{ "resourceType" : "StructureDefinition", "id" : "DrugComponent", "text" : { "status" : "extensions", "div" : "

Сгенерированный нарратив: StructureDefinition DrugComponent

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
НаименованиеФлагиКарта.ТипОписание и ограничения\"doco\"
\".\"\".\" Medication C0..*MedicationКомпоненты лекарственного средства
Constraints: DrugComponentStatusRule
\".\"\".\"\".\" id 1..1idЛогический идентификатор этого артефакта
\".\"\".\"\".\" meta 1..1MetaМетаданные о ресурсе
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" source 0..0Определяет, откуда берется ресурс
\".\"\".\"\".\"\".\" profile 1..1canonical(StructureDefinition)Ссылка на профиль
Требуемый шаблон: https://fhir.by/StructureDefinition/DrugComponent
\".\"\".\"\".\"\".\" security 0..0Метки безопасности, примененные к этому ресурсу
\".\"\".\"\".\"\".\" tag 0..0Теги, применяемые к этому ресурсу
\".\"\".\"\".\" implicitRules 0..0Набор правил, в соответствии с которыми был создан этот контент
\".\"\".\"\".\" language 0..0Language of the resource content
\".\"\".\"\".\" text 0..0Краткое изложение текста ресурса для интерпретации человеком
\".\"\".\"\".\" contained 0..0Автономные встроенные ресурсы
\".\"\".\"\".\" Разрезы для extension 3..*ExtensionExtension
Разрез: Не упорядочено, Закрыто от value:$this.url
\".\"\".\"\".\"\".\" extension:typeOfMedicine S1..1CodeableConceptВид лекарственного средства
URL: https://fhir.by/StructureDefinition/TypeOfMedicine
Привязка: Вид лекарственного средства (required)
\".\"\".\"\".\"\".\" extension:psychotropicOrNarcotic S0..1CodeableConceptОтносится к психотромным или наркотическим
URL: https://fhir.by/StructureDefinition/PsychotropicOrNarcotic
Привязка: Психотропные или наркотические лекарственные средства (required)
\".\"\".\"\".\"\".\" extension:storageListA S1..1booleanСписок хранения А
URL: https://fhir.by/StructureDefinition/StorageListA
\".\"\".\"\".\"\".\" extension:essentialMedicine S1..1booleanПризнак включения в перечень основных лекарственных средств
URL: https://fhir.by/StructureDefinition/EssentialMedicine
\".\"\".\"\".\"\".\" extension:drugDispensingRules S0..1CodeableConceptПорядок отпуска
URL: https://fhir.by/StructureDefinition/DrugDispensingRules
Привязка: Порядок отпуска лекарственного средства (required)
\".\"\".\"\".\"\".\" extension:concentration S0..*QuantityКонцентрация
URL: https://fhir.by/StructureDefinition/ConcentrationMedication
Привязка: Классификатор единиц измерения дозировки и концентрации действующих веществ в составе лекарственных препаратов (required)
\".\"\".\"\".\" modifierExtension 0..0Extension
\".\"\".\"\".\" identifier 0..0Business identifier for this medication
\".\"\".\"\".\" code 0..1CodeableConceptКод АТХ
Привязка: АТХ классификатор (required)
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" coding 1..1CodingКод, определенный в справочнике НСИ Терминология
\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\" system 1..1uriСсылка на справочник
\".\"\".\"\".\"\".\"\".\" code 1..1codeКод
\".\"\".\"\".\"\".\"\".\" userSelected 0..0Если эта кодировка была выбрана непосредственно пользователем
\".\"\".\"\".\"\".\" text 0..0Простое текстовое представление концепции
\".\"\".\"\".\" status 1..1codeСтатус ресурса: active | inactive
\".\"\".\"\".\" marketingAuthorizationHolder 0..0Organization that has authorization to market medication
\".\"\".\"\".\" doseForm 1..1CodeableConceptЛекарственная форма
Привязка: Лекарственные формы (required)
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" coding 1..1CodingКод, определенный в справочнике НСИ Терминология
\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\" system 1..1uriСсылка на справочник
\".\"\".\"\".\"\".\"\".\" code 1..1codeКод
\".\"\".\"\".\"\".\"\".\" userSelected 0..0Если эта кодировка была выбрана непосредственно пользователем
\".\"\".\"\".\"\".\" text 0..0Простое текстовое представление концепции
\".\"\".\"\".\" totalVolume 0..0Если указанный код продукта не указывает на размер упаковки, то это конкретное количество лекарственного средства в продукте
\".\"\".\"\".\" ingredient 1..*BackboneElementДействующее вещество (или несколько действующих веществ)
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" modifierExtension 0..0Extension
\".\"\".\"\".\"\".\" item 1..1CodeableReference(Substance | Medication)Международное непатентованное наименование
Привязка: Международное непатентованное наименование (МНН) (required)
\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\" concept 1..1CodeableConceptСсылка на концепт (справочник + код + значение)
\".\"\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\"\".\" coding 1..1CodingКод, определенный в справочнике НСИ Терминология
\".\"\".\"\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriСсылка на справочник
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeКод
\".\"\".\"\".\"\".\"\".\"\".\"\".\" userSelected 0..0Если эта кодировка была выбрана непосредственно пользователем
\".\"\".\"\".\"\".\"\".\"\".\" text 0..0Простое текстовое представление концепции
\".\"\".\"\".\"\".\"\".\" reference 0..0Ссылка на ресурс
\".\"\".\"\".\"\".\" isActive 0..0Индикатор активного ингредиента
\".\"\".\"\".\"\".\" strength[x] 1..1QuantityКоличество действующего вещества
Привязка: Классификатор единиц измерения дозировки и концентрации действующих веществ в составе лекарственных препаратов (required)
