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| ID | Path | Min | Max | Type(s) | Short | Definition | Binding Strength | Binding Description | Läkemedelsverket | E-hälso-myndigheten | Inera | Region |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EHDSMedication | EHDSMedication | 0 | * | Medicinal product model | Logical model for prescribed/dispensed medication. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile. | |||||||
| EHDSMedication.identifyingCode[x] | EHDSMedication.identifyingCode[x] | 0 | * | CodeableConcept Identifier | Identifier or code for the product (virtual product, branded product or package). If several identifiers are specified, they shall not have conflicting meanings or very different granularities. | Identifier or code for the product (virtual product, branded product or package). If several identifiers are specified, they shall not have conflicting meanings or very different granularities. | PMS-id eller PMS-pack-id borde det väl vara här eftersom det ska gå att förstå över EU? Är på g att införa i NPL. Hur ska man förstå beskrivningen, måste man välja antingen att identifiera på produktnivå eller förpackningsnivå för alla produkter? | Virtuella produkter har väl inte PMS-id? | ||||
| EHDSMedication.classification | EHDSMedication.classification | 0 | * | CodeableConcept | Classification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.) | Classification (e.g. ATC; narcotic/psychotropic; orphan drug; etc.) | preferred | WHO ATC | Finns flera tänkbara klassifikationer, behöver komma överens om vilka som är intressanta att ta med här. ATC finns, | |||
| EHDSMedication.productName | EHDSMedication.productName | 0 | 1 | string | Name of the product (full name, invented name, other). When the product has different names, the appropriate one for the context should be used. Translations of names can be provided. | Name of the product (full name, invented name, other). When the product has different names, the appropriate one for the context should be used. Translations of names can be provided. | Finns produktnamn i NPL, det är lite av en mix av invented name och common name men det stämmer rätt bra med EHDS beskrivning. | |||||
| EHDSMedication.marketingAuthorisationHolder | EHDSMedication.marketingAuthorisationHolder | 0 | 1 | Base | Marketing authorisation holder or manufacturer of the medicinal product. Relevant for identifying the exact product. | Marketing authorisation holder or manufacturer of the medicinal product. Relevant for identifying the exact product. | En läkemedelsprodukt kan ha både MAH och ombud (manufacturer?). Vad ska anges? Finns även fler roller. | |||||
| EHDSMedication.marketingAuthorisationHolder.organizationName | EHDSMedication.marketingAuthorisationHolder.organizationName | 0 | 1 | string | Name of the organisation holding the authorisation for marketing/mahufacturing | Name of the organisation holding the authorisation for marketing/mahufacturing | ||||||
| EHDSMedication.marketingAuthorisationHolder.organizationIdentifier | EHDSMedication.marketingAuthorisationHolder.organizationIdentifier | 0 | * | Identifier | Identifier of the organisation and/or its physical location | Identifier of the organisation and/or its physical location | ||||||
| EHDSMedication.doseForm | EHDSMedication.doseForm | 0 | 1 | CodeableConcept | Dose form(s) on a product level. Dose form for a single package item is defined below. | Dose form(s) on a product level. Dose form for a single package item is defined below. | preferred | EDQM Standard Terms | Finns i NPL, ett fåtal är nationellt unika och saknar mappning till EDQM ST. | |||
| EHDSMedication.packSize | EHDSMedication.packSize | 0 | * | Quantity | Overall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries) | Overall amount of product in one package (100ml; 20 tablets; 1 creme & 6 pessaries) | preferred | UCUM for units of measure. EDQM Standard Terms for units of presentation. | Antal i förpackning finns numeriskt i VARA. Dock inte möjligt att ange flera. 1 creme & 6 pessaries skulle bli "1 styck" med förpackningstyp "blister och tub". I vissa fall dock uppdelat på flera attribut ex. 5x3 ml 3x28 tabletter Koder delvis enligt EDQM ST. Text finns som beskriver helheten. | |||
| EHDSMedication.item | EHDSMedication.item | 0 | * | Base | A medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined | A medication item. For combination packs, this can be manufactured items with each item having its own dose form and ingredients+strengths defined | Tillverkad enhet finns i NPL | |||||
| EHDSMedication.item.doseForm | EHDSMedication.item.doseForm | 0 | 1 | CodeableConcept | Dose form | Dose form | preferred | EDQM Standard Terms | Läkemedelsform för Tillverkad enhet finns i NPL | |||
