{ "description": null, "_filename": "Profile/MedicationAdministrationPTCore.StructureDefinition.json", "package_name": "package.teste", "date": "2024-03-01T10:54:59.9339679+00:00", "derivation": "constraint", "publisher": "SPMS", "fhirVersion": "4.3.0", "name": "MedicationAdministrationPTCore", "abstract": false, "type": "MedicationAdministration", "experimental": null, "resourceType": "StructureDefinition", "title": "Medication Administration PT Core", "package_version": "1.0.7-draft", "status": "draft", "id": "3571ad35-3fc4-4c5a-9205-b2bc76935631", "kind": "resource", "url": "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationAdministrationPTCore", "version": "1.0.0", "differential": { "element": [ { "id": "MedicationAdministration.id", "min": 1, "path": "MedicationAdministration.id" }, { "id": "MedicationAdministration.meta", "path": "MedicationAdministration.meta", "type": [ { "code": "Meta", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MetaPTCore" ] } ] }, { "id": "MedicationAdministration.identifier", "path": "MedicationAdministration.identifier", "type": [ { "code": "Identifier", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/IdentifierPTCore" ] } ], "definition": "Identificador da administração local" }, { "id": "MedicationAdministration.identifier.type.coding.id", "path": "MedicationAdministration.identifier.type.coding.id", "comment": "." }, { "id": "MedicationAdministration.instantiates", "path": "MedicationAdministration.instantiates", "definition": "Protocolo" }, { "id": "MedicationAdministration.partOf", "path": "MedicationAdministration.partOf", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationAdministration", "http://hl7.org/fhir/StructureDefinition/Procedure", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationAdministrationPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ProcedurePTCore" ] } ], "definition": "Identifica a administração da medicação como parte de uma administração de medicação ou procedimento" }, { "id": "MedicationAdministration.status", "path": "MedicationAdministration.status", "definition": "Identifica o estado da administração do medicamento" }, { "id": "MedicationAdministration.statusReason", "path": "MedicationAdministration.statusReason", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Motivo de não administração\r\n\r\nO motivo de não administração deve estar de acordo com o catálogo CPARADM, ValueSet Reason Medication Not Given, codificado em SNOMED CT (“http://snomed.info/sct”). O catálogo pode ser solicitado ao https://www.ctc.min-saude.pt/." }, { "id": "MedicationAdministration.category", "path": "MedicationAdministration.category", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Identifica o tipo de utilização do medicamento\r\n\r\nA categoria deve estar de acordo com o catálogo CPARM, ValueSet Administration Category, codificado em SNOMED CT (“http://snomed.info/sct”). O catálogo pode ser solicitado ao https://www.ctc.min-saude.pt/." }, { "id": "MedicationAdministration.medication[x]", "path": "MedicationAdministration.medication[x]", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationPTCore" ] } ], "definition": "Identifica o medicamento administrado" }, { "id": "MedicationAdministration.subject", "path": "MedicationAdministration.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/GroupPTCore" ] } ], "definition": "Identifica quem recebeu a medicamento (utente ou grupo)" }, { "id": "MedicationAdministration.context", "path": "MedicationAdministration.context", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter", "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EncounterPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EpisodeOfCarePTCore" ] } ], "definition": "Identifica o episódio administrativo ou episódio em que a medicação foi administrada" }, { "id": "MedicationAdministration.supportingInformation", "path": "MedicationAdministration.supportingInformation", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ResourcePTCore" ] } ], "definition": "Identifica informação adicional que suporta a administração" }, { "id": "MedicationAdministration.effective[x]", "path": "MedicationAdministration.effective[x]", "definition": "Identifica a data da administração ou a data de início e fim da administração" }, { "id": "MedicationAdministration.performer", "path": "MedicationAdministration.performer", "definition": "Identifica quem administração e a função" }, { "id": "MedicationAdministration.performer.function", "path": "MedicationAdministration.performer.function", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Tipo de função do profissional/administrador que faz a administração do medicamento\r\n\r\nUsar o system http://terminology.hl7.org/CodeSystem/med-admin-perform-function" }, { "id": "MedicationAdministration.performer.actor", "path": "MedicationAdministration.performer.actor", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RelatedPersonPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore" ] } ], "definition": "Identifica quem efetuou a administração" }, { "id": "MedicationAdministration.reasonCode", "path": "MedicationAdministration.reasonCode", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Identifica o motivo da administração\r\n\r\nO motivo de administração deve estar de acordo com o catálogo CPARM, ValueSet Reason Medication Given, codificado em SNOMED CT (“http://snomed.info/sct”). O catálogo pode ser solicitado ao https://www.ctc.min-saude.pt/." }, { "id": "MedicationAdministration.reasonReference", "path": "MedicationAdministration.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ConditionPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DiagnosticReportPTCore" ] } ], "definition": "Identifica a condição ou observação que suporta o motivo da administração" }, { "id": "MedicationAdministration.request", "path": "MedicationAdministration.request", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationRequestPTCore" ] } ], "definition": "Identifica a prescrição efetuada" }, { "id": "MedicationAdministration.device", "path": "MedicationAdministration.device", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore" ] } ], "definition": "Identifica o dispositivo utilizado para a administração" }, { "id": "MedicationAdministration.note", "path": "MedicationAdministration.note", "definition": "Informação relativa à administração" }, { "id": "MedicationAdministration.dosage", "path": "MedicationAdministration.dosage", "definition": "Detalhe relativos à toma da medicação" }, { "id": "MedicationAdministration.dosage.text", "path": "MedicationAdministration.dosage.text", "definition": "Texto livre com instruções" }, { "id": "MedicationAdministration.dosage.site", "path": "MedicationAdministration.dosage.site", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "binding": { "strength": "required", "valueSet": "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-clinico" }, "comment": "Value Set Name: Anatomical Structure", "definition": "Parte do corpo onde foi efetuada a administração\r\n\r\nA parte do corpo deve estar de acordo com o catálogo CPARC, ValueSet Anatomical Sctruture, codificado em SNOMED CT (“http://snomed.info/sct”). O catálogo pode ser solicitado ao https://www.ctc.min-saude.pt/." }, { "id": "MedicationAdministration.dosage.route", "path": "MedicationAdministration.dosage.route", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "binding": { "strength": "required", "valueSet": "https://www.ctc.min-saude.pt/catalogos/apoio-ao-registo-da-medicacao" }, "comment": "Value Set Name: Route of Administration", "definition": "Via de administração\r\n\r\nA via de administração deve estar de acordo com o catálogo CPARM, ValueSet Route of Administration, codificado em EDQM. O catálogo pode ser solicitado ao https://www.ctc.min-saude.pt/ ." }, { "id": "MedicationAdministration.dosage.method", "path": "MedicationAdministration.dosage.method", "type": [ { "code": "CodeableConcept", "profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ] } ], "definition": "Identifica como o medicamento é administrado\r\n\r\nUsar o system http://snomed.info/sct" }, { "id": "MedicationAdministration.dosage.dose", "path": "MedicationAdministration.dosage.dose", "definition": "Quantidade de medicamento por dose" }, { "id": "MedicationAdministration.dosage.rate[x]", "path": "MedicationAdministration.dosage.rate[x]", "definition": "Dose por unidade de tempo" }, { "id": "MedicationAdministration.eventHistory", "path": "MedicationAdministration.eventHistory", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Provenance", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ProvenancePTCore" ] } ], "definition": "Resumo dos eventos que ocorreram durante a administração" } ] }, "contact": [ { "name": "Interoperabilidade Semântica", "telecom": [ { "value": "https://www.spms.min-saude.pt", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" }