ImplementationGuide for Malaysia Core (MY Core)
0.0.1 - CI Build
ImplementationGuide for Malaysia Core (MY Core)
0.0.1 - CI Build
ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.hie.moh.gov.my/StructureDefinition/MedicationKnowledge-my-core | Version: 0.0.1 | |||
| Active as of 2024-03-13 | Responsible: Malaysia Healthcare Nexus (MHN) |
Realm: 
|
Computable Name: MedicationKnowledgeMyCore | |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationKnowledge
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationKnowledge |
0..* | MedicationKnowledge | Definition of Medication Knowledge | |
  Slices for extension |
Content/Rules for all slices | |||
   audit |
0..1 | (Complex) | Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core | |
 setting |
0..1 | (Complex) | Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core | |
  code |
1..1 | CodeableConcept | Code that identifies this medication | |
| doseForm |
0..1 | CodeableConcept | powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) | |
| synonym |
0..* | string | Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name | |
| productType |
0..* | CodeableConcept | Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type | |
| ingredient |
||||
 strength |
||||
 numerator |
0..1 | Quantity | Numerator value Binding: ValueSetPhisUom (MY Core) (required) | |
 denominator |
0..1 | Quantity | Denominator value Binding: ValueSetPhisUom (MY Core) (required) | |
| intendedRoute |
0..* | CodeableConcept | The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) | |
| administrationGuidelines |
||||
| dosage |
||||
| dosage |
||||
| Slices for extension |
Content/Rules for all slices | |||
| cautionary |
0..1 | CodeableConcept | Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary | |
| Slices for additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | |
 additionalInstruction:special-instruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | |
  coding |
||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core | |
 additionalInstruction:cautionary |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred) | |
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core | |
| timing |
||||
| code |
0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required) | |
| doseAndRate |
||||
| dose[x] |
0..1 | Range, SimpleQuantity | Amount of medication per dose Binding: ValueSetPhisUom (MY Core) (required) | |
| medicineClassification |
||||
| Slices for extension |
Content/Rules for all slices | |||
| formulary |
0..1 | boolean | An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core | |
| classification |
1..1 | CodeableConcept | Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category | |
| regulatory |
||||
| schedule |
||||
| schedule |
1..1 | CodeableConcept | Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationKnowledge.doseForm | required | ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-corefrom this IG | |
| MedicationKnowledge.synonym | preferred | ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-corefrom this IG | |
| MedicationKnowledge.productType | required | ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-corefrom this IG | |
| MedicationKnowledge.ingredient.strength.numerator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | |
| MedicationKnowledge.ingredient.strength.denominator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | |
| MedicationKnowledge.intendedRoute | required | ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:special-instruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary | preferred | ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code | required | ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x] | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | |
| MedicationKnowledge.medicineClassification.classification | required | ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-corefrom this IG | |
| MedicationKnowledge.regulatory.schedule.schedule | preferred | ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-corefrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationKnowledge |
0..* | MedicationKnowledge | Definition of Medication Knowledge | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| audit |
0..1 | (Complex) | Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core | |
| setting |
0..1 | (Complex) | Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 code |
Σ | 1..1 | CodeableConcept | Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. |
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use. |
| doseForm |
0..1 | CodeableConcept | powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) | |
| synonym |
Σ | 0..* | string | Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name |
| productType |
0..* | CodeableConcept | Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type | |
| intendedRoute |
0..* | CodeableConcept | The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationKnowledge.code | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationKnowledge.status | required | MedicationKnowledge Status Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1from the FHIR Standard | |
| MedicationKnowledge.doseForm | required | ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-corefrom this IG | |
| MedicationKnowledge.synonym | preferred | ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-corefrom this IG | |
| MedicationKnowledge.productType | required | ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-corefrom this IG | |
| MedicationKnowledge.intendedRoute | required | ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-corefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationKnowledge | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationKnowledge | 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 | MedicationKnowledge | 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 | MedicationKnowledge | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationKnowledge | 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationKnowledge |
0..* | MedicationKnowledge | Definition of Medication Knowledge | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| audit |
0..1 | (Complex) | Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core | |||||
| setting |
0..1 | (Complex) | Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| code |
Σ | 1..1 | CodeableConcept | Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. | ||||
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use. | ||||
 manufacturer |
Σ | 0..1 | Reference(Organization) | Manufacturer of the item | ||||
| doseForm |
0..1 | CodeableConcept | powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) | |||||
| amount |
Σ | 0..1 | SimpleQuantity | Amount of drug in package | ||||
| synonym |
Σ | 0..* | string | Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name | ||||
| relatedMedicationKnowledge |
0..* | BackboneElement | Associated or related medication information | |||||
| 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 | CodeableConcept | Category of medicationKnowledge | |||||
| reference |
1..* | Reference(MedicationKnowledge) | Associated documentation about the associated medication knowledge | |||||
| associatedMedication |
0..* | Reference(Medication) | A medication resource that is associated with this medication | |||||
| productType |
0..* | CodeableConcept | Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type | |||||
| monograph |
0..* | BackboneElement | Associated documentation about the medication | |||||
| 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 |
0..1 | CodeableConcept | The category of medication document | |||||
| source |
0..1 | Reference(DocumentReference | Media) | Associated documentation about the medication | |||||
| ingredient |
0..* | BackboneElement | Active or inactive ingredient | |||||
| 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 | ||||
 item[x] |
1..1 | Medication(s) or substance(s) contained in the medication | ||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| itemReference |
Reference(Substance) | |||||||
| isActive |
0..1 | boolean | Active ingredient indicator | |||||
| strength |
0..1 | Ratio | Quantity of ingredient present | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| numerator |
Σ | 0..1 | Quantity | Numerator value Binding: ValueSetPhisUom (MY Core) (required) | ||||
| denominator |
Σ | 0..1 | Quantity | Denominator value Binding: ValueSetPhisUom (MY Core) (required) | ||||
| preparationInstruction |
0..1 | markdown | The instructions for preparing the medication | |||||
| intendedRoute |
0..* | CodeableConcept | The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) | |||||
| cost |
0..* | BackboneElement | The pricing of the medication | |||||
| 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 | CodeableConcept | The category of the cost information | |||||
| source |
0..1 | string | The source or owner for the price information | |||||
| cost |
1..1 | Money | The price of the medication | |||||
| monitoringProgram |
0..* | BackboneElement | Program under which a medication is reviewed | |||||
| 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 |
0..1 | CodeableConcept | Type of program under which the medication is monitored | |||||
| name |
0..1 | string | Name of the reviewing program | |||||
| administrationGuidelines |
0..* | BackboneElement | Guidelines for administration of the medication | |||||
| 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 | ||||
| dosage |
0..* | BackboneElement | Dosage for the medication for the specific guidelines | |||||
| 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 | CodeableConcept | Type of dosage | |||||
| dosage |
1..* | Dosage | Dosage for the medication for the specific guidelines | |||||
| 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 | |||||
| cautionary |
0..1 | CodeableConcept | Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary | |||||
| 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 | ||||
| Slices for additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | ||||
| additionalInstruction:special-instruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
 text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| additionalInstruction:cautionary |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
| timing |
Σ | 0..1 | Timing | When medication should 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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| event |
Σ | 0..* | dateTime | When the event occurs | ||||
| repeat |
ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| bounds[x] |
Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
| boundsDuration |
Duration | |||||||
| boundsRange |
Range | |||||||
| boundsPeriod |
Period | |||||||
| count |
Σ | 0..1 | positiveInt | Number of times to repeat | ||||
| countMax |
Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
| duration |
Σ | 0..1 | decimal | How long when it happens | ||||
| durationMax |
Σ | 0..1 | decimal | How long when it happens (Max) | ||||
| durationUnit |
Σ | 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 | Event occurs frequency times per period | ||||
| frequencyMax |
Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
| period |
Σ | 0..1 | decimal | Event occurs frequency times per period | ||||
| periodMax |
Σ | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
| periodUnit |
Σ | 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 |
Σ | 0..* | time | Time of day for action | ||||
| when |
Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | ||||
| offset |
Σ | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
| code |
Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required) | ||||
| asNeeded[x] |
Σ | 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 |
Σ | 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 |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
| 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 | 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 |
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 Binding: ValueSetPhisUom (MY Core) (required) | |||||
| 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..1 | 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 | ||||
| indication[x] |
0..1 | Indication for use that apply to the specific administration guidelines | ||||||
| indicationCodeableConcept |
CodeableConcept | |||||||
| indicationReference |
Reference(ObservationDefinition) | |||||||
| patientCharacteristics |
0..* | BackboneElement | Characteristics of the patient that are relevant to the administration guidelines | |||||
| 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 | ||||
| characteristic[x] |
1..1 | Specific characteristic that is relevant to the administration guideline | ||||||
| characteristicCodeableConcept |
CodeableConcept | |||||||
| characteristicQuantity |
Quantity(SimpleQuantity) | |||||||
| value |
0..* | string | The specific characteristic | |||||
| medicineClassification |
0..* | BackboneElement | Categorization of the medication within a formulary or classification system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| formulary |
0..1 | boolean | An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification) | |||||
| classification |
1..1 | CodeableConcept | Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category | |||||
| packaging |
0..1 | BackboneElement | Details about packaged medications | |||||
| 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 |
0..1 | CodeableConcept | A code that defines the specific type of packaging that the medication can be found in Binding: medicationKnowledge Package Type Codes (example): A coded concept defining the type of packaging of a medication. | |||||
| quantity |
0..1 | SimpleQuantity | The number of product units the package would contain if fully loaded | |||||
| drugCharacteristic |
0..* | BackboneElement | Specifies descriptive properties of the medicine | |||||
| 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 |
0..1 | CodeableConcept | Code specifying the type of characteristic of medication Binding: medicationKnowledge Characteristic Codes (example): A coded concept defining the characteristic types of a medication. | |||||
| value[x] |
0..1 | Description of the characteristic | ||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueQuantity |
Quantity(SimpleQuantity) | |||||||
| valueBase64Binary |
base64Binary | |||||||
| contraindication |
0..* | Reference(DetectedIssue) | Potential clinical issue with or between medication(s) | |||||
| regulatory |
0..* | BackboneElement | Regulatory information about a medication | |||||
| 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 | ||||
| regulatoryAuthority |
1..1 | Reference(Organization) | Specifies the authority of the regulation | |||||
| substitution |
0..* | BackboneElement | Specifies if changes are allowed when dispensing a medication from a regulatory perspective | |||||
| 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 | CodeableConcept | Specifies the type of substitution allowed | |||||
| allowed |
1..1 | boolean | Specifies if regulation allows for changes in the medication when dispensing | |||||
| schedule |
0..* | BackboneElement | Specifies the schedule of a medication in jurisdiction | |||||
| 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 | ||||
| schedule |
1..1 | CodeableConcept | Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule | |||||
| maxDispense |
0..1 | BackboneElement | The maximum number of units of the medication that can be dispensed in a period | |||||
| 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 | ||||
| quantity |
1..1 | SimpleQuantity | The maximum number of units of the medication that can be dispensed | |||||
| period |
0..1 | Duration | The period that applies to the maximum number of units | |||||
| kinetics |
0..* | BackboneElement | The time course of drug absorption, distribution, metabolism and excretion of a medication from the body | |||||
| 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 | ||||
| areaUnderCurve |
0..* | SimpleQuantity | The drug concentration measured at certain discrete points in time | |||||
| lethalDose50 |
0..* | SimpleQuantity | The median lethal dose of a drug | |||||
| halfLifePeriod |
0..1 | Duration | Time required for concentration in the body to decrease by half | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationKnowledge.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationKnowledge.code | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.status | required | MedicationKnowledge Status Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.doseForm | required | ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-corefrom this IG | ||||
| MedicationKnowledge.synonym | preferred | ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-corefrom this IG | ||||
| MedicationKnowledge.productType | required | ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-corefrom this IG | ||||
| MedicationKnowledge.ingredient.strength.numerator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | ||||
| MedicationKnowledge.ingredient.strength.denominator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | ||||
| MedicationKnowledge.intendedRoute | required | ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:special-instruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary | preferred | ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code | required | ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x] | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | ||||
| MedicationKnowledge.medicineClassification.classification | required | ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-corefrom this IG | ||||
| MedicationKnowledge.packaging.type | example | medicationKnowledge Package Type Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-package-typefrom the FHIR Standard | ||||
| MedicationKnowledge.drugCharacteristic.type | example | medicationKnowledge Characteristic Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-characteristicfrom the FHIR Standard | ||||
| MedicationKnowledge.regulatory.schedule.schedule | preferred | ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-corefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationKnowledge | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationKnowledge | 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 | MedicationKnowledge | 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 | MedicationKnowledge | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationKnowledge | 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() | |
| tim-1 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
| tim-2 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
| tim-4 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
| tim-5 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
| tim-6 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
| tim-7 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
| tim-8 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
| tim-9 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
| tim-10 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationKnowledge
Summary
Mandatory: 1 element(3 nested mandatory elements)
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationKnowledge
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationKnowledge |
0..* | MedicationKnowledge | Definition of Medication Knowledge | |
| Slices for extension |
Content/Rules for all slices | |||
| audit |
0..1 | (Complex) | Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core | |
| setting |
0..1 | (Complex) | Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core | |
| code |
1..1 | CodeableConcept | Code that identifies this medication | |
| doseForm |
0..1 | CodeableConcept | powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) | |
| synonym |
0..* | string | Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name | |
| productType |
0..* | CodeableConcept | Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type | |
| ingredient |
||||
| strength |
||||
| numerator |
0..1 | Quantity | Numerator value Binding: ValueSetPhisUom (MY Core) (required) | |
| denominator |
0..1 | Quantity | Denominator value Binding: ValueSetPhisUom (MY Core) (required) | |
| intendedRoute |
0..* | CodeableConcept | The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) | |
| administrationGuidelines |
||||
| dosage |
||||
| dosage |
||||
| Slices for extension |
Content/Rules for all slices | |||
| cautionary |
0..1 | CodeableConcept | Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary | |
| Slices for additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | |
| additionalInstruction:special-instruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | |
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core | |
| additionalInstruction:cautionary |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred) | |
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core | |
| timing |
||||
| code |
0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required) | |
| doseAndRate |
||||
| dose[x] |
0..1 | Range, SimpleQuantity | Amount of medication per dose Binding: ValueSetPhisUom (MY Core) (required) | |
| medicineClassification |
||||
| Slices for extension |
Content/Rules for all slices | |||
| formulary |
0..1 | boolean | An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core | |
| classification |
1..1 | CodeableConcept | Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category | |
| regulatory |
||||
| schedule |
||||
| schedule |
1..1 | CodeableConcept | Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationKnowledge.doseForm | required | ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-corefrom this IG | |
| MedicationKnowledge.synonym | preferred | ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-corefrom this IG | |
| MedicationKnowledge.productType | required | ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-corefrom this IG | |
| MedicationKnowledge.ingredient.strength.numerator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | |
| MedicationKnowledge.ingredient.strength.denominator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | |
| MedicationKnowledge.intendedRoute | required | ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:special-instruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary | preferred | ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code | required | ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-corefrom this IG | |
| MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x] | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | |
| MedicationKnowledge.medicineClassification.classification | required | ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-corefrom this IG | |
| MedicationKnowledge.regulatory.schedule.schedule | preferred | ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-corefrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationKnowledge |
0..* | MedicationKnowledge | Definition of Medication Knowledge | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| audit |
0..1 | (Complex) | Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core | |
| setting |
0..1 | (Complex) | Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| code |
Σ | 1..1 | CodeableConcept | Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. |
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use. |
| doseForm |
0..1 | CodeableConcept | powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) | |
| synonym |
Σ | 0..* | string | Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name |
| productType |
0..* | CodeableConcept | Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type | |
| intendedRoute |
0..* | CodeableConcept | The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationKnowledge.code | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationKnowledge.status | required | MedicationKnowledge Status Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1from the FHIR Standard | |
| MedicationKnowledge.doseForm | required | ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-corefrom this IG | |
| MedicationKnowledge.synonym | preferred | ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-corefrom this IG | |
| MedicationKnowledge.productType | required | ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-corefrom this IG | |
| MedicationKnowledge.intendedRoute | required | ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-corefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationKnowledge | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationKnowledge | 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 | MedicationKnowledge | 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 | MedicationKnowledge | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationKnowledge | 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationKnowledge |
0..* | MedicationKnowledge | Definition of Medication Knowledge | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| audit |
0..1 | (Complex) | Extension of the individual who recorded and updated the date URL: http://fhir.hie.moh.gov.my/StructureDefinition/audit-my-core | |||||
| setting |
0..1 | (Complex) | Extension to define the settings of a particular Master Drug/Medication URL: http://fhir.hie.moh.gov.my/StructureDefinition/medicationknowledge-setting-my-core | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| code |
Σ | 1..1 | CodeableConcept | Code that identifies this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. | ||||
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: MedicationKnowledge Status Codes (required): A coded concept defining if the medication is in active use. | ||||
| manufacturer |
Σ | 0..1 | Reference(Organization) | Manufacturer of the item | ||||
| doseForm |
0..1 | CodeableConcept | powder | tablets | capsule + Binding: ValueSetDrugDoseForm (MY Core) (required) | |||||
| amount |
Σ | 0..1 | SimpleQuantity | Amount of drug in package | ||||
| synonym |
Σ | 0..* | string | Additional names for a medication Binding: ValueSetDrugTradeName (MY Core) (preferred): Trade Name | ||||
| relatedMedicationKnowledge |
0..* | BackboneElement | Associated or related medication information | |||||
| 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 | CodeableConcept | Category of medicationKnowledge | |||||
| reference |
1..* | Reference(MedicationKnowledge) | Associated documentation about the associated medication knowledge | |||||
| associatedMedication |
0..* | Reference(Medication) | A medication resource that is associated with this medication | |||||
| productType |
0..* | CodeableConcept | Category of the medication or product Binding: ValueSetDrugType (MY Core) (required): Product Type | |||||
| monograph |
0..* | BackboneElement | Associated documentation about the medication | |||||
| 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 |
0..1 | CodeableConcept | The category of medication document | |||||
| source |
0..1 | Reference(DocumentReference | Media) | Associated documentation about the medication | |||||
| ingredient |
0..* | BackboneElement | Active or inactive ingredient | |||||
| 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 | ||||
| item[x] |
1..1 | Medication(s) or substance(s) contained in the medication | ||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| itemReference |
Reference(Substance) | |||||||
| isActive |
0..1 | boolean | Active ingredient indicator | |||||
| strength |
0..1 | Ratio | Quantity of ingredient present | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| numerator |
Σ | 0..1 | Quantity | Numerator value Binding: ValueSetPhisUom (MY Core) (required) | ||||
| denominator |
Σ | 0..1 | Quantity | Denominator value Binding: ValueSetPhisUom (MY Core) (required) | ||||
| preparationInstruction |
0..1 | markdown | The instructions for preparing the medication | |||||
| intendedRoute |
0..* | CodeableConcept | The intended or approved route of administration Binding: ValueSetPhisRoute (MY Core) (required) | |||||
| cost |
0..* | BackboneElement | The pricing of the medication | |||||
| 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 | CodeableConcept | The category of the cost information | |||||
| source |
0..1 | string | The source or owner for the price information | |||||
| cost |
1..1 | Money | The price of the medication | |||||
| monitoringProgram |
0..* | BackboneElement | Program under which a medication is reviewed | |||||
| 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 |
0..1 | CodeableConcept | Type of program under which the medication is monitored | |||||
| name |
0..1 | string | Name of the reviewing program | |||||
| administrationGuidelines |
0..* | BackboneElement | Guidelines for administration of the medication | |||||
| 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 | ||||
| dosage |
0..* | BackboneElement | Dosage for the medication for the specific guidelines | |||||
| 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 | CodeableConcept | Type of dosage | |||||
| dosage |
1..* | Dosage | Dosage for the medication for the specific guidelines | |||||
| 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 | |||||
| cautionary |
0..1 | CodeableConcept | Extension about drug cautionary element URL: http://fhir.hie.moh.gov.my/StructureDefinition/drug-cautionary-my-core Binding: ValueSetDrugCautionary (MY Core) (preferred): Drug Cautionary | |||||
| 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 | ||||
| Slices for additionalInstruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Slice: Unordered, Open by value:coding.system Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | ||||
| additionalInstruction:special-instruction |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugSpecialInstruction (MY Core) (preferred) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-special-instruction-my-core | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| additionalInstruction:cautionary |
Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ValueSetDrugCautionary (MY Core) (preferred) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.hie.moh.gov.my/CodeSystem/drug-cautionary-my-core | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
| timing |
Σ | 0..1 | Timing | When medication should 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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| event |
Σ | 0..* | dateTime | When the event occurs | ||||
| repeat |
ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| bounds[x] |
Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
| boundsDuration |
Duration | |||||||
| boundsRange |
Range | |||||||
| boundsPeriod |
Period | |||||||
| count |
Σ | 0..1 | positiveInt | Number of times to repeat | ||||
| countMax |
Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
| duration |
Σ | 0..1 | decimal | How long when it happens | ||||
| durationMax |
Σ | 0..1 | decimal | How long when it happens (Max) | ||||
| durationUnit |
Σ | 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 | Event occurs frequency times per period | ||||
| frequencyMax |
Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
| period |
Σ | 0..1 | decimal | Event occurs frequency times per period | ||||
| periodMax |
Σ | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
| periodUnit |
Σ | 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 |
Σ | 0..* | time | Time of day for action | ||||
| when |
Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | ||||
| offset |
Σ | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
| code |
Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: ValueSetPhisFrequency (MY Core) (required) | ||||
| asNeeded[x] |
Σ | 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 |
Σ | 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 |
Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
| 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 | 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 |
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 Binding: ValueSetPhisUom (MY Core) (required) | |||||
| 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..1 | 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 | ||||
| indication[x] |
0..1 | Indication for use that apply to the specific administration guidelines | ||||||
| indicationCodeableConcept |
CodeableConcept | |||||||
| indicationReference |
Reference(ObservationDefinition) | |||||||
| patientCharacteristics |
0..* | BackboneElement | Characteristics of the patient that are relevant to the administration guidelines | |||||
| 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 | ||||
| characteristic[x] |
1..1 | Specific characteristic that is relevant to the administration guideline | ||||||
| characteristicCodeableConcept |
CodeableConcept | |||||||
| characteristicQuantity |
Quantity(SimpleQuantity) | |||||||
| value |
0..* | string | The specific characteristic | |||||
| medicineClassification |
0..* | BackboneElement | Categorization of the medication within a formulary or classification system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| formulary |
0..1 | boolean | An extension whether this Resource is based on a coded concept or is a non coded Resource URL: http://fhir.hie.moh.gov.my/StructureDefinition/formulary-boolean-my-core | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification) | |||||
| classification |
1..1 | CodeableConcept | Specific category assigned to the medication Binding: ValueSetDrugCategory (MY Core) (required): Drug Category | |||||
| packaging |
0..1 | BackboneElement | Details about packaged medications | |||||
| 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 |
0..1 | CodeableConcept | A code that defines the specific type of packaging that the medication can be found in Binding: medicationKnowledge Package Type Codes (example): A coded concept defining the type of packaging of a medication. | |||||
| quantity |
0..1 | SimpleQuantity | The number of product units the package would contain if fully loaded | |||||
| drugCharacteristic |
0..* | BackboneElement | Specifies descriptive properties of the medicine | |||||
| 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 |
0..1 | CodeableConcept | Code specifying the type of characteristic of medication Binding: medicationKnowledge Characteristic Codes (example): A coded concept defining the characteristic types of a medication. | |||||
| value[x] |
0..1 | Description of the characteristic | ||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueQuantity |
Quantity(SimpleQuantity) | |||||||
| valueBase64Binary |
base64Binary | |||||||
| contraindication |
0..* | Reference(DetectedIssue) | Potential clinical issue with or between medication(s) | |||||
| regulatory |
0..* | BackboneElement | Regulatory information about a medication | |||||
| 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 | ||||
| regulatoryAuthority |
1..1 | Reference(Organization) | Specifies the authority of the regulation | |||||
| substitution |
0..* | BackboneElement | Specifies if changes are allowed when dispensing a medication from a regulatory perspective | |||||
| 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 | CodeableConcept | Specifies the type of substitution allowed | |||||
| allowed |
1..1 | boolean | Specifies if regulation allows for changes in the medication when dispensing | |||||
| schedule |
0..* | BackboneElement | Specifies the schedule of a medication in jurisdiction | |||||
| 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 | ||||
| schedule |
1..1 | CodeableConcept | Specifies the specific drug schedule Binding: ValueSetDrugSchedule (MY Core) (preferred): Drug Schedule | |||||
| maxDispense |
0..1 | BackboneElement | The maximum number of units of the medication that can be dispensed in a period | |||||
| 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 | ||||
| quantity |
1..1 | SimpleQuantity | The maximum number of units of the medication that can be dispensed | |||||
| period |
0..1 | Duration | The period that applies to the maximum number of units | |||||
| kinetics |
0..* | BackboneElement | The time course of drug absorption, distribution, metabolism and excretion of a medication from the body | |||||
| 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 | ||||
| areaUnderCurve |
0..* | SimpleQuantity | The drug concentration measured at certain discrete points in time | |||||
| lethalDose50 |
0..* | SimpleQuantity | The median lethal dose of a drug | |||||
| halfLifePeriod |
0..1 | Duration | Time required for concentration in the body to decrease by half | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationKnowledge.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationKnowledge.code | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.status | required | MedicationKnowledge Status Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.doseForm | required | ValueSetDrugDoseFormMyCore (a valid code from CodeSystemDrugDoseForm (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-dose-form-my-corefrom this IG | ||||
| MedicationKnowledge.synonym | preferred | ValueSetDrugTradeNameMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-trade-name-my-corefrom this IG | ||||
| MedicationKnowledge.productType | required | ValueSetDrugTypeMyCore (a valid code from CodeSystemDrugType (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-type-my-corefrom this IG | ||||
| MedicationKnowledge.ingredient.strength.numerator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | ||||
| MedicationKnowledge.ingredient.strength.denominator | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | ||||
| MedicationKnowledge.intendedRoute | required | ValueSetPhisRouteMyCore (a valid code from CodeSystemPhisRoute (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-route-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:special-instruction | preferred | ValueSetDrugSpecialInstructionMyCore (a valid code from CodeSystemDrugSpecialInstruction (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-special-instruction-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.additionalInstruction:cautionary | preferred | ValueSetDrugCautionaryMyCore (a valid code from CodeSystemDrugCautionary (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-cautionary-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1from the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.code | required | ValueSetPhisFrequencyMyCore (a valid code from CodeSystemPhisFrequency (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-frequency-my-corefrom this IG | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard | ||||
| MedicationKnowledge.administrationGuidelines.dosage.dosage.doseAndRate.dose[x] | required | ValueSetPhisUomMyCore (a valid code from CodeSystemPhisUom (MY Core))http://fhir.hie.moh.gov.my/ValueSet/phis-uom-my-corefrom this IG | ||||
| MedicationKnowledge.medicineClassification.classification | required | ValueSetDrugCategoryMyCore (a valid code from CodeSystemDrugCategory (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-category-my-corefrom this IG | ||||
| MedicationKnowledge.packaging.type | example | medicationKnowledge Package Type Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-package-typefrom the FHIR Standard | ||||
| MedicationKnowledge.drugCharacteristic.type | example | medicationKnowledge Characteristic Codeshttp://hl7.org/fhir/ValueSet/medicationknowledge-characteristicfrom the FHIR Standard | ||||
| MedicationKnowledge.regulatory.schedule.schedule | preferred | ValueSetDrugScheduleMyCore (a valid code from CodeSystemDrugSchedule (MY Core))http://fhir.hie.moh.gov.my/ValueSet/drug-schedule-my-corefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationKnowledge | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationKnowledge | 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 | MedicationKnowledge | 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 | MedicationKnowledge | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationKnowledge | 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() | |
| tim-1 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
| tim-2 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
| tim-4 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
| tim-5 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
| tim-6 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
| tim-7 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
| tim-8 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
| tim-9 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
| tim-10 | error | MedicationKnowledge.administrationGuidelines.dosage.dosage.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationKnowledge
Summary
Mandatory: 1 element(3 nested mandatory elements)
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ Malaysia Healthcare Nexus (MHN). Package fhir.my.ig.r4#0.0.1 based on FHIR 4.0.1. Generated 2024-10-18
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