\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\" value 1..1decimalЧисловое значение (с неявной точностью)
\".\"\".\"\".\"\".\"\".\" comparator 0..0< | <= | >= | > | ad - как понимать значение
\".\"\".\"\".\"\".\"\".\" system 1..1uriСистема, определяющая форму кодированной единицы измерения
\".\"\".\"\".\"\".\"\".\" code 1..1codeКодированная форма единицы измерения
\".\"\".\"\".\" batch 0..0Подробная информация о упаковке лекарственного средства
\".\"\".\"\".\" definition 0..0Knowledge about this medication

\"doco\" Документация для этого формата
" }, "url" : "https://fhir.by/StructureDefinition/DrugComponent", "version" : "0.2.6803", "name" : "DrugComponent", "title" : "Представление лекарственного средства по международному\n непатентованному наименованию его компонентов", "status" : "active", "date" : "2026-06-25T08:49:26+00:00", "publisher" : "fhir.by", "contact" : [{ "name" : "fhir.by", "telecom" : [{ "system" : "url", "value" : "https://fhir.by" }] }], "description" : "Содержит информацию о составе лекарственного средства. \n Каждый компонент представлен в виде непанетнованного международного наименования. Раздел Лекарственное обеспечение", "fhirVersion" : "5.0.0", "mapping" : [{ "identity" : "script10.6", "uri" : "http://ncpdp.org/SCRIPT10_6", "name" : "Mapping to NCPDP SCRIPT 10.6" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 V2 Mapping" }], "kind" : "resource", "abstract" : false, "type" : "Medication", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Medication", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "5.0.0" }], "element" : [{ "id" : "Medication", "path" : "Medication", "short" : "Компоненты лекарственного средства", "definition" : "This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.", "min" : 0, "max" : "*", "base" : { "path" : "Medication", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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", "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "DrugComponentStatusRule", "severity" : "error", "human" : "Статус ресурса может иметь значения active | inactive", "expression" : "status != 'entered-in-error'", "source" : "https://fhir.by/StructureDefinition/DrugComponent" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity, Role, or Act,ManufacturedProduct[classCode=ADMM]" }, { "identity" : "script10.6", "map" : "NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed" }, { "identity" : "w5", "map" : "clinical.medication" }] }, { "id" : "Medication.id", "path" : "Medication.id", "short" : "Логический идентификатор этого артефакта", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.", "min" : 1, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Medication.meta", "path" : "Medication.meta", "short" : "Метаданные о ресурсе", "definition" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Medication.meta.id", "path" : "Medication.meta.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.meta.extension", "path" : "Medication.meta.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.meta.versionId", "path" : "Medication.meta.versionId", "short" : "Идентификатор конкретной версии", "definition" : "Идентификатор конкретной версии, который отображается в части URL, относящейся к версии. Это значение изменяется при создании, обновлении или удалении ресурса.", "comment" : "Сервер присваивает это значение и игнорирует то, что указывает клиент, за исключением случая, когда сервер устанавливает целостность версии при обновлении/удалении.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.versionId", "min" : 0, "max" : "1" }, "type" : [{ "code" : "id" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Medication.meta.lastUpdated", "path" : "Medication.meta.lastUpdated", "short" : "Когда в последний раз менялась версия ресурса", "definition" : "Когда ресурс менялся в последний раз - например, когда изменилась версия.", "comment" : "Этот элемент обычно опускается в экземплярах, отправляемых с помощью PUT или POST. Вместо этого он заполняется в экземпляре ответа и при получении информации с помощью GET. Это значение задается менеджером сервера / ресурсов; то, что предоставляет клиент, не имеет значения. Это эквивалентно последнему изменению HTTP и должно иметь такое же значение при взаимодействии [read](http://hl7.org/fhir/R5/http.html#read).", "min" : 0, "max" : "1", "base" : { "path" : "Meta.lastUpdated", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Medication.meta.source", "path" : "Medication.meta.source", "short" : "Определяет, откуда берется ресурс", "definition" : "uri, который идентифицирует систему-источник ресурса. Он предоставляет минимальный объем информации о [Provenance] (provenance.html#), которую можно использовать для отслеживания или определения источника информации на ресурсе. Источник может идентифицировать другой сервер FHIR, документ, сообщение, базу данных и т.д.", "comment" : "Точное использование источника (и возможное подразумеваемое Provenance.entity.role и agent.role) остается на усмотрение разработчика. Допускается только один указанный источник; для получения дополнительной информации о происхождении следует использовать полный источник. Источник может соответствовать Provenance.entity.what[x] или Provenance.agent.who[x], хотя это может быть и более общая или абстрактная ссылка. \n\nЭтот элемент может использоваться для указания текущего главного источника ресурса, имеющего канонический URL-адрес, если ресурс больше не размещен по каноническому URL-адресу.