Clinical Practice Guidelines (CPG) on EBMonFHIR
1.0.1 - ci-build
Clinical Practice Guidelines (CPG) on EBMonFHIR, published by Universitätsmedizin Greifswald. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CEOsys/cpg-on-ebm-on-fhir/ and changes regularly. See the Directory of published versions
Defining URL: | https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/drug-administration-action |
Version: | 0.3.1 |
Name: | DrugAdministrationAction |
Title: | Drug Administration Action |
Status: | Draft as of 2022-09-06 |
Definition: | Definition of a drug administration action as part of a recommended intervention. |
Publisher: | Netzwerk Universitätsmedizin (NUM), |
Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/drug-administration-action
This profile of a FHIR ActivityDefinition is derived from the recommendation-action FHIR resource.
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
ActivityDefinition | C | 1..1 | RecommendationAction | The definition of a specific activity to be taken, independent of any particular patient or context adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation no-timing-if-dosage-specified: If a dosage is specified, there SHALL be no timing element at the same level (instead the timing element of dosage should be used) dosage-if-administration-should-be-performed: Dosage should be defined if the drug administration should be performed | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | SΣ | 1..1 | Meta | Metadata about the resource | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
versionId | Σ | 0..1 | id | Version specific identifier | ||||
lastUpdated | Σ | 0..1 | instant | When the resource version last changed | ||||
source | SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
knowledgeCapability | S | 1..1 | (Complex) | shareable | computable | publishable | executable URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability" | |||||
value[x] | 1..1 | code | Value of extension Binding: CPG Knowledge Capability (required): A knowledge capability provided by a knowledge artifact Required Pattern: computable | |||||
knowledgeRepresentationLevel | S | 1..1 | (Complex) | narrative | semi-structured | structured | executable URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel" | |||||
value[x] | 1..1 | code | Value of extension Binding: CPG Knowledge Representation Level (required): A level of knowledge representation provided by this artifact Required Pattern: structured | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
url | SΣ | 1..1 | uri | Canonical identifier for this activity definition, represented as a URI (globally unique) | ||||
identifier | SΣ | 0..* | Identifier | Additional identifier for the activity definition | ||||
version | Σ | 1..1 | string | Business version of the activity definition | ||||
name | ΣC | 1..1 | string | Name for this activity definition (computer friendly) | ||||
title | SΣ | 0..1 | string | Name for this activity definition (human friendly) | ||||
subtitle | 0..1 | string | Subordinate title of the activity definition | |||||
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: publication-status|4.0.1 (required): The lifecycle status of an artifact. | ||||
experimental | Σ | 1..1 | boolean | For testing purposes, not real usage | ||||
subject[x] | S | 1..1 | CodeableConcept | Type of individual the activity definition is intended for Binding: subject-type (extensible): The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.). Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/fhir-types | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Patient | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
date | SΣ | 0..1 | dateTime | Date last changed | ||||
publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
contact | SΣ | 0..* | ContactDetail | Contact details for the publisher | ||||
description | Σ | 1..1 | markdown | Natural language description of the activity definition | ||||
useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support | ||||
jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for activity definition (if applicable) Binding: JurisdictionValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
purpose | 0..1 | markdown | Why this activity definition is defined | |||||
usage | 0..1 | string | Describes the clinical usage of the activity definition | |||||
copyright | 0..1 | markdown | Use and/or publishing restrictions | |||||
approvalDate | 0..1 | date | When the activity definition was approved by publisher | |||||
lastReviewDate | 0..1 | date | When the activity definition was last reviewed | |||||
effectivePeriod | Σ | 0..1 | Period | When the activity definition is expected to be used | ||||
topic | 0..* | CodeableConcept | E.g. Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
author | 0..* | ContactDetail | Who authored the content | |||||
editor | 0..* | ContactDetail | Who edited the content | |||||
reviewer | 0..* | ContactDetail | Who reviewed the content | |||||
endorser | 0..* | ContactDetail | Who endorsed the content | |||||
relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||
library | S | 0..1 | canonical(Library) | Logic used by the activity definition | ||||
kind | SΣ | 1..1 | code | Kind of resource Binding: request-resource-types|4.0.1 (required): The kind of activity the definition is describing. Required Pattern: MedicationRequest | ||||
profile | S | 0..1 | canonical(StructureDefinition) | What profile the resource needs to conform to | ||||
code | SΣ | 1..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodesSNOMEDCT (example): Detailed type of the activity; e.g. CBC. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 432102000 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Administration of substance (procedure) | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
intent | 0..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: request-intent|4.0.1 (required): Codes indicating the degree of authority/intentionality associated with a request. | |||||
priority | 0..1 | code | routine | urgent | asap | stat Binding: request-priority|4.0.1 (required): Identifies the level of importance to be assigned to actioning the request. | |||||
doNotPerform | ?!SΣ | 0..1 | boolean | True if the activity should not be performed | ||||
location | S | 0..1 | Reference(Location) | Where it should happen | ||||
participant | S | 0..* | BackboneElement | Who should participate in the action | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
type | 1..1 | code | patient | practitioner | related-person | device Binding: action-participant-type|4.0.1 (required): The type of participant in the activity. | |||||
role | 0..1 | CodeableConcept | E.g. Nurse, Surgeon, Parent, etc. Binding: action-participant-role (example): Defines roles played by participants for the action. | |||||
product[x] | S | 0..1 | CodeableConcept | What's administered/supplied Binding: SNOMEDCTMedicationCodes (example): Code describing the type of substance or medication. | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
coding:sct | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Substances SNOMED CT (required) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣC | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣC | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:atc | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.whocc.no/atc | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣC | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣC | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:rxnorm | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣC | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣC | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:atcde | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 0..1 | code | Symbol in syntax defined by the system | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣC | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣC | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
dosage | S | 0..* | Dosage | Detailed dosage instructions | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
condition | S | 0..1 | (Complex) | condition URL: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-dosage-condition | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
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". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | ΣC | 1..1 | Timing | When medication should be administered code-xor-repeat: Either a code or a repeat structure should be defined, but not both | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
event | Σ | 0..* | dateTime | When the event occurs | ||||
repeat | SΣC | 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 | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
count | ΣC | 0..1 | positiveInt | Minimal number of times this event should be repeated | ||||
countMax | ΣC | 0..1 | positiveInt | Maximum number of times this event should be repeated | ||||
duration | ΣC | 0..1 | decimal | Minimal duration this event should last | ||||
durationMax | ΣC | 0..1 | decimal | Maximal duration this event should last | ||||
durationUnit | ΣC | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
frequency | Σ | 0..1 | positiveInt | Indicates the minimal number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | ||||
frequencyMax | Σ | 0..1 | positiveInt | Indicates the maximum number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | ||||
period | ΣC | 0..1 | decimal | The minimal duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
periodMax | ΣC | 0..1 | decimal | The maximum duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
periodUnit | ΣC | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | ||||
timeOfDay | ΣC | 0..* | time | Time of day for action | ||||
when | ΣC | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real-world event relating to the schedule. | ||||
offset | ΣC | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
code | Σ | 0..1 | CodeableConcept | C | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | ||||
asNeeded | ΣC | 0..1 | boolean | Take "as needed" | ||||
asNeededFor | ΣC | 0..* | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
route | SΣ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (required) | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
doseAndRate | Σ | 1..* | Element | Amount of medication administered, to be administered or typical amount to be 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 | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
dose[x] | Σ | 0..1 | Amount of medication per dose | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..* | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
bodySite | S | 0..* | CodeableConcept | What part of body to perform on Binding: SNOMEDCTBodyStructures (example): A code that identifies the anatomical location. | ||||
specimenRequirement | 0..* | Reference(SpecimenDefinition) | What specimens are required to perform this action | |||||
