
dose[x]:doseRange | SC | 0..1 | CHEMEDEPRAmountRange | Set of values bounded by low and high rng-2: If present, low SHALL have a lower value than high |
rate[x] | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerPeriod | C | 0..1 | CHEMEDEPRRatioAmountPerTime | A ratio of two Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
maxDosePerAdministration | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
maxDosePerLifetime | C | 0..1 | CHEMEDEPRAmountQuantity | ✕ This element is not supported qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | |
Dosage.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | |
Dosage.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | |
Dosage.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
Dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | |
Dosage.route | required | RouteOfAdministrationEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration | |
Dosage.method | required | AdministrationMethodEDQMhttp://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod | |
Dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
base-dosage-text | warning | Dosage | It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements. : text.exists() and text.trim().length() > 0 | |
ch-dosage-1 | error | Dosage.sequence | No sequence number (for one dosage element) or sequence number = 1 (for more than one dosage element) : $this.count() = 0 or $this = 1 | |
ch-dosage-3 | error | Dosage | Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.exists()) | |
ch-dosage-4 | error | Dosage | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
ch-emed-event-timing | warning | Dosage.timing.repeat.when | For the representation of the time of administration according to the 1-1-1-1 scheme, the values MORN-NOON-EVE-NIGHT are highly recommended. : $this='MORN' or $this='NOON' or $this='EVE' or $this='NIGHT' | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
only-standard-event-timings | error | Dosage.timing.repeat.when | The timing event shall only be 'MORN', 'NOON', 'EVE' or 'NIGHT'. : $this = 'MORN' or $this = 'NOON' or $this = 'EVE' or $this = 'NIGHT' | |
qty-3 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
rat-1 | error | Dosage.doseAndRate.rate[x], Dosage.maxDosePerPeriod | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists()) | |
rng-2 | error | Dosage.doseAndRate.dose[x]:doseRange | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
sqty-1 | error | Dosage.doseAndRate.dose[x]:doseQuantity, Dosage.maxDosePerAdministration, Dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity : comparator.empty() | |
tim-1 | error | Dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | Dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | Dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | Dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | Dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | Dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | Dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | Dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | Dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from CHEMEDDosageMedicationRequest
Summary
Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 1 element
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron