IL Core Implementation Guide
0.18.0 - draft
This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-dosage | Version: 0.18.0 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: ILCoreDosage | ||
Copyright/Legal: Israeli Ministry of Health |
Adds several Israel-specific extensions and constraints to the Dosage datatype
Dosage אינו משאב (resource), אלא סוג נתונים (datatype) כללי המשמש לתיעוד מידע על הוראות המינון בפרופילים השונים של מודול התרופות, כגון: בקשות לתרופות, מתן תרופות, הצהרות על תרופות וניפוקים. משאב זה כולל אלמנטים רבים כגון צורת מתן, שיטת הגשה, האיבר בו נכנסת התרופה לגוף וכו’. הוחלט “לגייר” מבנה נתונים זה ע”מ להסדיר את הוראות המינון השונות בין הארגונים השונים, שכן בארגוני בריאות רבים מידע זה קיים חלקית או לא מוסדר כלל במערכות המקור. למשל, בארגונים רבים המינון, צורת ההגשה ושיטת ההגשה מתועדים באותו שדה. לכן, הסדרה של הוראות המינון תביא לאינטראופרביליות אמיתית אשר תקטין את המאמץ הרב הנדרש מבחינה סמנטית, משום שהסדרה של יחידות המינון ושיטת הגשת התרופה ניתנת למיפוי באופן קל יחסית.
עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה
במשאב זה כל השדות אופציונאליים שכן אופן התיעוד במערכות מקור רבות לעיתים חלקי או מתבסס על טקסט חופשי ולכן לא ניתן לחייב את ארגוני הבריאות להעביר אלמנט כלשהו. יחד עם זאת מצופה שאם יעבור טקסט כלשהו שמתעד את הוראות המינון יש להתייחס אליו ולכן הוא מסומן כ- MS.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Dosage
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Dosage | Dosage | |||||||
text | S | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
Slices for asNeeded[x] | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Slice: Unordered, Open by type:$this | |||||
asNeeded[x]:asNeededCodeableConcept | 0..1 | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
site | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): A coded concept describing the site location the medicine enters into or onto the body. | |||||
route | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (extensible): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
method | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred): A coded concept describing the technique by which the medicine is administered. | |||||
doseAndRate | ||||||||
type | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (extensible): The kind of dose or rate specified. | |||||
dose[x] | 0..1 | Range, SimpleQuantity | Amount of medication per dose Binding: IL Core Units Of Measure Codes (extensible)
| |||||
maxDosePerAdministration | 0..1 | SimpleQuantity | Upper limit on medication per administration Binding: IL Core Units Of Measure Codes (extensible)
| |||||
maxDosePerLifetime | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Binding: IL Core Units Of Measure Codes (extensible)
| |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Dosage.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
Dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
Dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
Dosage.doseAndRate.type | extensible | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
Dosage.doseAndRate.dose[x] | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerAdministration | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerLifetime | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Dosage | 0..* | Dosage | How the medication is/was taken or should be taken | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
Slices for asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Slice: Unordered, Open by type:$this 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 | |||||||
asNeeded[x]:asNeededCodeableConcept | Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered. | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration Binding: IL Core Units Of Measure Codes (extensible)
| ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Binding: IL Core Units Of Measure Codes (extensible)
| ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Dosage.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
Dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
Dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
Dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
Dosage.maxDosePerAdministration | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerLifetime | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Dosage | 0..* | Dosage | How the medication is/was taken or should be taken | |||||
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 | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | Σ | 0..1 | Timing | When medication should be administered | ||||
Slices for asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Slice: Unordered, Open by type:$this 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 | |||||||
asNeeded[x]:asNeededCodeableConcept | Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): 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 (extensible): The kind of dose or rate specified. | ||||
dose[x] | Σ | 0..1 | Amount of medication per dose Binding: IL Core Units Of Measure Codes (extensible)
| |||||
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 Binding: IL Core Units Of Measure Codes (extensible)
| ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Binding: IL Core Units Of Measure Codes (extensible)
| ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Dosage.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
Dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
Dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
Dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
Dosage.doseAndRate.type | extensible | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
Dosage.doseAndRate.dose[x] | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerAdministration | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerLifetime | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
This structure is derived from Dosage
Differential View
This structure is derived from Dosage
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Dosage | Dosage | |||||||
text | S | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
Slices for asNeeded[x] | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Slice: Unordered, Open by type:$this | |||||
asNeeded[x]:asNeededCodeableConcept | 0..1 | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
site | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): A coded concept describing the site location the medicine enters into or onto the body. | |||||
route | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (extensible): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
method | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (preferred): A coded concept describing the technique by which the medicine is administered. | |||||
doseAndRate | ||||||||
type | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (extensible): The kind of dose or rate specified. | |||||
dose[x] | 0..1 | Range, SimpleQuantity | Amount of medication per dose Binding: IL Core Units Of Measure Codes (extensible)
| |||||
maxDosePerAdministration | 0..1 | SimpleQuantity | Upper limit on medication per administration Binding: IL Core Units Of Measure Codes (extensible)
| |||||
maxDosePerLifetime | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Binding: IL Core Units Of Measure Codes (extensible)
| |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Dosage.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
Dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
Dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
Dosage.doseAndRate.type | extensible | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
Dosage.doseAndRate.dose[x] | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerAdministration | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerLifetime | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Dosage | 0..* | Dosage | How the medication is/was taken or should be taken | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
Slices for asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Slice: Unordered, Open by type:$this 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 | |||||||
asNeeded[x]:asNeededCodeableConcept | Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered. | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration Binding: IL Core Units Of Measure Codes (extensible)
| ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Binding: IL Core Units Of Measure Codes (extensible)
| ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Dosage.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
Dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
Dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
Dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
Dosage.maxDosePerAdministration | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerLifetime | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Dosage | 0..* | Dosage | How the medication is/was taken or should be taken | |||||
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 | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (extensible): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | Σ | 0..1 | Timing | When medication should be administered | ||||
Slices for asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Slice: Unordered, Open by type:$this 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 | |||||||
asNeeded[x]:asNeededCodeableConcept | Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): 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 (extensible): The kind of dose or rate specified. | ||||
dose[x] | Σ | 0..1 | Amount of medication per dose Binding: IL Core Units Of Measure Codes (extensible)
| |||||
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 Binding: IL Core Units Of Measure Codes (extensible)
| ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Binding: IL Core Units Of Measure Codes (extensible)
| ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Dosage.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
Dosage.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
Dosage.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
Dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
Dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
Dosage.doseAndRate.type | extensible | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
Dosage.doseAndRate.dose[x] | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerAdministration | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG | ||||
Dosage.maxDosePerLifetime | extensible | ILCoreCommonUnitsOfMeasure
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure from this IG |
This structure is derived from Dosage
Other representations of profile: CSV, Excel, Schematron