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-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
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
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:
מס’ | שם | מה כוללת מערכת הקידוד</tsh> | קישור למערכת הקידוד | סוג | </tr> </thead>
---|---|---|---|---|
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 |
4 | .מערכת 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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Medication
Path | Conformance | ValueSet | URI |
Medication.code | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
Medication.form | extensible | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
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) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Medication.code | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard | |
Medication.form | extensible | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
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 | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Medication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Medication.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Medication.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Medication.code | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard | ||||
Medication.form | extensible | SNOMEDCTFormCodeshttp://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
Path | Conformance | ValueSet | URI |
Medication.code | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
Medication.form | extensible | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
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) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Medication.code | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard | |
Medication.form | extensible | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
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 | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Medication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Medication.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Medication.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Medication.code | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
Medication.status | required | Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard | ||||
Medication.form | extensible | SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes from the FHIR Standard |
This structure is derived from Medication
Other representations of profile: CSV, Excel, Schematron