Från eHealth Network guidelines
| Data | Element | Description | Preferred Code Systems | Pågående arbeten | |
|---|---|---|---|---|---|
| A.2.4 | Medication summary | •Nationella läkemedelslistan (NLL) •Pågående arbete inom EMA och ISO-standarder för läkemedel,särskilt IDMP (Identification of Medicinal Products), Snomed | |||
| A.2.4.1 | Current and relevant past medicines | (Relevant prescribed medicines whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not, or medicines that influence current health status or are relevant to a clinical decision) | |||
| A.2.4.1.1 | Medication reason | The reason why the medication is or was prescribed, or used This is the reason why the medication is being prescribed or used. It provides a link to the Past or current health conditions or problems that the patient has had or has. | ICD-10* SNOMED CT GPS Orphacode if rare disease is diagnosed | ||
| A.2.4.1.2 | Intended use | Indication intended use as: prevention or treatment Example: prophylaxis, treatment, diagnostic, anaesthesia, care of equipment, | |||
| A.2.4.1.3 | Brand name | Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU) | |||
| A.2.4.1.4 | Active ingredient lists | Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: "paracetamol" | ATC* (IDMP identifier, when available) | ||
| A.2.4.1.5 | Strength | The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet | UCUM, EDQM Standard Terms | ||
| A.2.4.1.6 | Pharmaceutical dose form | The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup) | EDQM Standard Terms | ||
| A.2.4.1.7 | Dosage Regimen | Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days | |||
| A.2.4.1.8 | Route of administration | Path by which the pharmaceutical product is taken into or makes contact with the body. | EDQM Standard Terms | ||
| A.2.4.1.9 | Date of onset of treatment | Date when patient needs to start taking the medicine prescribed | ISO 8601 |
Exporterat från logisk modell för Medicinal product
Medicinal product model - EHDS Logical Information Models v0.1.0
| ID | Path | Min | Max | Type(s) | Short | Definition | Binding Strength | Binding Description | Läkemedelsverket | Inera | E-hälso-myndigheten | Region Väster-botten |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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. | ||||||
| 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 | ||||
| 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. | ||||||
| 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. | ||||||
| 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 | ||||
| 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. | ||||
| 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 | ||||||
| EHDSMedication.item.doseForm | EHDSMedication.item.doseForm | 0 | 1 | CodeableConcept | Dose form | Dose form | preferred | EDQM Standard Terms | ||||
| EHDSMedication.item.ingredient | EHDSMedication.item.ingredient | 1 | * | Base | Ingredients | Ingredients | ||||||
| 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. | ||||||
| EHDSMedication.item.ingredient.substance | EHDSMedication.item.ingredient.substance | 1 | 1 | CodeableConcept | Substance | Substance | preferred | EMA SPOR SMS | ||||
| 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 | ||||||
| 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 | ||||
| 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 | ||||
| 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. | ||||
| EHDSMedication.device | EHDSMedication.device | 0 | * | Base | Administration device included in the product | Administration device included in the product | ||||||
| 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 | ||||||
| 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. |