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.source", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Medication.meta.profile", "path" : "Medication.meta.profile", "short" : "Ссылка на профиль", "definition" : "Список профилей (ссылок на [StructureDefinition](http://hl7.org/fhir/R5/structuredefinition.html#) ресурсы), которым, как утверждается, соответствует этот ресурс. URL-адрес является ссылкой на [StructureDefinition.url](http://hl7.org/fhir/R5/structuredefinition-definitions.html#StructureDefinition.url).", "comment" : "Сервер и/или другая инфраструктура политики должны определять, проверяются ли и/или обновляются ли эти утверждения с течением времени. Список URL-адресов профиля представляет собой набор.", "min" : 1, "max" : "1", "base" : { "path" : "Meta.profile", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition|5.0.0"] }], "patternCanonical" : "https://fhir.by/StructureDefinition/DrugComponent", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Medication.meta.security", "path" : "Medication.meta.security", "short" : "Метки безопасности, примененные к этому ресурсу", "definition" : "Метки безопасности, применяемые к данному ресурсу. Эти метки связывают определенные ресурсы с общей политикой безопасности и инфраструктурой.", "comment" : "Метки безопасности могут быть обновлены без изменения указанной версии ресурса. Список меток безопасности представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.security", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SecurityLabels" }], "strength" : "extensible", "description" : "Защитные этикетки из системы классификации конфиденциальности и безопасности в сфере здравоохранения.", "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels|5.0.0" } }, { "id" : "Medication.meta.tag", "path" : "Medication.meta.tag", "short" : "Теги, применяемые к этому ресурсу", "definition" : "Теги, применяемые к этому ресурсу. Теги предназначены для идентификации ресурсов и соотнесения их с процессами и документооборотом, и приложения не обязаны учитывать теги при интерпретации значения ресурса.", "comment" : "Теги могут быть обновлены без изменения заявленной версии ресурса. Список тегов представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.tag", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Tags" }], "strength" : "example", "description" : "Коды, представляющие различные типы тегов, обычно связанные с рабочим процессом; например, \"Требуется проверка доктором Джонсом\".", "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags|5.0.0" } }, { "id" : "Medication.implicitRules", "path" : "Medication.implicitRules", "short" : "Набор правил, в соответствии с которыми был создан этот контент", "definition" : "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.", "comment" : "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 its narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "0", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation", "isSummary" : true }, { "id" : "Medication.language", "path" : "Medication.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "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).", "min" : 0, "max" : "0", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "required", "description" : "Языковой тег IETF для человеческого языка", "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages|5.0.0", "additional" : [{ "purpose" : "starter", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|5.0.0" }] } }, { "id" : "Medication.text", "path" : "Medication.text", "short" : "Краткое изложение текста ресурса для интерпретации человеком", "definition" : "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.", "comment" : "Contained resources do not have a 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.", "alias" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["dom-6"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "Medication.contained", "path" : "Medication.contained", "short" : "Автономные встроенные ресурсы", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.", "comment" : "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.", "alias" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "condition" : ["dom-2", "dom-4", "dom-3", "dom-5"], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Medication.extension", "path" : "Medication.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "$this.url" }], "rules" : "closed" }, "short" : "Extension", "definition" : "An Extension", "min" : 3, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "Medication.extension:typeOfMedicine", "path" : "Medication.extension", "sliceName" : "typeOfMedicine", "short" : "Вид лекарственного средства", "definition" : "Вид лекарственного средства", "min" : 1, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/TypeOfMedicine"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Medication.extension:psychotropicOrNarcotic", "path" : "Medication.extension", "sliceName" : "psychotropicOrNarcotic", "short" : "Относится к психотромным или наркотическим", "definition" : "Относится к психотропным или