Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS
1.0.0 - STU1 Brazil flag

!!Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: BRCoreMedication - Detailed Descriptions

Page standards status: Informative Maturity Level: 1

Definitions for the br-core-medication resource profile.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Medication
Definição

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

CurtoDefinition of a Medication
Controlo0..*
É modificadorfalse
Resumofalse
Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.id
Definição

ID exclusivo para referência entre elementos


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

CurtoReferenciamento entre elementoLogical id of this artifact
Comentários

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Controlo0..1
Tipoidstring
É modificadorfalse
Resumotrue
4. Medication.meta
Definição

Metadados adicionais sobre o recurso


The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

CurtoMetadados sobre o recursoMetadata about the resource
Controlo0..1
TipoMeta
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Medication.implicitRules
Definição

Um ou mais códigos que servem para identificar o tipo de recurso


A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

CurtoUm conjunto de regras sob as quais este conteúdo foi criadoA set of rules under which this content was created
Comentários

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Controlo0..1
Tipouri
É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Medication.language
Definição

A linguagem humana natural do recurso


The base language in which the resource is written.

CurtoLinguagem do recursoLanguage of the resource content
Comentários

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Vínculos adicionaisObjetivo
AllLanguagesVínculo máximo
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Medication.text
Definição

Um texto narrativo resumindo as informações do recurso


A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

CurtoResumo de texto para o recurso, para interpretação humanaText summary of the resource, for human interpretation
Comentários

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Controlo0..1
TipoNarrative
É modificadorfalse
Resumofalse
Nomes alternativosnarrative, html, xhtml, display
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Medication.contained
Definição

Recursos contidos no recurso


These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

CurtoRecursos contidosContained, inline Resources
Comentários

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Controlo0..*
TipoResource
É modificadorfalse
Resumofalse
Nomes alternativosinline resources, anonymous resources, contained resources
14. Medication.extension
Definição

Conteúdo adicional definido por implementações


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CurtoExtensões adicionaisAdditional content defined by implementations
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..1*
TipoExtension
É modificadorfalse
Resumofalse
Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Medication.modifierExtension
Definição

Extensões que não podem ser ignoradas


May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CurtoExtensõesExtensions that cannot be ignored
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumofalse
Requisitos

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Medication.identifier
Definição

Identificador de negócios para este medicamento


Business identifier for this medication.

CurtoIdentificador de negócios para este medicamentoBusiness identifier for this medication
Comentários

The serial number could be included as an identifier.

NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo0..*
TipoIdentifier
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Medication.code
Definição

Nome e terminologia do medicamento fabricado.


A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

CurtoNome do medicamentoCodes that identify this medication
Comentários

Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

Controlo0..1
VínculoPara exemplos de códigos, ver SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
(example to http://hl7.org/fhir/ValueSet/medication-codes)

A coded concept that defines the type of a medication.

TipoCodeableConcept
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Medication.status
Definição

ativo| inativo| entrado com erro


A code to indicate if the medication is in active use.

Curtoativo| inativo| entrado com erroactive | inactive | entered-in-error
Comentários

This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

A coded concept defining if the medication is in active use.

Tipocode
É modificadortrue porque This element changes the interpretation of all descriptive attributes.
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Medication.manufacturer
Definição

Fabricante do item


Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

CurtoOrganização FabricanteManufacturer of the item
Controlo0..1
TipoReference(BR Core Organization, Organization)
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Medication.form
Definição

Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.).


Describes the form of the item. Powder; tablets; capsule.

CurtoUnidade de medida do medicamentopowder | tablets | capsule +
Comentários

When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

Controlo0..1
VínculoPara exemplos de códigos, ver SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes
(example to http://hl7.org/fhir/ValueSet/medication-form-codes)

A coded concept defining the form of a medication.

TipoCodeableConcept
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Medication.amount
Definição

Quantidade de medicamento na embalagem


Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

CurtoQuantidade de medicamentoAmount of drug in package
Controlo0..1
TipoRatio
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Medication.ingredient
Definição

Ingrediente ativo ou inativo


Identifies a particular constituent of interest in the product.

