pjolo
commented
8 months ago -
@ziegm I have added the information for the example below. I hope nothing is missing 😊
Alias: $v2-0203 = http://terminology.hl7.org/CodeSystem/v2-0203
Instance: MonikaWegmueller InstanceOf: Patient Usage: #inline
- meta.profile = "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-epr"
- identifier.type = $v2-0203#MR
- identifier.system = "urn:oid:2.999.1"
- identifier.value = "11111111"
- name.family = "Wegmüller"
- name.given = "Monika"
- gender = #female
- birthDate = "1943-05-15"
- address.line = "Wiesenstr. 12"
- address.city = "Zürich"
- address.postalCode = "8003"
- address.country = "CH"
Alias: $sct = http://snomed.info/sct
Instance: 2-3-MedStatBeloczok InstanceOf: MedicationStatement Usage: #example
- meta.profile = "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medicationstatement"
- contained = Beloczok
- identifier.system = "urn:ietf:rfc:3986"
- identifier.value = "urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77"
- status = #active
- medicationReference = Reference(Beloczok)
- subject = Reference(Patient/MonikaWegmueller)
- dateAsserted = "2012-02-04T14:00:00+01:00"
- informationSource = Reference(PractitionerRole/FamilienHausarztAtHausarzt)
- reasonCode.text = "Bluthochdruck"
- dosage[0].sequence = 1
- dosage[=].patientInstruction = "-"
- dosage[=].timing.repeat.boundsPeriod.start = "2012-02-04"
- dosage[=].timing.repeat.when = #MORN
- dosage[=].route = urn:oid:0.4.0.127.0.16.1.1.2.1#20053000 "Oral use"
- dosage[=].route.text = "zum Einnehmen"
- dosage[=].doseAndRate.doseQuantity = 1 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
- dosage[+].sequence = 2
- dosage[=].timing.repeat.when = #EVE
- dosage[=].doseAndRate.doseQuantity = 0.5 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
Alias: $sct = http://snomed.info/sct
Instance: Beloczok InstanceOf: Medication Usage: #inline
- meta.profile = "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication"
- code = urn:oid:2.51.1.1#7680521101306 "BELOC ZOK Ret Tabl 50 mg 30 Stk"
- code.text = "BELOC ZOK Ret Tabl 50 mg"
- form = urn:oid:0.4.0.127.0.16.1.1.2.1#10219000 "Tablet"
- form.text = "Tablette"
- amount.numerator = 20 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
- amount.denominator = 1 http://snomed.info/sct#1681000175101 "Package - unit of product usage (qualifier value)"
- ingredient.itemCodeableConcept = $sct#372826007 "Metoprolol (substance)"
- ingredient.itemCodeableConcept.text = "Metoprolol"
- ingredient.strength.numerator = 50 'mg' "milligram"
-
ingredient.strength.denominator = 1 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
Alias: $sct = http://snomed.info/sct
Instance: MetforminMedicationStatement InstanceOf: MedicationStatement Usage: #example
- meta.profile = "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medicationstatement"
- contained = Metformin
- identifier.system = "urn:ietf:rfc:3986"
- identifier.value = "urn:uuid:17931678-20b4-11e6-b67b-9e71128cca77"
- status = #active
- medicationReference = Reference(Metformin)
- subject = Reference(Patient/MonikaWegmueller)
- dateAsserted = "2012-02-04T14:00:00+01:00"
- informationSource = Reference(PractitionerRole/FamilienHausarztAtHausarzt)
- reasonCode.text = " Diabetes mellitus type 2"
- dosage[0].sequence = 1
- dosage[=].patientInstruction = "-"
- dosage[=].timing.repeat.boundsPeriod.start = "2012-02-04"
- dosage[=].timing.repeat.when = #MORN
- dosage[=].route = urn:oid:0.4.0.127.0.16.1.1.2.1#20053000 "Oral use"
- dosage[=].route.text = "zum Einnehmen"
- dosage[=].doseAndRate.doseQuantity = 1 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
- dosage[+].sequence = 2
- dosage[=].timing.repeat.when = #EVE
- dosage[=].doseAndRate.doseQuantity = 1 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
Alias: $sct = http://snomed.info/sct
Instance: Metformin InstanceOf: Medication Usage: #inline
- meta.profile = "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication"
- code = urn:oid:2.51.1.1#7680521101306 "METFORMIN Axapharm Filmtabl 500 mg 50 Stk"
- code.text = "METFORMIN Axapharm Filmtabl 500 mg"
- form = urn:oid:0.4.0.127.0.16.1.1.2.1#10219000 "Tablet"
- form.text = "Tablette"
- amount.numerator = 50 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