наркотическим", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/PsychotropicOrNarcotic"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Medication.extension:storageListA", "path" : "Medication.extension", "sliceName" : "storageListA", "short" : "Список хранения А", "definition" : "Список хранения Ам", "min" : 1, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/StorageListA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Medication.extension:essentialMedicine", "path" : "Medication.extension", "sliceName" : "essentialMedicine", "short" : "Признак включения в перечень основных лекарственных средств", "definition" : "Признак включения в перечень основных лекарственных средствм", "min" : 1, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/EssentialMedicine"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Medication.extension:drugDispensingRules", "path" : "Medication.extension", "sliceName" : "drugDispensingRules", "short" : "Порядок отпуска", "definition" : "Порядок отпуска", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/DrugDispensingRules"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Medication.extension:concentration", "path" : "Medication.extension", "sliceName" : "concentration", "short" : "Концентрация", "definition" : "Концентрация", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/ConcentrationMedication"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Medication.modifierExtension", "path" : "Medication.modifierExtension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : true }, { "id" : "Medication.identifier", "path" : "Medication.identifier", "short" : "Business identifier for this medication", "definition" : "Business identifier for this medication.", "comment" : "The serial number could be included as an identifier.", "min" : 0, "max" : "0", "base" : { "path" : "Medication.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "rim", "map" : ".id" }] }, { "id" : "Medication.code", "path" : "Medication.code", "short" : "Код АТХ", "definition" : "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.", "comment" : "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).", "min" : 0, "max" : "1", "base" : { "path" : "Medication.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/ATCClassifier" }, "mapping" : [{ "identity" : "script10.6", "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "v2", "map" : "RXO-1.1 Requested Give Code.code / RXE-2.1 Give Code.code / RXD-2.1 Dispense/Give Code.code / RXG-4.1 Give Code.code /RXA-5.1 Administered Code.code / RXC-2.1 Component Code" }, { "identity" : "rim", "map" : ".code" }] }, { "id" : "Medication.code.id", "path" : "Medication.code.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.code.extension", "path" : "Medication.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.code.coding", "path" : "Medication.code.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Medication.code.coding.id", "path" : "Medication.code.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.code.coding.extension", "path" : "Medication.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.code.coding.system", "path" : "Medication.code.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Medication.code.coding.version", "path" : "Medication.code.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Medication.code.coding.code", "path" : "Medication.code.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Medication.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Medication.code.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Medication.code.coding.userSelected", "path" : "Medication.code.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Medication.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Medication.code.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Medication.status", "path" : "Medication.status", "short" : "Статус ресурса: active | inactive", "definition" : "A code to indicate if the medication is in active use.", "comment" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Medication.status", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element changes the interpretation of all descriptive attributes.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationStatus" }], "strength" : "required", "description" : "A coded concept defining if the medication is in active use.", "valueSet" : "http://hl7.org/fhir/ValueSet/medication-status|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : ".statusCode" }] }, { "id" : "Medication.marketingAuthorizationHolder", "path" : "Medication.marketingAuthorizationHolder", "short" : "Organization that has authorization to market medication", "definition" : "The company or other legal entity that has authorization, from the appropriate drug regulatory authority, to market a medicine in one or more jurisdictions. Typically abbreviated MAH.Note: The MAH may manufacture the product and may also contract the manufacturing of the product to one or more companies (organizations).", "min" : 0, "max" : "0", "base" : { "path" : "Medication.marketingAuthorizationHolder", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".player.scopingRole[typeCode=MANU].scoper" }] }, { "id" : "Medication.doseForm", "path" : "Medication.doseForm", "short" : "Лекарственная форма", "definition" : "Describes the form of the item. Powder; tablets; capsule.", "comment" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Medication.doseForm", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/ReleaseFormsMedication" }, "mapping" : [{ "identity" : "script10.6", "map" : "coding.code = //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode" }, { "identity" : "v2", "map" : "RXO-5 Requested Dosage Form / RXE-6 Give Dosage Form / RXD-6 Actual Dosage Form / RXG-8 Give Dosage Form / RXA-8 Administered Dosage Form" }, { "identity" : "rim", "map" : ".formCode" }] }, { "id" : "Medication.doseForm.id", "path" : "Medication.doseForm.