CurtoIngrediente ativo ou inativoActive or inactive ingredient
Comentários

The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

Controlo0..*
TipoBackboneElement
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Medication.ingredient.modifierExtension
Definição

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CurtoExtensions that cannot be ignored even if unrecognized
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumotrue
Requisitos

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Nomes alternativosextensions, user content, modifiers
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. Medication.ingredient.item[x]
Definição

O ingrediente ou conteúdo real Vinculante: Substâncias ativas de medicamentos - IPS (preferencial): Substâncias medicamentosas SNOMED CT


The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

CurtoIngredienteThe actual ingredient or content
Controlo1..1
TipoEscolha de: CodeableConcept, Reference(Substance, Medication)
[x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificadorfalse
Resumofalse
Requisitos

The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingEste elemento introduz um conjunto de fatias em Medication.ingredient.item[x]. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • type @ $this
  • 36. Medication.ingredient.item[x]:itemReference
    Nome da fatiaitemReference
    Definição

    The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

    CurtoThe actual ingredient or content
    Controlo1..1
    TipoReference(Substance, BR Core Medication, Medication), CodeableConcept
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    É modificadorfalse
    Resumofalse
    Requisitos

    The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Medication.ingredient.isActive
    Definição

    Indicador de ingrediente ativo


    Indication of whether this ingredient affects the therapeutic action of the drug.

    CurtoIngrediente ativoActive ingredient indicator
    Controlo0..1
    Tipoboolean
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumofalse
    Requisitos

    True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Medication.ingredient.strength
    Definição

    Uma proporção de dois valores de Quantidade - um numerador e um denominador


    Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

    CurtoUma proporção de dois valores de Quantidade - um numerador e um denominadorQuantity of ingredient present
    Controlo0..1
    TipoRatio
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Medication.batch
    Definição

    Informação sobre lote e validade da medicação.


    Information that only applies to packages (not products).

    CurtoDetalhes sobre a medicação.Details about packaged medications
    Controlo0..1
    TipoBackboneElement
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Medication.batch.modifierExtension
    Definição

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    CurtoExtensions that cannot be ignored even if unrecognized
    Comentários

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Controlo0..*
    TipoExtension
    É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Resumotrue
    Requisitos

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Nomes alternativosextensions, user content, modifiers
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    46. Medication.batch.lotNumber
    Definição

    RN14: Se medicamento serializado/Datamatrix - Elemento lot do XML para grupo IUM.


    The assigned lot number of a batch of the specified product.

    CurtoLote de medicamento.Identifier assigned to batch
    Controlo0..1
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Medication.batch.expirationDate
    Definição

    Quando o lote vai expirar


    When this specific batch of product will expire.

    CurtoData de validade do medicamento.When batch will expire
    Controlo0..1
    TipodateTime
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

    0. Medication
    2. Medication.id
    Definição

    ID exclusivo para referência entre elementos

    CurtoReferenciamento entre elemento
    4. Medication.meta
    Definição

    Metadados adicionais sobre o recurso

    CurtoMetadados sobre o recurso
    6. Medication.implicitRules
    Definição

    Um ou mais códigos que servem para identificar o tipo de recurso

    CurtoUm conjunto de regras sob as quais este conteúdo foi criado
    8. Medication.language
    Definição

    A linguagem humana natural do recurso

    CurtoLinguagem do recurso
    10. Medication.text
    Definição

    Um texto narrativo resumindo as informações do recurso

    CurtoResumo de texto para o recurso, para interpretação humana
    12. Medication.contained
    Definição

    Recursos contidos no recurso

    CurtoRecursos contidos
    14. Medication.extension
    Definição

    Conteúdo adicional definido por implementações

    CurtoExtensões adicionais
    Controlo0..1
    16. Medication.modifierExtension
    Definição

    Extensões que não podem ser ignoradas

    CurtoExtensões
    18. Medication.identifier
    Definição

    Identificador de negócios para este medicamento

    CurtoIdentificador de negócios para este medicamento
    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    20. Medication.code
    Definição

    Nome e terminologia do medicamento fabricado.

    CurtoNome do medicamento
    22. Medication.status
    Definição

    ativo| inativo| entrado com erro

    Curtoativo| inativo| entrado com erro
    24. Medication.manufacturer
    Definição

    Fabricante do item

    CurtoOrganização Fabricante
    TipoReference(BR Core Organization)
    26. Medication.form
    Definição

    Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.).