observationRequirement | 0..* | Reference(ObservationDefinition) | What observations are required to perform this action | |||||
observationResultRequirement | 0..* | Reference(ObservationDefinition) | What observations must be produced by this action | |||||
transform | 0..1 | canonical(StructureMap) | Transform to apply the template | |||||
dynamicValue | S | 0..* | BackboneElement | Dynamic aspects of the definition | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
path | S | 1..1 | string | The path to the element to be set dynamically | ||||
expression | S | 1..1 | Expression | An expression that provides the dynamic value for the customization | ||||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ActivityDefinition | 1..1 | RecommendationAction | The definition of a specific activity to be taken, independent of any particular patient or context | |
meta | Σ | 1..1 | Meta | Metadata about the resource |
source | Σ | 0..1 | uri | Identifies where the resource comes from |
profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
Slices for extension | Content/Rules for all slices | |||
knowledgeCapability | 1..1 | code | shareable | computable | publishable | executable URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability Binding: CPG Knowledge Capability (required): A knowledge capability provided by a knowledge artifact | |
knowledgeRepresentationLevel | 1..1 | code | narrative | semi-structured | structured | executable URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel Binding: CPG Knowledge Representation Level (required): A level of knowledge representation provided by this artifact | |
url | Σ | 1..1 | uri | Canonical identifier for this activity definition, represented as a URI (globally unique) |
identifier | Σ | 0..* | Identifier | Additional identifier for the activity definition |
title | Σ | 0..1 | string | Name for this activity definition (human friendly) |
subject[x] | 1..1 | CodeableConcept | Type of individual the activity definition is intended for Binding: subject-type (extensible): The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.). Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/fhir-types | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Patient | |
date | Σ | 0..1 | dateTime | Date last changed |
contact | Σ | 0..* | ContactDetail | Contact details for the publisher |
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support |
jurisdiction | Σ | 0..* | CodeableConcept | Intended jurisdiction for activity definition (if applicable) Binding: JurisdictionValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
library | 0..1 | canonical(Library) | Logic used by the activity definition | |
kind | Σ | 1..1 | code | Kind of resource Binding: request-resource-types|4.0.1 (required): The kind of activity the definition is describing. Required Pattern: MedicationRequest |
profile | 0..1 | canonical(StructureDefinition) | What profile the resource needs to conform to | |
code | Σ | 1..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodesSNOMEDCT (example): Detailed type of the activity; e.g. CBC. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 432102000 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Administration of substance (procedure) | |
doNotPerform | ?!Σ | 0..1 | boolean | True if the activity should not be performed |
location | 0..1 | Reference(Location) | Where it should happen | |
participant | 0..* | BackboneElement | Who should participate in the action | |
product[x] | 0..1 | CodeableConcept | What's administered/supplied Binding: SNOMEDCTMedicationCodes (example): Code describing the type of substance or medication. | |
Slices for coding | Content/Rules for all slices | |||
coding:sct | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system |
coding:atc | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.whocc.no/atc | |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system |
coding:rxnorm | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm | |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system |
coding:atcde | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc | |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system |
dosage | 0..* | Dosage | Detailed dosage instructions | |
Slices for extension | Content/Rules for all slices | |||
condition | 0..1 | (Complex) | condition URL: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-dosage-condition | |
timing | Σ | 1..1 | Timing | When medication should be administered |
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 |
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (required) |
bodySite | 0..* | CodeableConcept | What part of body to perform on Binding: SNOMEDCTBodyStructures (example): A code that identifies the anatomical location. | |
dynamicValue | 0..* | BackboneElement | Dynamic aspects of the definition | |
path | 1..1 | string | The path to the element to be set dynamically | |
expression | 1..1 | Expression | An expression that provides the dynamic value for the customization | |
Documentation for this format |
This structure is derived from RecommendationAction
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ActivityDefinition | C | 1..1 | RecommendationAction | The definition of a specific activity to be taken, independent of any particular patient or context dosage-if-administration-should-be-performed: Dosage should be defined if the drug administration should be performed |
kind | 1..1 | code | Kind of resource Required Pattern: MedicationRequest | |