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.doseForm.extension", "path" : "Medication.doseForm.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.doseForm.coding", "path" : "Medication.doseForm.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Medication.doseForm.coding.id", "path" : "Medication.doseForm.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.doseForm.coding.extension", "path" : "Medication.doseForm.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.doseForm.coding.system", "path" : "Medication.doseForm.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Medication.doseForm.coding.version", "path" : "Medication.doseForm.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Medication.doseForm.coding.code", "path" : "Medication.doseForm.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Medication.doseForm.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Medication.doseForm.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Medication.doseForm.coding.userSelected", "path" : "Medication.doseForm.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Medication.doseForm.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Medication.doseForm.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Medication.totalVolume", "path" : "Medication.totalVolume", "short" : "Если указанный код продукта не указывает на размер упаковки, то это конкретное количество лекарственного средства в продукте", "definition" : "Если указанный код продукта не указывает на размер упаковки, то это конкретное количество лекарственного средства в продукте. 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.).", "min" : 0, "max" : "0", "base" : { "path" : "Medication.totalVolume", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".quantity" }] }, { "id" : "Medication.ingredient", "path" : "Medication.ingredient", "short" : "Действующее вещество (или несколько действующих веществ)", "definition" : "Identifies a particular constituent of interest in the product.", "comment" : "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.", "min" : 1, "max" : "*", "base" : { "path" : "Medication.ingredient", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".scopesRole[typeCode=INGR]" }] }, { "id" : "Medication.ingredient.id", "path" : "Medication.ingredient.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.ingredient.extension", "path" : "Medication.ingredient.extension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.ingredient.modifierExtension", "path" : "Medication.ingredient.modifierExtension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true }, { "id" : "Medication.ingredient.item", "path" : "Medication.ingredient.item", "short" : "Международное непатентованное наименование", "definition" : "Ингредиент (вещество или лекарственное средство), к которому относится ingredient.strength. This is represented as a concept from a code system or described in another resource (Substance or Medication).", "requirements" : "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).", "min" : 1, "max" : "1", "base" : { "path" : "Medication.ingredient.item", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableReference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance|5.0.0", "http://hl7.org/fhir/StructureDefinition/Medication|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/INNMedication" }, "mapping" : [{ "identity" : "script10.6", "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription" }, { "identity" : "v2", "map" : "RXC-2 Component Code if medication: RXO-1 Requested Give Code / RXE-2 Give Code / RXD-2-Dispense Give Code / RXG-4 Give Code / RXA-5 Administered Code" }, { "identity" : "rim", "map" : ".player" }] }, { "id" : "Medication.ingredient.item.id", "path" : "Medication.ingredient.item.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.ingredient.item.extension", "path" : "Medication.ingredient.item.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.ingredient.item.concept", "path" : "Medication.ingredient.item.concept", "short" : "Ссылка на концепт (справочник + код + значение)", "definition" : "Ссылка на концепцию - например, информация идентифицируется по ее общему классу с той степенью точности, которая предусмотрена терминологией.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableReference.concept", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Medication.ingredient.item.concept.id", "path" : "Medication.ingredient.item.concept.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.ingredient.item.concept.extension", "path" : "Medication.ingredient.item.concept.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.ingredient.item.concept.coding", "path" : "Medication.ingredient.item.concept.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Medication.ingredient.item.concept.coding.id", "path" : "Medication.ingredient.item.concept.