    CurtoUnidade de medida do medicamento
    28. Medication.amount
    Definição

    Quantidade de medicamento na embalagem

    CurtoQuantidade de medicamento
    30. Medication.ingredient
    Definição

    Ingrediente ativo ou inativo

    CurtoIngrediente ativo ou inativo
    32. Medication.ingredient.item[x]
    Definição

    O ingrediente ou conteúdo real Vinculante: Substâncias ativas de medicamentos - IPS (preferencial): Substâncias medicamentosas SNOMED CT

    CurtoIngrediente
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    SlicingEste elemento introduz um conjunto de fatias em Medication.ingredient.item[x]. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • type @ $this
    • 34. Medication.ingredient.item[x]:itemReference
      Nome da fatiaitemReference
      TipoReference(Substance, BR Core Medication)
      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
      36. Medication.ingredient.isActive
      Definição

      Indicador de ingrediente ativo

      CurtoIngrediente ativo
      38. Medication.ingredient.strength
      Definição

      Uma proporção de dois valores de Quantidade - um numerador e um denominador

      CurtoUma proporção de dois valores de Quantidade - um numerador e um denominador
      40. Medication.batch
      Definição

      Informação sobre lote e validade da medicação.

      CurtoDetalhes sobre a medicação.
      42. Medication.batch.lotNumber
      Definição

      RN14: Se medicamento serializado/Datamatrix - Elemento lot do XML para grupo IUM.

      CurtoLote de medicamento.
      44. Medication.batch.expirationDate
      Definição

      Quando o lote vai expirar

      CurtoData de validade do medicamento.

      Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

      0. Medication
      Definição

      This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

      CurtoDefinition of a Medication
      Controlo0..*
      É modificadorfalse
      Resumofalse
      Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Medication.id
      Definição

      ID exclusivo para referência entre elementos

      CurtoReferenciamento entre elemento
      Comentários

      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

      Controlo0..1
      Tipoid
      É modificadorfalse
      Resumotrue
      4. Medication.meta
      Definição

      Metadados adicionais sobre o recurso

      CurtoMetadados sobre o recurso
      Controlo0..1
      TipoMeta
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Medication.implicitRules
      Definição

      Um ou mais códigos que servem para identificar o tipo de recurso

      CurtoUm conjunto de regras sob as quais este conteúdo foi criado
      Comentários

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Controlo0..1
      Tipouri
      É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. Medication.language
      Definição

      A linguagem humana natural do recurso

      CurtoLinguagem do recurso
      Comentários

      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

      Controlo0..1
      VínculoOs códigos DEVERÃO ser retirados de CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Vínculos adicionaisObjetivo
      AllLanguagesVínculo máximo
      Tipocode
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Medication.text
      Definição

      Um texto narrativo resumindo as informações do recurso

      CurtoResumo de texto para o recurso, para interpretação humana
      Comentários

      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Controlo0..1
      TipoNarrative
      É modificadorfalse
      Resumofalse
      Nomes alternativosnarrative, html, xhtml, display
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Medication.contained
      Definição

      Recursos contidos no recurso

      CurtoRecursos contidos
      Comentários

      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

      Controlo0..*
      TipoResource
      É modificadorfalse
      Resumofalse
      Nomes alternativosinline resources, anonymous resources, contained resources
      14. Medication.extension
      Definição

      Conteúdo adicional definido por implementações

      CurtoExtensões adicionais
      Controlo0..1
      TipoExtension
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. Medication.modifierExtension
      Definição

      Extensões que não podem ser ignoradas

      CurtoExtensões
      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. Medication.identifier
      Definição

      Identificador de negócios para este medicamento

      CurtoIdentificador de negócios para este medicamento
      Comentários

      The serial number could be included as an identifier.

      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..*
      TipoIdentifier
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. Medication.code
      Definição

      Nome e terminologia do medicamento fabricado.

      CurtoNome do medicamento
      Comentários

      Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

      Controlo0..1
      VínculoPara exemplos de códigos, ver SNOMEDCTMedicationCodes
      (example to http://hl7.org/fhir/ValueSet/medication-codes)

      A coded concept that defines the type of a medication.