- amount.denominator = 1 http://snomed.info/sct#1681000175101 "Package - unit of product usage (qualifier value)"
- ingredient.itemCodeableConcept = $sct#109083009 "Metformin hydrochloride (substance)"
- ingredient.itemCodeableConcept.text = "Metformin hydrochloride"
- ingredient.strength.numerator = 500 'mg' "milligram"
-
ingredient.strength.denominator = 1 http://snomed.info/sct#732936001 "Tablet (unit of presentation)"
Alias: $allergyintolerance-clinical = http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical Alias: $allergyintolerance-verification = http://terminology.hl7.org/CodeSystem/allergyintolerance-verification Alias: $sct = http://snomed.info/sct Alias: $reaction-event-certainty = http://terminology.hl7.org/CodeSystem/reaction-event-certainty
Instance: AllergyPenicillin InstanceOf: AllergyIntolerance Usage: #example
- meta.profile = "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-allergyintolerance"
- clinicalStatus = $allergyintolerance-clinical#active "Active"
- verificationStatus = $allergyintolerance-verification#confirmed"Confirmed"
- type = #allergy
- category = #medication
- criticality = #low
- code = $sct#764146007 "Penicillin (substance)"
- patient = Reference(Patient/MonikaWegmueller)
- onsetDateTime = "2019-01-06"
- lastOccurrence = "2019-01-05"
- reaction.extension[0].url = "http://hl7.org/fhir/StructureDefinition/openEHR-location"
- reaction.extension[=].valueCodeableConcept = $sct#32361000 "Popliteal fossa structure (body structure)"
- reaction.extension[+].url = "http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"
- reaction.extension[=].valueDuration = 24 'h' "h"
- reaction.extension[+].url = "http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"
- reaction.extension[=].valueDateTime = "2019-01-05T18:00:00+01:00"
- reaction.extension[+].url = "http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"
- reaction.extension[=].valueDuration = 10 'min' "min"
- reaction.extension[+].url = "http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"
- reaction.extension[=].valueCodeableConcept = $reaction-event-certainty#likely "Likely"
- reaction.extension[+].url = "http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"
- reaction.extension[=].valueString = "taking 1000 mg of Amoxicillin"
- reaction.extension[+].url = "http://hl7.org/fhir/StructureDefinition/openEHR-management"
- reaction.extension[=].valueString = "antihistamine"
- reaction.substance = $sct#372687004 "Amoxicillin (substance)"
- reaction.manifestation[0] = $sct#2919008 "Nausea, vomiting and diarrhea"
- reaction.manifestation[+] = $sct#418363000 "Itching of skin (finding)"
- reaction.description = "Itching of Skin during 24hours, 3 times vomitus"
- reaction.onset = "2019-01-05"
- reaction.severity = #moderate
- reaction.note.text = "respiratory tract infection whilst taking"
Alias: $condition-clinical = http://terminology.hl7.org/CodeSystem/condition-clinical Alias: $condition-ver-status = http://terminology.hl7.org/CodeSystem/condition-ver-status Alias: $condition-category = http://terminology.hl7.org/CodeSystem/condition-category Alias: $sct = http://snomed.info/sct
Instance: Condition InstanceOf: Condition Usage: #example
- meta.profile = "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-condition"
- clinicalStatus = $condition-clinical#active
- verificationStatus = $condition-ver-status#unconfirmed
- category = $condition-category#problem-list-item
- severity = $sct#6736007 "Moderate (severity modifier) (qualifier value)"
- code = $sct#44054006 "Diabetes mellitus type 2 (disorder)"
- subject = Reference(Patient/MonikaWegmueller)
- onsetDateTime = "2021-12"
ziegm
I have created a use case:
Frau Wegmüller Monika, geboren am 15. Mai 1943, kommt mit einem stechenden Schmerz in der Brust und Atemnot in die Notaufnahme. Dort wird sie von einem Team aus Ärzten und Pflegepersonal untersucht. Der behandelnde Arzt ruft das IPS von Frau Wegmüller auf und stellt fest, dass Frau Wegmüller an Diabetes leidet und Blutdruckmedikamente einnimmt. Zusätzlich leidet Frau Wegmüller an einer Allergie gegen Penicilin. Sofort wird Frau Wegmüller ein niedrige dosis Betablocker verabreicht und ihr Herzrhythmus überwacht.
We can discuss and adapt it at the next meeting.