Resumen Clínico del Paciente de Chile
0.7.0-ci-build - STU3
Resumen Clínico del Paciente de Chile
0.7.0-ci-build - STU3
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
| Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RegMedicamentos-cl-ips | Version: 0.7.0-ci-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: RegMedicamentosClIps | ||
| Other Identifiers: OID:2.16.840.1.113883.2.22.40.13.42.26 | ||||
Este perfil representa las restricciones aplicadas al recurso MedicationStatement según la Guía de Implementación FHIR del Resumen Internacional del Paciente (IPS), basada en FHIR R4. Un registro de una declaración de medicación se representa en el resumen del paciente como una instancia de un recurso MedicationStatement restringido por este perfil.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | |
  medication[x] |
1..1 | Medicamento que está tomando Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido | ||
  medicationCodeableConcept |
CodeableConcept | |||
  medicationReference |
Reference(Medicamento) | |||
| subject |
1..1 | Reference(Paciente) | Paciente al que se le está declarando la medicación | |
| reference |
C | 1..1 | string | Referencia literal, interna o url absoluta |
| effective[x] |
1..1 | La fecha/hora o el intervalo en que se toma/se tomó/se tomará la medicación | ||
 effective[x]All Types |
Content/Rules for all Types | |||
  Slices for extension |
Content/Rules for all slices | |||
   extension:data-absent-reason |
0..1 | code | effective[x] razón de no existencia URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
 dosage |
0..* | Dosage | Detalles de cómo se toma/se tomaba o debería tomarse la medicación | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| text |
0..1 | string | Instrucciones de dosificación en texto libre, por ejemplo: SIG | |
| timing |
0..1 | Timing | Cuándo debe administrarse la medicación | |
| route |
0..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: Medicine EDQM Route of Administration - IPS (preferred): Términos estándar EDQM | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | preferred | Medications - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.dosage.route | Base | preferred | Medicine EDQM Route of Administration - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | 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 MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
MedicationStatement | |||
| status |
1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken | |
| medication[x] |
1..1 | Medicamento que está tomando Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido | ||
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medicamento) | |||
| subject |
1..1 | Reference(Paciente) | Paciente al que se le está declarando la medicación | |
| reference |
1..1 | string | Referencia literal, interna o url absoluta | |
| effective[x] |
1..1 | dateTime, Period | La fecha/hora o el intervalo en que se toma/se tomó/se tomará la medicación | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:data-absent-reason |
0..1 | code | effective[x] razón de no existencia URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| dosage |
0..* | Dosage | Detalles de cómo se toma/se tomaba o debería tomarse la medicación | |
| text |
0..1 | string | Instrucciones de dosificación en texto libre, por ejemplo: SIG | |
| timing |
0..1 | Timing | Cuándo debe administrarse la medicación | |
| route |
0..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: Medicine EDQM Route of Administration - IPS (preferred): Términos estándar EDQM | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.medication[x] | Base | preferred | Medications - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.dosage.route | Base | preferred | Medicine EDQM Route of Administration - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External identifier | |||||
| basedOn |
0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | |||||
| status |
1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | |||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||
| category |
0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||
| medication[x] |
1..1 | Medicamento que está tomando Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medicamento) | |||||||
| subject |
1..1 | Reference(Paciente) | Paciente al que se le está declarando la medicación | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Referencia literal, interna o url absoluta | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||
| effective[x] |
1..1 | La fecha/hora o el intervalo en que se toma/se tomó/se tomará la medicación | ||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:data-absent-reason |
0..1 | code | effective[x] razón de no existencia URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| dateAsserted |
0..1 | dateTime | When the statement was asserted? | |||||
| informationSource |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode |
0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note |
0..* | Annotation | Further information about the statement | |||||
| dosage |
0..* | Dosage | Detalles de cómo se toma/se tomaba o debería tomarse la medicación | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Instrucciones de dosificación en texto libre, por ejemplo: SIG | |||||
| additionalInstruction |
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 |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | Cuándo debe administrarse la medicación | |||||
| asNeeded[x] |
0..1 | 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. | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: Medicine EDQM Route of Administration - IPS (preferred): Términos estándar EDQM | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | 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 |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | 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()
|
| sqty-1 | error | MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationStatement
Summary
Mandatory: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | |
| medication[x] |
1..1 | Medicamento que está tomando Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido | ||
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medicamento) | |||
| subject |
1..1 | Reference(Paciente) | Paciente al que se le está declarando la medicación | |
| reference |
C | 1..1 | string | Referencia literal, interna o url absoluta |
| effective[x] |
1..1 | La fecha/hora o el intervalo en que se toma/se tomó/se tomará la medicación | ||
| effective[x]All Types |
Content/Rules for all Types | |||
| Slices for extension |
Content/Rules for all slices | |||
| extension:data-absent-reason |
0..1 | code | effective[x] razón de no existencia URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| dosage |
0..* | Dosage | Detalles de cómo se toma/se tomaba o debería tomarse la medicación | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| text |
0..1 | string | Instrucciones de dosificación en texto libre, por ejemplo: SIG | |
| timing |
0..1 | Timing | Cuándo debe administrarse la medicación | |
| route |
0..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: Medicine EDQM Route of Administration - IPS (preferred): Términos estándar EDQM | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | preferred | Medications - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.dosage.route | Base | preferred | Medicine EDQM Route of Administration - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | 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 MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationStatement |
MedicationStatement | |||
| status |
1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken | |
| medication[x] |
1..1 | Medicamento que está tomando Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido | ||
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medicamento) | |||
| subject |
1..1 | Reference(Paciente) | Paciente al que se le está declarando la medicación | |
| reference |
1..1 | string | Referencia literal, interna o url absoluta | |
| effective[x] |
1..1 | dateTime, Period | La fecha/hora o el intervalo en que se toma/se tomó/se tomará la medicación | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:data-absent-reason |
0..1 | code | effective[x] razón de no existencia URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |
| dosage |
0..* | Dosage | Detalles de cómo se toma/se tomaba o debería tomarse la medicación | |
| text |
0..1 | string | Instrucciones de dosificación en texto libre, por ejemplo: SIG | |
| timing |
0..1 | Timing | Cuándo debe administrarse la medicación | |
| route |
0..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: Medicine EDQM Route of Administration - IPS (preferred): Términos estándar EDQM | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.medication[x] | Base | preferred | Medications - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
| MedicationStatement.dosage.route | Base | preferred | Medicine EDQM Route of Administration - IPS | 📦2.0.1 | International Patient Summary Implementation Guide v2.0 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | MedicationStatement | Record of medication being taken by a patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External identifier | |||||
| basedOn |
0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | |||||
| status |
1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. | |||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||
| category |
0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | |||||
| medication[x] |
1..1 | Medicamento que está tomando Binding: Medications - IPS (preferred): SNOMED CT medicamentos (Producto farmacéutico / biológico) o un código para medicamento ausente/desconocido | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medicamento) | |||||||
| subject |
1..1 | Reference(Paciente) | Paciente al que se le está declarando la medicación | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Referencia literal, interna o url absoluta | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| context |
0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | |||||
| effective[x] |
1..1 | La fecha/hora o el intervalo en que se toma/se tomó/se tomará la medicación | ||||||
| effective[x]All Types |
Content/Rules for all Types | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:data-absent-reason |
0..1 | code | effective[x] razón de no existencia URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| dateAsserted |
0..1 | dateTime | When the statement was asserted? | |||||
| informationSource |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication | |||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||
| reasonCode |
0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken | |||||
| note |
0..* | Annotation | Further information about the statement | |||||
| dosage |
0..* | Dosage | Detalles de cómo se toma/se tomaba o debería tomarse la medicación | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Instrucciones de dosificación en texto libre, por ejemplo: SIG | |||||
| additionalInstruction |
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 |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | Cuándo debe administrarse la medicación | |||||
| asNeeded[x] |
0..1 | 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. | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | Concepto - referencia a una terminología o sólo texto Binding: Medicine EDQM Route of Administration - IPS (preferred): Términos estándar EDQM | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | 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 |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | 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()
|
| sqty-1 | error | MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationStatement
Summary
Mandatory: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron