Medicamento - Resumen Clínico del Paciente de Chile

Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.7.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

Resource Profile: Medicamento

Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Medicamento-cl-ips		Version: 0.7.0-ci-build
Standards status: Draft	Maturity Level: 1	Computable Name: MedicamentoClIps
Other Identifiers: OID:2.16.840.1.113883.2.22.40.13.42.12

Este perfil representa las restricciones aplicadas al recurso Medicamento por la Guía de Implementación FHIR del Resumen Internacional del Paciente (IPS), basada en FHIR R4. Un medicamento se describe en el resumen del paciente como una instancia de un recurso Medicamento restringido por este perfil.

Usages:

Use this Profile: Bundle Resumen Clínico
Refer to this Profile: Solicitud de medicación and Declaración de medicación
Examples for this Profile: Medication/MedicamentoCLEjemplo
CapabilityStatements using this Profile: CapabilityStatement Servidor del Resumen Clínico de Paciente de Chile

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Description & Constraints Filter:

Medication

0..*

CoreMedicamentoCl

Definition of a Medication

implicitRules

0..1

uri

A set of rules under which this content was created

Slices for extension

Content/Rules for all slices

extension:NombreComercial

0..1

string

Nombre Comercial Fármaco
URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/NombreComercial

modifierExtension

0..*

Extension

Extensions that cannot be ignored

identifier

0..*

Identifier

Identificador de Medicamento

use

0..1

code

usual | official | temp | secondary | old
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

system

0..1

uri

Sistema de identificación
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

Valor del identificador
Example General: 123456

code

1..1

CodeableConcept

Medicación administrada o que se iba a administrar (código de medicación de cualquier sistema de códigos)
Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido

Additional Bindings

Purpose

WHO ATC - IPS

candidate

http://minsal.cl/term/TFC

candidate

status

0..1

code

active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

manufacturer

0..1

Reference(CL Organización)

Laboratorio

reference

0..1

string

Literal reference, Relative, internal or absolute URL

display

0..1

string

Nombre del laboratorio farmacéutico

form

0..1

CodeableConcept

Describe la forma del producto: Polvo, cápsula, comprimido, etc.
Binding: Medicine EDQM Doseform - IPS (preferred)

ingredient

0..*

BackboneElement

Componentes del medicamento

modifierExtension

0..*

Extension

Extensions that cannot be ignored even if unrecognized

Slices for item[x]

1..1

Componente del fármaco
Slice: Unordered, Closed by type:$this
Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

itemCodeableConcept

CodeableConcept

itemReference

Reference(Substance | Medication)

item[x]:itemCodeableConcept

0..1

CodeableConcept

The actual ingredient or content
Binding: SNOMEDCTMedicationCodes (example)

item[x]:itemReference

0..1

Reference(Substance | CL Medicamento)

The actual ingredient or content

isActive

0..1

boolean

Determinación si el componente es componente activo o no

strength

0..1

Ratio

Una proporción de dos valores de Cantidad: un numerador y un denominador

0..1

Valor del Numerador

0..1

< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

denominator

0..1

Quantity

Valor del Denominador

comparator

0..1

code

< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Medication.code	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine EDQM Doseform - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]:itemCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.ingredient.strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.strength.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
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()`

This structure is derived from CoreMedicamentoCl

Description & Constraints Filter:

Medication

CoreMedicamentoCl

code

1..1

CodeableConcept

Additional Bindings

Purpose

WHO ATC - IPS

candidate

http://minsal.cl/term/TFC

candidate

form

0..1

CodeableConcept

Describe la forma del producto: Polvo, cápsula, comprimido, etc.
Binding: Medicine EDQM Doseform - IPS (preferred)

ingredient

item[x]

1..1

CodeableConcept, Reference(Substance | Medication)

Componente del fármaco
Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias

strength

0..1

Ratio

Una proporción de dos valores de Cantidad: un numerador y un denominador

Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.form	Base	preferred	Medicine EDQM Doseform - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0

Description & Constraints Filter:

Medication

0..*

CoreMedicamentoCl

Definition of a Medication

0..1

Logical id of this artifact

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Medication.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Medication.code	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.manufacturer.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine EDQM Doseform - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]:itemCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.ingredient.strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.strength.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
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()`

This structure is derived from CoreMedicamentoCl

Summary

Mandatory: 1 element

Maturity: 1

Key Elements View

Description & Constraints Filter:

Medication

0..*

CoreMedicamentoCl

Definition of a Medication

implicitRules

0..1

uri

A set of rules under which this content was created

Slices for extension

Content/Rules for all slices

extension:NombreComercial

0..1

string

Nombre Comercial Fármaco
URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/NombreComercial

modifierExtension

0..*

Extension

Extensions that cannot be ignored

identifier

0..*

Identifier

Identificador de Medicamento

use

0..1

code

usual | official | temp | secondary | old
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

system

0..1

uri

Sistema de identificación
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

Valor del identificador
Example General: 123456

code

1..1

CodeableConcept

Additional Bindings

Purpose

WHO ATC - IPS

candidate

http://minsal.cl/term/TFC

candidate

status

0..1

code

active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

manufacturer

0..1

Reference(CL Organización)

Laboratorio

reference

0..1

string

Literal reference, Relative, internal or absolute URL

display

0..1

string

Nombre del laboratorio farmacéutico

form

0..1

CodeableConcept

Describe la forma del producto: Polvo, cápsula, comprimido, etc.
Binding: Medicine EDQM Doseform - IPS (preferred)

ingredient

0..*

BackboneElement

Componentes del medicamento

modifierExtension

0..*

Extension

Extensions that cannot be ignored even if unrecognized

Slices for item[x]

1..1

itemCodeableConcept

CodeableConcept

itemReference

Reference(Substance | Medication)

item[x]:itemCodeableConcept

0..1

CodeableConcept

The actual ingredient or content
Binding: SNOMEDCTMedicationCodes (example)

item[x]:itemReference

0..1

Reference(Substance | CL Medicamento)

The actual ingredient or content

isActive

0..1

boolean

Determinación si el componente es componente activo o no

strength

0..1

Ratio

Una proporción de dos valores de Cantidad: un numerador y un denominador

0..1

Valor del Numerador

0..1

< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

denominator

0..1

Quantity

Valor del Denominador

comparator

0..1

code

< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Medication.code	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine EDQM Doseform - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]:itemCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.ingredient.strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.strength.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
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()`

Differential View

This structure is derived from CoreMedicamentoCl

Description & Constraints Filter:

Medication

CoreMedicamentoCl

code

1..1

CodeableConcept

Additional Bindings

Purpose

WHO ATC - IPS

candidate

http://minsal.cl/term/TFC

candidate

form

0..1

CodeableConcept

Describe la forma del producto: Polvo, cápsula, comprimido, etc.
Binding: Medicine EDQM Doseform - IPS (preferred)

ingredient

item[x]

1..1

CodeableConcept, Reference(Substance | Medication)

Componente del fármaco
Binding: Medications - IPS (preferred): SNOMED CT drogas/substancias

strength

0..1

Ratio

Una proporción de dos valores de Cantidad: un numerador y un denominador

Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.form	Base	preferred	Medicine EDQM Doseform - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0

Snapshot View

Description & Constraints Filter:

Medication

0..*

CoreMedicamentoCl

Definition of a Medication

0..1

Logical id of this artifact

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Medication.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Medication.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Medication.code	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.manufacturer.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Medication.form	Base	preferred	Medicine EDQM Doseform - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]	Base	preferred	Medications - IPS	📦2.0.1	International Patient Summary Implementation Guide v2.0
Medication.ingredient.item[x]:itemCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
Medication.ingredient.strength.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Medication.ingredient.strength.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
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()`

This structure is derived from CoreMedicamentoCl

Summary

Mandatory: 1 element

Maturity: 1

Other representations of profile: CSV, Excel, Schematron