| EHDSMedication.item.ingredient | EHDSMedication.item.ingredient | 1 | * | Base | Ingredients | Ingredients | Beståndsdelar/referenssubstanser finns i NPL | |||||
| EHDSMedication.item.ingredient.isActive | EHDSMedication.item.ingredient.isActive | 0 | 1 | boolean | Marks if the ingredient is considered an active ingredient. Typically excipients are not needed, so by default active ingredients are expected. | Marks if the ingredient is considered an active ingredient. Typically excipients are not needed, so by default active ingredients are expected. | Finns (motsvarande) i NPL | |||||
| EHDSMedication.item.ingredient.substance | EHDSMedication.item.ingredient.substance | 1 | 1 | CodeableConcept | Substance | Substance | preferred | EMA SPOR SMS | SMS-id är på gång att införas i NSL. | |||
| EHDSMedication.item.ingredient.strengthInfo | EHDSMedication.item.ingredient.strengthInfo | 0 | 1 | Base | Strength of the product - amount of substance per unit | Strength of the product - amount of substance per unit | ||||||
| EHDSMedication.item.ingredient.strengthInfo.strength | EHDSMedication.item.ingredient.strengthInfo.strength | 1 | 1 | Ratio | Concentration or presentation strength, e.g 100mg/1ml or 500mg per 1 tablet | Concentration or presentation strength, e.g 100mg/1ml or 500mg per 1 tablet | Framgår inte här men man kan gissa att concentration strength ska använda UCUM för måttenheter och presentation strength ska använda EDQM ST för presentationsenheter. Mappning till UCUM kan vi få tag i, presentationsenheter enligt EDQM ST är det lite värre med (se nedan). | |||||
| EHDSMedication.item.ingredient.strengthInfo.basisOfStrengthSubstance | EHDSMedication.item.ingredient.strengthInfo.basisOfStrengthSubstance | 0 | 1 | CodeableConcept | Substance that the strength refers to, in case it's different from the main substance | Substance that the strength refers to, in case it's different from the main substance | preferred | EMA SPOR SMS | Finns (motsvarande) i NPL. Man kan gissa att om basisOfStrengthSubstance saknas så ska man tolka detta som att beståndsdelen i sig själv utgör basis of strength? | |||
| EHDSMedication.item.unitOfPresentation | EHDSMedication.item.unitOfPresentation | 0 | 1 | CodeableConcept | Unit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package. | Unit of presentation for the manufactured item (tablet, vial, tube). Typically, the smallest countable object in the package. | preferred | EDQM Standard Terms | Sätts sen ca ett år tillbaka på nya produkter som godkänns/registreras, men saknas i regel för äldre produkter. | |||
| EHDSMedication.item.containedQuantity | EHDSMedication.item.containedQuantity | 0 | 1 | Ratio | Manufactured item quantity for liquids (3ml / 1 vial) | Manufactured item quantity for liquids (3ml / 1 vial) | ||||||
| EHDSMedication.item.amount | EHDSMedication.item.amount | 0 | 1 | Quantity | Number of such manufactured items in this product (5 vials) | Number of such manufactured items in this product (5 vials) | preferred | UCUM for units of measure. EDQM Standard Terms for units of presentation. | ||||
| EHDSMedication.item.packageType | EHDSMedication.item.packageType | 0 | 1 | CodeableConcept | Type of package of the medication item | Type of package of the medication item | preferred | EDQM Standard Terms for packaging. | Förpackningstyp finns i VARA (anges av företag i LiiV). Bara på förpackningsnivå, inte per tillverkad enhet (ex. blister och tub). Koder delvis enligt EDQM ST. | |||
| EHDSMedication.device | EHDSMedication.device | 0 | * | Base | Administration device included in the product | Administration device included in the product | Inte i NPL/VARA | |||||
| EHDSMedication.device.deviceQuantity | EHDSMedication.device.deviceQuantity | 1 | 1 | Quantity | Number of such devices | Number of such devices | ||||||
| EHDSMedication.device.device[x] | EHDSMedication.device.device[x] | 1 | 1 | CodeableConcept Reference(https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice) | Device coded | Device coded | ||||||
| EHDSMedication.characteristic | EHDSMedication.characteristic | 0 | * | Base | Other features of the product | Other features of the product | Svårt att veta vad som förväntas här… | |||||
| EHDSMedication.characteristic.type | EHDSMedication.characteristic.type | 1 | 1 | CodeableConcept | A code expressing the type of characteristic | A code expressing the type of characteristic | ||||||
| EHDSMedication.characteristic.value[x] | EHDSMedication.characteristic.value[x] | 0 | 1 | boolean CodeableConceptstringQuantitydateTimeintegerdecimalRatio | Description of the characteristic | Description of the characteristic | ||||||