code | 1..1 | CodeableConcept | Detail type of activity Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 432102000 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Administration of substance (procedure) | |
timing[x] | 0..0 | |||
product[x] | 0..1 | CodeableConcept | What's administered/supplied | |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
coding:sct | 0..1 | Coding | Code defined by a terminology system Binding: Substances SNOMED CT (required) Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
coding:atc | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.whocc.no/atc | |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
coding:rxnorm | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.nlm.nih.gov/research/umls/rxnorm | |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
coding:atcde | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc | |
system | S | 1..1 | uri | Identity of the terminology system |
code | S | 1..1 | code | Symbol in syntax defined by the system |
quantity | 0..0 | |||
dosage | ||||
Slices for extension | Content/Rules for all slices | |||
condition | S | 0..1 | (Complex) | condition URL: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-dosage-condition |
timing | 1..1 | Timing | When medication should be administered | |
route | S | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (required) |
doseAndRate | 1..* | Element | Amount of medication administered, to be administered or typical amount to be administered | |
Documentation for this format |
This structure is derived from RecommendationAction
Summary
Mandatory: 0 element(11 nested mandatory elements)
Must-Support: 10 elements
Prohibited: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet / Code | URI | |||
ActivityDefinition.meta.security | extensible | AllSecurityLabelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
ActivityDefinition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
ActivityDefinition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
ActivityDefinition.extension:knowledgeCapability.value[x] | required | Pattern: computablehttp://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-capability | ||||
ActivityDefinition.extension:knowledgeRepresentationLevel.value[x] | required | Pattern: structuredhttp://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-representation-level | ||||
ActivityDefinition.status | required | http://hl7.org/fhir/ValueSet/publication-status|4.0.1http://hl7.org/fhir/ValueSet/publication-status|4.0.1 | ||||
ActivityDefinition.subject[x] | extensible | Pattern: Patienthttp://hl7.org/fhir/ValueSet/subject-type | ||||
ActivityDefinition.jurisdiction | extensible | JurisdictionValueSethttp://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard | ||||
ActivityDefinition.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topic from the FHIR Standard | ||||
ActivityDefinition.kind | required | Pattern: MedicationRequesthttp://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 | ||||
ActivityDefinition.code | example | Pattern: SNOMED-CT Code 432102000("Administration of substance (procedure)")http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard | ||||
ActivityDefinition.intent | required | http://hl7.org/fhir/ValueSet/request-intent|4.0.1http://hl7.org/fhir/ValueSet/request-intent|4.0.1 | ||||
ActivityDefinition.priority | required | http://hl7.org/fhir/ValueSet/request-priority|4.0.1http://hl7.org/fhir/ValueSet/request-priority|4.0.1 | ||||
ActivityDefinition.timing[x].repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.timing[x].repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.timing[x].repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.timing[x].repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.timing[x].code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | ||||
ActivityDefinition.participant.type | required | http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 | ||||
ActivityDefinition.participant.role | example | http://hl7.org/fhir/ValueSet/action-participant-rolehttp://hl7.org/fhir/ValueSet/action-participant-role | ||||
ActivityDefinition.product[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
ActivityDefinition.product[x].coding:sct | required | Pattern: SNOMED-CT Code nullhttps://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-substances-snomed from this IG | ||||
ActivityDefinition.dosage.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
ActivityDefinition.dosage.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.dosage.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.dosage.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.dosage.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|5.0.0 from the FHIR Standard | ||||
ActivityDefinition.dosage.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | ||||
ActivityDefinition.dosage.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
ActivityDefinition.dosage.site | example | SNOMEDCTAnatomicalStructureAdministrationSiteshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
ActivityDefinition.dosage.route | required | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
ActivityDefinition.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
ActivityDefinition.dosage.doseAndRate.type | example | DoseAndRateTypehttp://terminology.hl7.org/ValueSet/dose-rate-type | ||||
ActivityDefinition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dosage-if-administration-should-be-performed | warning | ActivityDefinition | Dosage should be defined if the drug administration should be performed : (doNotPerform = false) implies dosage.exists() |