      TipoCodeableConcept
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Medication.status
      Definição

      ativo| inativo| entrado com erro

      Curtoativo| inativo| entrado com erro
      Comentários

      This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

      Controlo0..1
      VínculoOs códigos DEVERÃO ser retirados de Medication Status Codes
      (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

      A coded concept defining if the medication is in active use.

      Tipocode
      É modificadortrue porque This element changes the interpretation of all descriptive attributes.
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. Medication.manufacturer
      Definição

      Fabricante do item

      CurtoOrganização Fabricante
      Controlo0..1
      TipoReference(BR Core Organization)
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. Medication.form
      Definição

      Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.).

      CurtoUnidade de medida do medicamento
      Comentários

      When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

      Controlo0..1
      VínculoPara exemplos de códigos, ver SNOMEDCTFormCodes
      (example to http://hl7.org/fhir/ValueSet/medication-form-codes)

      A coded concept defining the form of a medication.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Medication.amount
      Definição

      Quantidade de medicamento na embalagem

      CurtoQuantidade de medicamento
      Controlo0..1
      TipoRatio
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Medication.ingredient
      Definição

      Ingrediente ativo ou inativo

      CurtoIngrediente ativo ou inativo
      Comentários

      The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

      Controlo0..*
      TipoBackboneElement
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Medication.ingredient.id
      Definição

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      CurtoUnique id for inter-element referencing
      Controlo0..1
      Tipostring
      É modificadorfalse
      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
      Resumofalse
      34. Medication.ingredient.extension
      Definição

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      CurtoAdditional content defined by implementations
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadorfalse
      Resumofalse
      Nomes alternativosextensions, user content
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      36. Medication.ingredient.modifierExtension
      Definição

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      38. Medication.ingredient.item[x]
      Definição

      O ingrediente ou conteúdo real Vinculante: Substâncias ativas de medicamentos - IPS (preferencial): Substâncias medicamentosas SNOMED CT

      CurtoIngrediente
      Controlo1..1
      TipoEscolha de: CodeableConcept, Reference(Substance, Medication)
      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
      É modificadorfalse
      Resumofalse
      Requisitos

      The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingEste elemento introduz um conjunto de fatias em Medication.ingredient.item[x]. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • type @ $this
      • 40. Medication.ingredient.item[x]:itemReference
        Nome da fatiaitemReference
        Definição

        The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

        CurtoThe actual ingredient or content
        Controlo1..1
        TipoReference(Substance, BR Core Medication)
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        É modificadorfalse
        Resumofalse
        Requisitos

        The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        42. Medication.ingredient.isActive
        Definição

        Indicador de ingrediente ativo

        CurtoIngrediente ativo
        Controlo0..1
        Tipoboolean
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Requisitos

        True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. Medication.ingredient.strength
        Definição

        Uma proporção de dois valores de Quantidade - um numerador e um denominador

        CurtoUma proporção de dois valores de Quantidade - um numerador e um denominador
        Controlo0..1
        TipoRatio
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Medication.batch
        Definição

        Informação sobre lote e validade da medicação.

        CurtoDetalhes sobre a medicação.
        Controlo0..1
        TipoBackboneElement
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Medication.batch.id
        Definição

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        CurtoUnique id for inter-element referencing
        Controlo0..1
        Tipostring
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        50. Medication.batch.extension
        Definição

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        CurtoAdditional content defined by implementations
        Comentários

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Controlo0..*
        TipoExtension
        É modificadorfalse
        Resumofalse
        Nomes alternativosextensions, user content
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        52. Medication.batch.modifierExtension
        Definição

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        CurtoExtensions that cannot be ignored even if unrecognized
        Comentários

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Controlo0..*
        TipoExtension
        É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Resumotrue
        Requisitos

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Nomes alternativosextensions, user content, modifiers
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        54. Medication.batch.lotNumber
        Definição

        RN14: Se medicamento serializado/Datamatrix - Elemento lot do XML para grupo IUM.

        CurtoLote de medicamento.
        Controlo0..1
        Tipostring
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. Medication.batch.expirationDate
        Definição

        Quando o lote vai expirar

        CurtoData de validade do medicamento.
        Controlo0..1
        TipodateTime
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))