IL Core Implementation Guide
0.18.0 - draft Israel flag

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

Resource Profile: ILCore Medication Profile

Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-medication Version: 0.18.0
Standards status: Trial-use Maturity Level: 1 Computable Name: ILCoreMedication

Israel Core proposed constraints and extensions on the Medication Resource

כללי

משאב הבסיס Medication משמש בעיקר לזיהוי והגדרה של תרופה למטרות רישום, ניפוק ומתן וכן להצהרה על שימוש בתרופות. שימוש במשאב אינו שכיח שכן ברב המקרים אין צורך בייצוג מידע מלא על התרופה בעת העברת מידע, אלא רק בייצוג הקוד שלה (למשל קוד ATC) או ההפניה (reference) אליה מהפרופילים הקשורים למטופל (למשל רישום תרופה, מתן תרופה, ניפוק תרופה וכו’). כמו כן משאב זה מאפשר לתעד תרופות לפי צורת התרופה, המרכיבים שלה והחוזק שלהם, ואופן האריזה ע”י קודים סטנדרטיים. ניתן להשתמש במשאב התרופות כדי לתאר מוצר מורכב (extemporaneous or magistral) המיוצר על ידי בית המרקחת בזמן ההנפקה. במקרה זה יהיו מספר מרכיבים שהם בדרך כלל כימיקלים בסיסיים (לדוגמה, אבקת הידרוקורטיזון) וייתכנו מרכיבים אחרים שהם מוצרים מיוצרים (לדוגמה, גלקסל בסיס).

עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה

קוד תרופה

רשימת הערכים לקודי התרופות כוללת מערכות קידוד הן של מב”ר והן מערכות קידוד בינלאומיות סטנדרטיות . להלן רשימת מערכות הקידוד שהוסדרו ברשימת הערכים של קודי התרופה בפרופיל:

</tr> </thead> . </table> ### שדות חובה בכל משאב התואם לפרופיל ILCoreMedication חייבים להיות האלמנטים הבאים: - קוד תרופה אחד - Medication.code. אלמנט זה גם הוגדר כ- MS) Must Support) </div>
מס’ שם מה כוללת מערכת הקידוד</tsh> קישור למערכת הקידוד סוג
1 מאגר התרופות - אגף הרוקחות במב”ר כל הקודים של תרופות רשומות בישראל תחת רישוי מב”ר http://israeldrugs.health.gov.il מב”ר
2 מאגר תמרוקים כל הקודים של תמרוקים תחת רישוי מב”ר http://cosmetics.health.gov.il מב”ר
3 מילון סטנדרטי SNOMED-CT כל הקודים המוגדרים בSnomed-CT http://snomed.info/sct בינלאומי
4מערכת סיווג רכיבי תרופה ATC של ארגון הבריאות העולמי (WHO) כל הקודים המוגדרים ב- ATC http://www.whocc.no/atc בינלאומי
5 מילון תרופות RxNormשל ה- NIH כל הקודים המוגדרים ב- RX-NORM http://www.nlm.nih.gov/research/umls/rxnorm בינלאומי
6 תקן ברקוד בינלאומי Global Trade Item Number (GTIN) כל הקודים המוגדרים ב- gs1 http://www.gs1.org/gtin בינלאומי

Usage:

Formal Views of Profile Content

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

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication ILCore Medication Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: ILCore Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
... identifier
.... assigner 0..1 Reference(ILCore Organization Profile) Organization that issued id (may be just text)
... code S 1..1 CodeableConcept Codes that identify this medication
Binding: ILCore Medication Code (extensible)
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (extensible)
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(ILCore Substance Profile | ILCore Medication Profile) The actual ingredient or content

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.codeextensibleILCoreMedicationCode
http://fhir.health.gov.il/ValueSet/il-core-medication-code
from this IG
Medication.formextensibleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication ILCore Medication Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: ILCore Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(ILCore Organization Profile) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codeextensibleILCoreMedicationCode
http://fhir.health.gov.il/ValueSet/il-core-medication-code
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formextensibleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication ILCore Medication Profile
... 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
... 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
.... narcotic 0..1 boolean Ext: ILCore Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(ILCore Organization Profile) Organization that issued id (may be just text)
... code SΣ 1..1 CodeableConcept Codes that identify this medication
Binding: ILCore Medication Code (extensible)
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(ILCore Organization Profile) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (extensible)
... amount Σ 0..1 Ratio Amount of drug in package
... 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
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Open by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(ILCore Substance Profile | ILCore Medication Profile) The actual ingredient or content
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient present
... batch 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
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Medication.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Medication.codeextensibleILCoreMedicationCode
http://fhir.health.gov.il/ValueSet/il-core-medication-code
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formextensibleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard

This structure is derived from Medication

Differential View

This structure is derived from Medication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication ILCore Medication Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: ILCore Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
... identifier
.... assigner 0..1 Reference(ILCore Organization Profile) Organization that issued id (may be just text)
... code S 1..1 CodeableConcept Codes that identify this medication
Binding: ILCore Medication Code (extensible)
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (extensible)
... ingredient
.... Slices for item[x] 1..1 CodeableConcept, Reference(Substance | Medication) The actual ingredient or content
Slice: Unordered, Open by type:$this
..... item[x]:itemReference 0..1 Reference(ILCore Substance Profile | ILCore Medication Profile) The actual ingredient or content

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Medication.codeextensibleILCoreMedicationCode
http://fhir.health.gov.il/ValueSet/il-core-medication-code
from this IG
Medication.formextensibleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication ILCore Medication Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: ILCore Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(ILCore Organization Profile) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.codeextensibleILCoreMedicationCode
http://fhir.health.gov.il/ValueSet/il-core-medication-code
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formextensibleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Medication 0..* Medication ILCore Medication Profile
... 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
... 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
.... narcotic 0..1 boolean Ext: ILCore Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(ILCore Organization Profile) Organization that issued id (may be just text)
... code SΣ 1..1 CodeableConcept Codes that identify this medication
Binding: ILCore Medication Code (extensible)
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.

... manufacturer Σ 0..1 Reference(ILCore Organization Profile) Manufacturer of the item
... form 0..1 CodeableConcept powder | tablets | capsule +
Binding: SNOMEDCTFormCodes (extensible)
... amount Σ 0..1 Ratio Amount of drug in package
... 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
.... Slices for item[x] 1..1 The actual ingredient or content
Slice: Unordered, Open by type:$this
..... itemCodeableConcept CodeableConcept
..... itemReference Reference(Substance | Medication)
..... item[x]:itemReference 0..1 Reference(ILCore Substance Profile | ILCore Medication Profile) The actual ingredient or content
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 Ratio Quantity of ingredient present
... batch 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
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Medication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Medication.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Medication.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Medication.codeextensibleILCoreMedicationCode
http://fhir.health.gov.il/ValueSet/il-core-medication-code
from this IG
Medication.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-status|4.0.1
from the FHIR Standard
Medication.formextensibleSNOMEDCTFormCodes
http://hl7.org/fhir/ValueSet/medication-form-codes
from the FHIR Standard

This structure is derived from Medication

 

Other representations of profile: CSV, Excel, Schematron