| EHDSMedication.batch | EHDSMedication.batch | 0 | 1 | Base | Batch information of a medicinal product. Typically recorded during dispense or administration, rarely known or relevant for a prescription/request. | Batch information of a medicinal product. Typically recorded during dispense or administration, rarely known or relevant for a prescription/request. | ||||||
| EHDSMedication.batch.lotNumber | EHDSMedication.batch.lotNumber | 0 | 1 | string | Batch identifier of the medicinal product | Batch identifier of the medicinal product | ||||||
| EHDSMedication.batch.expirationDate | EHDSMedication.batch.expirationDate | 0 | 1 | dateTime | Batch expiration date of the medicinal product. | Batch expiration date of the medicinal product. |
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| ID | Path | Min | Max | Type(s) | Short | Definition | Binding Strength | Binding Description | E-hälsomyndigheten | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EHDSMedicationPrescription | EHDSMedicationPrescription | 0 | * | Medication prescription model | Logical model for medication prescription body. A prescription contains one or more prescription items. | ||||||||
| EHDSMedicationPrescription.header | EHDSMedicationPrescription.header | 1 | 1 | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationPrescriptionHeader | Prescription header | Prescription header data elements | |||||||
| EHDSMedicationPrescription.presentedForm | EHDSMedicationPrescription.presentedForm | 0 | * | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | Presented Form | Entire prescription as issued. Various formats could be provided, pdf format is recommended. | inte i NLL | ||||||
| EHDSMedicationPrescription.comment | EHDSMedicationPrescription.comment | 0 | * | string | Additional information or comments | Additional information or comments | |||||||
| EHDSMedicationPrescription.prescriptionItem | EHDSMedicationPrescription.prescriptionItem | 1 | * | Base | Prescription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together. | Prescription line for one medication. In many countries, only one line is allowed. In case multiple medications are allowed, all lines need to be authored together. | Svenska recept kan bara innehålla ett läkemedel, dvs. ett item | ||||||
| EHDSMedicationPrescription.prescriptionItem.identifier | EHDSMedicationPrescription.prescriptionItem.identifier | 0 | 1 | Identifier | Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier. | Identifier for a single line on prescription, if exists. In case of single-line prescription, this identifier is typically the same as prescription identifier. | förskrivnings-id | ||||||
| EHDSMedicationPrescription.prescriptionItem.medication | EHDSMedicationPrescription.prescriptionItem.medication | 1 | 1 | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedication | Prescribed product, branded, generic, virtual, extemporal, etc | Prescribed product, branded, generic, virtual, extemporal, etc | Se "Medication" | ||||||
| EHDSMedicationPrescription.prescriptionItem.indication[x] | EHDSMedicationPrescription.prescriptionItem.indication[x] | 0 | * | CodeableConcept https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition | Reason for the prescription (typically diagnosis, or a procedure) | Reason for the prescription (typically diagnosis, or a procedure) | preferred | shall we have a preferred binding here? | behandlingsorsak Swedish National Medication List - 21.12 | nll-snomed-behandlingsorsak - SIMPLIFIER.NET Snomed CT | ||||
| EHDSMedicationPrescription.prescriptionItem.indicationText | EHDSMedicationPrescription.prescriptionItem.indicationText | 0 | 1 | string | Reason for the prescription in textual form. This might not be allowed by some implementations. | Reason for the prescription in textual form. This might not be allowed by some implementations. | beskrivning annan behandlingsorsak | ||||||
| EHDSMedicationPrescription.prescriptionItem.prescriptionIntent | EHDSMedicationPrescription.prescriptionItem.prescriptionIntent | 0 | 1 | CodeableConcept | Intent of the prescription - prophylaxis, treatment, anesthesia, etc | Intent of the prescription - prophylaxis, treatment, anesthesia, etc | inte i NLL | ||||||
| EHDSMedicationPrescription.prescriptionItem.treatmentPeriod | EHDSMedicationPrescription.prescriptionItem.treatmentPeriod | 0 | 1 | Period | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) | Period over which the medication is to be taken (in case of multiple dosaging schemes, this would be the overall period of all dosages.) | inte i NLL (är ibland möjlig att räkna ut med hjälp av dosering?) | ||||||
| EHDSMedicationPrescription.prescriptionItem.quantityPrescribed | EHDSMedicationPrescription.prescriptionItem.quantityPrescribed | 0 | 1 | Quantity | Overall quantity of prescribed product (e.g number of packages or number of tablets). | Overall quantity of prescribed product (e.g number of packages or number of tablets). | förskriven mängd Räknas ut av NLL. Antal tabletter, förfyllda sprutor, plåster osv. inte antal förpackningar. Används för att beräkna hur mycket som är kvar på förskrivningen. Hur hantera om någon skickar antal förpackningar? | ||||||
| EHDSMedicationPrescription.prescriptionItem.dosageInstructions | EHDSMedicationPrescription.prescriptionItem.dosageInstructions | 0 | * | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDosaging | Dosaging and administration instructions | Dosaging and administration instructions | se "Dosaging" | ||||||
| EHDSMedicationPrescription.prescriptionItem.preparationInstructions | EHDSMedicationPrescription.prescriptionItem.preparationInstructions | 0 | 1 | string | Additional instructions about preparation or dispense | Additional instructions about preparation or dispense | inte i NLL Lite oklart syfte. Finns fritextfält i NLL för kommentarer från förskrivare respektive apotek. | ||||||
| EHDSMedicationPrescription.prescriptionItem.substitution | EHDSMedicationPrescription.prescriptionItem.substitution | 0 | 1 | Base | Whether and which type of substitution is allowed for this medication treatment line | Whether and which type of substitution is allowed for this medication treatment line | |||||||
| EHDSMedicationPrescription.prescriptionItem.substitution.allowed[x] | EHDSMedicationPrescription.prescriptionItem.substitution.allowed[x] | 0 | 1 | boolean CodeableConcept | Whether and to what extent substitution is allowed. | Whether and to what extent substitution is allowed. | substitution tillåten Boolean i NLL. Valfritt att ange. Inget angivet värde tolkas som substitution tillåten. | ||||||
| EHDSMedicationPrescription.prescriptionItem.substitution.reason[x] | EHDSMedicationPrescription.prescriptionItem.substitution.reason[x] | 0 | 1 | CodeableConcept string | Reason for the substitution requirement | Reason for the substitution requirement | inte i NLL | ||||||
| EHDSMedicationPrescription.prescriptionItem.status | EHDSMedicationPrescription.prescriptionItem.status | 1 | 1 | CodeableConcept | Status of a single request/line of the prescription | Status of a single request/line of the prescription | Status finns för hela förskrivningen i NLL. Vad händer om olika items har olika status? | ||||||
| EHDSMedicationPrescription.prescriptionItem.statusReason[x] | EHDSMedicationPrescription.prescriptionItem.statusReason[x] | 0 | 1 | CodeableConcept string | Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous | Reason for the current status of prescription, for example the reason why the prescription was made invalid or why the prescription was changed from previous | förskrivningsstatusorsak | ||||||
| EHDSMedicationPrescription.prescriptionItem.repeatsAllowed | EHDSMedicationPrescription.prescriptionItem.repeatsAllowed | 0 | 1 | integer | Number of refills authorized | How many times the prescription item can be dispensed in addition to the original dispense. | Förskrivet antal uttag Kan i NLL anges som Number of dispenses allowed eller Number of repeats allowed. | ||||||
| EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval | EHDSMedicationPrescription.prescriptionItem.minimumDispenseInterval | 0 | 1 | Duration | Minimum Dispense Interval | If a prescription allows for repeated dispensations, the interval between dispensations shall be stated here. | expedieringsintervall Dag, vecka eller månad i NLL: UCUM | ||||||
| EHDSMedicationPrescription.prescriptionItem.offLabel | EHDSMedicationPrescription.prescriptionItem.offLabel | 0 | 1 | Base | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the drug | |||||||
| EHDSMedicationPrescription.prescriptionItem.offLabel.isOffLabelUse | EHDSMedicationPrescription.prescriptionItem.offLabel.isOffLabelUse | 1 | 1 | boolean | Indicates off-label use. Must be 'true' when .reason is provided. | Indicates off-label use. Must be 'true' when .reason is provided. | inte i NLL Det som finns i NLL är "Obs överstiger rekommenderad dos" (bool) som ligger i doseringen. | ||||||
| EHDSMedicationPrescription.prescriptionItem.offLabel.reason[x] | EHDSMedicationPrescription.prescriptionItem.offLabel.reason[x] | 0 | * | CodeableConcept string | Reason or related clarification for off-label use | Reason or related clarification for off-label use | inte i NLL | ||||||
| EHDSMedicationPrescription.prescriptionItem.comment | EHDSMedicationPrescription.prescriptionItem.comment | 0 | * | string | Additional information or comments | Additional information or comments | förskrivarens kommentar? |
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