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.ingredient.item.concept.coding.extension", "path" : "Medication.ingredient.item.concept.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.ingredient.item.concept.coding.system", "path" : "Medication.ingredient.item.concept.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Medication.ingredient.item.concept.coding.version", "path" : "Medication.ingredient.item.concept.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Medication.ingredient.item.concept.coding.code", "path" : "Medication.ingredient.item.concept.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Medication.ingredient.item.concept.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Medication.ingredient.item.concept.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Medication.ingredient.item.concept.coding.userSelected", "path" : "Medication.ingredient.item.concept.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Medication.ingredient.item.concept.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Medication.ingredient.item.concept.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Medication.ingredient.item.reference", "path" : "Medication.ingredient.item.reference", "short" : "Ссылка на ресурс", "definition" : "Ссылка на ресурс, который содержит точные сведения об информации, на которую ссылаются.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableReference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Medication.ingredient.isActive", "path" : "Medication.ingredient.isActive", "short" : "Индикатор активного ингредиента", "definition" : "Indication of whether this ingredient affects the therapeutic action of the drug.", "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).", "min" : 0, "max" : "0", "base" : { "path" : "Medication.ingredient.isActive", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "NA" }] }, { "id" : "Medication.ingredient.strength[x]", "path" : "Medication.ingredient.strength[x]", "short" : "Количество действующего вещества", "definition" : "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 but can also be expressed a quantity when the denominator is assumed to be 1 tablet.", "min" : 1, "max" : "1", "base" : { "path" : "Medication.ingredient.strength[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/MedicationByUnits" }, "mapping" : [{ "identity" : "script10.6", "map" : "//element(*,DrugCodedType)/Strength" }, { "identity" : "v2", "map" : "RXC-3 Component Amount & RXC-4 Component Units if medication: RXO-2 Requested Give Amount - Minimum & RXO-4 Requested Give Units / RXO-3 Requested Give Amount - Maximum & RXO-4 Requested Give Units / RXO-11 Requested Dispense Amount & RXO-12 Requested Dispense Units / RXE-3 Give Amount - Minimum & RXE-5 Give Units / RXE-4 Give Amount - Maximum & RXE-5 Give Units / RXE-10 Dispense Amount & RXE-10 Dispense Units" }, { "identity" : "rim", "map" : ".quantity" }] }, { "id" : "Medication.ingredient.strength[x].id", "path" : "Medication.ingredient.strength[x].id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.ingredient.strength[x].extension", "path" : "Medication.ingredient.strength[x].extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Medication.ingredient.strength[x].value", "path" : "Medication.ingredient.strength[x].value", "short" : "Числовое значение (с неявной точностью)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Medication.ingredient.strength[x].comparator", "path" : "Medication.ingredient.strength[x].comparator", "short" : "< | <= | >= | > | ad - как понимать значение", "definition" : "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "Как следует понимать и представлять это количество.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Medication.ingredient.strength[x].unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Medication.ingredient.strength[x].unit", "short" : "Представление единицы измерения", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 0, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Medication.ingredient.strength[x].system", "path" : "Medication.ingredient.strength[x].system", "short" : "Система, определяющая форму кодированной единицы измерения", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Medication.ingredient.strength[x].code", "path" : "Medication.ingredient.strength[x].code", "short" : "Кодированная форма единицы измерения", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.", "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Medication.batch", "path" : "Medication.batch", "short" : "Подробная информация о упаковке лекарственного средства", "definition" : "Information that only applies to packages (not products).", "min" : 0, "max" : "0", "base" : { "path" : "Medication.batch", "min" : 0, "max" : "1" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "rim", "map" : ".player[classCode=CONT]" }] }, { "id" : "Medication.batch.id", "path" : "Medication.batch.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.batch.extension", "path" : "Medication.batch.extension", "short" : "Дополнительный контент, определяемый реализациями", "definition" : "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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Medication.batch.modifierExtension", "path" : "Medication.batch.modifierExtension", "short" : "Расширения, которые нельзя игнорировать даже если его не узнают", "definition" : "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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.", "requirements" : "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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Medication.batch.lotNumber", "path" : "Medication.batch.lotNumber", "short" : "Идентификатор, присвоенный упаковке", "definition" : "The assigned lot number of a batch of the specified product.", "min" : 0, "max" : "1", "base" : { "path" : "Medication.batch.lotNumber", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "v2", "map" : "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number" }, { "identity" : "rim", "map" : ".id" }] }, { "id" : "Medication.batch.expirationDate", "path" : "Medication.batch.expirationDate", "short" : "Когда истечет срок хранения упаковки", "definition" : "When this specific batch of product will expire.", "min" : 0, "max" : "1", "base" : { "path" : "Medication.batch.expirationDate", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "v2", "map" : "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date" }, { "identity" : "rim", "map" : "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime" }] }, { "id" : "Medication.definition", "path" : "Medication.definition", "short" : "Knowledge about this medication", "definition" : "A reference to a knowledge resource that provides more information about this medication.", "min" : 0, "max" : "0", "base" : { "path" : "Medication.definition", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationKnowledge|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }] }, "differential" : { "element" : [{ "id" : "Medication", "path" : "Medication", "short" : "Компоненты лекарственного средства", "constraint" : [{ "key" : "DrugComponentStatusRule", "severity" : "error", "human" : "Статус ресурса может иметь значения active | inactive", "expression" : "status != 'entered-in-error'", "source" : "https://fhir.by/StructureDefinition/DrugComponent" }] }, { "id" : "Medication.id", "path" : "Medication.id", "min" : 1 }, { "id" : "Medication.meta", "path" : "Medication.meta", "min" : 1 }, { "id" : "Medication.meta.id", "path" : "Medication.meta.id", "max" : "0" }, { "id" : "Medication.meta.extension", "path" : "Medication.meta.extension", "max" : "0" }, { "id" : "Medication.meta.source", "path" : "Medication.meta.source", "max" : "0" }, { "id" : "Medication.meta.profile", "path" : "Medication.meta.profile", "min" : 1, "max" : "1", "patternCanonical" : "https://fhir.by/StructureDefinition/DrugComponent" }, { "id" : "Medication.meta.security", "path" : "Medication.meta.security", "max" : "0" }, { "id" : "Medication.meta.tag", "path" : "Medication.meta.tag", "max" : "0" }, { "id" : "Medication.implicitRules", "path" : "Medication.implicitRules", "max" : "0" }, { "id" : "Medication.language", "path" : "Medication.language", "max" : "0" }, { "id" : "Medication.text", "path" : "Medication.text", "max" : "0" }, { "id" : "Medication.contained", "path" : "Medication.contained", "max" : "0" }, { "id" : "Medication.extension", "path" : "Medication.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "$this.url" }], "rules" : "closed" }, "min" : 3 }, { "id" : "Medication.extension:typeOfMedicine", "path" : "Medication.extension", "sliceName" : "typeOfMedicine", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/TypeOfMedicine"] }], "mustSupport" : true }, { "id" : "Medication.extension:psychotropicOrNarcotic", "path" : "Medication.extension", "sliceName" : "psychotropicOrNarcotic", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/PsychotropicOrNarcotic"] }], "mustSupport" : true }, { "id" : "Medication.extension:storageListA", "path" : "Medication.extension", "sliceName" : "storageListA", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/StorageListA"] }], "mustSupport" : true }, { "id" : "Medication.extension:essentialMedicine", "path" : "Medication.extension", "sliceName" : "essentialMedicine", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/EssentialMedicine"] }], "mustSupport" : true }, { "id" : "Medication.extension:drugDispensingRules", "path" : "Medication.extension", "sliceName" : "drugDispensingRules", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/DrugDispensingRules"] }], "mustSupport" : true }, { "id" : "Medication.extension:concentration", "path" : "Medication.extension", "sliceName" : "concentration", "min" : 0, "max" : "*", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/ConcentrationMedication"] }], "mustSupport" : true }, { "id" : "Medication.modifierExtension", "path" : "Medication.modifierExtension", "max" : "0" }, { "id" : "Medication.identifier", "path" : "Medication.identifier", "max" : "0" }, { "id" : "Medication.code", "path" : "Medication.code", "short" : "Код АТХ", "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/ATCClassifier" } }, { "id" : "Medication.code.id", "path" : "Medication.code.id", "max" : "0" }, { "id" : "Medication.code.extension", "path" : "Medication.code.extension", "max" : "0" }, { "id" : "Medication.code.coding", "path" : "Medication.code.coding", "min" : 1, "max" : "1" }, { "id" : "Medication.code.coding.id", "path" : "Medication.code.coding.id", "max" : "0" }, { "id" : "Medication.code.coding.extension", "path" : "Medication.code.coding.extension", "max" : "0" }, { "id" : "Medication.code.coding.system", "path" : "Medication.code.coding.system", "min" : 1 }, { "id" : "Medication.code.coding.code", "path" : "Medication.code.coding.code", "min" : 1 }, { "id" : "Medication.code.coding.userSelected", "path" : "Medication.code.coding.userSelected", "max" : "0" }, { "id" : "Medication.code.text", "path" : "Medication.code.text", "max" : "0" }, { "id" : "Medication.status", "path" : "Medication.status", "short" : "Статус ресурса: active | inactive", "min" : 1 }, { "id" : "Medication.marketingAuthorizationHolder", "path" : "Medication.marketingAuthorizationHolder", "max" : "0" }, { "id" : "Medication.doseForm", "path" : "Medication.doseForm", "short" : "Лекарственная форма", "min" : 1, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/ReleaseFormsMedication" } }, { "id" : "Medication.doseForm.id", "path" : "Medication.doseForm.id", "max" : "0" }, { "id" : "Medication.doseForm.extension", "path" : "Medication.doseForm.extension", "max" : "0" }, { "id" : "Medication.doseForm.coding", "path" : "Medication.doseForm.coding", "min" : 1, "max" : "1" }, { "id" : "Medication.doseForm.coding.id", "path" : "Medication.doseForm.coding.id", "max" : "0" }, { "id" : "Medication.doseForm.coding.extension", "path" : "Medication.doseForm.coding.extension", "max" : "0" }, { "id" : "Medication.doseForm.coding.system", "path" : "Medication.doseForm.coding.system", "min" : 1 }, { "id" : "Medication.doseForm.coding.code", "path" : "Medication.doseForm.coding.code", "min" : 1 }, { "id" : "Medication.doseForm.coding.userSelected", "path" : "Medication.doseForm.coding.userSelected", "max" : "0" }, { "id" : "Medication.doseForm.text", "path" : "Medication.doseForm.text", "max" : "0" }, { "id" : "Medication.totalVolume", "path" : "Medication.totalVolume", "max" : "0" }, { "id" : "Medication.ingredient", "path" : "Medication.ingredient", "short" : "Действующее вещество (или несколько действующих веществ)", "min" : 1 }, { "id" : "Medication.ingredient.id", "path" : "Medication.ingredient.id", "max" : "0" }, { "id" : "Medication.ingredient.extension", "path" : "Medication.ingredient.extension", "max" : "0" }, { "id" : "Medication.ingredient.modifierExtension", "path" : "Medication.ingredient.modifierExtension", "max" : "0" }, { "id" : "Medication.ingredient.item", "path" : "Medication.ingredient.item", "short" : "Международное непатентованное наименование", "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/INNMedication" } }, { "id" : "Medication.ingredient.item.id", "path" : "Medication.ingredient.item.id", "max" : "0" }, { "id" : "Medication.ingredient.item.extension", "path" : "Medication.ingredient.item.extension", "max" : "0" }, { "id" : "Medication.ingredient.item.concept", "path" : "Medication.ingredient.item.concept", "min" : 1 }, { "id" : "Medication.ingredient.item.concept.id", "path" : "Medication.ingredient.item.concept.id", "max" : "0" }, { "id" : "Medication.ingredient.item.concept.extension", "path" : "Medication.ingredient.item.concept.extension", "max" : "0" }, { "id" : "Medication.ingredient.item.concept.coding", "path" : "Medication.ingredient.item.concept.coding", "min" : 1, "max" : "1" }, { "id" : "Medication.ingredient.item.concept.coding.id", "path" : "Medication.ingredient.item.concept.coding.id", "max" : "0" }, { "id" : "Medication.ingredient.item.concept.coding.extension", "path" : "Medication.ingredient.item.concept.coding.extension", "max" : "0" }, { "id" : "Medication.ingredient.item.concept.coding.system", "path" : "Medication.ingredient.item.concept.coding.system", "min" : 1 }, { "id" : "Medication.ingredient.item.concept.coding.code", "path" : "Medication.ingredient.item.concept.coding.code", "min" : 1 }, { "id" : "Medication.ingredient.item.concept.coding.userSelected", "path" : "Medication.ingredient.item.concept.coding.userSelected", "max" : "0" }, { "id" : "Medication.ingredient.item.concept.text", "path" : "Medication.ingredient.item.concept.text", "max" : "0" }, { "id" : "Medication.ingredient.item.reference", "path" : "Medication.ingredient.item.reference", "max" : "0" }, { "id" : "Medication.ingredient.isActive", "path" : "Medication.ingredient.isActive", "max" : "0" }, { "id" : "Medication.ingredient.strength[x]", "path" : "Medication.ingredient.strength[x]", "short" : "Количество действующего вещества", "min" : 1, "type" : [{ "code" : "Quantity" }], "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/MedicationByUnits" } }, { "id" : "Medication.ingredient.strength[x].id", "path" : "Medication.ingredient.strength[x].id", "max" : "0" }, { "id" : "Medication.ingredient.strength[x].extension", "path" : "Medication.ingredient.strength[x].extension", "max" : "0" }, { "id" : "Medication.ingredient.strength[x].value", "path" : "Medication.ingredient.strength[x].value", "min" : 1 }, { "id" : "Medication.ingredient.strength[x].comparator", "path" : "Medication.ingredient.strength[x].comparator", "max" : "0" }, { "id" : "Medication.ingredient.strength[x].system", "path" : "Medication.ingredient.strength[x].system", "min" : 1 }, { "id" : "Medication.ingredient.strength[x].code", "path" : "Medication.ingredient.strength[x].code", "min" : 1 }, { "id" : "Medication.batch", "path" : "Medication.batch", "max" : "0" }, { "id" : "Medication.definition", "path" : "Medication.definition", "max" : "0" }] } }