NAPKON-VACCINATION\Analgesic Antipyretic Intake After Vaccination

NAPKON Vaccination Module
1.0.0 - trial-use

NAPKON Vaccination Module - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: Analgesic Antipyretic Intake After Vaccination

Defining URL:

https://www.napkon.de/fhir/StructureDefinition/analgesic-antipyretic-intake-after-vaccination

Version:

1.0.0

Name:

AnalgesicAntipyreticIntakeAfterVaccination

Title:

Analgesic Antipyretic Intake After Vaccination

Status:

Active as of 2021-12-10T11:47:18+00:00

Definition:

Whether a patient took analgesic or antipyretic drugs after a vaccination event

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

https://www.napkon.de/fhir/StructureDefinition/analgesic-antipyretic-intake-after-vaccination

Guidance

Parameter Case Report Form	Response Options
Intake of painkillers or antipyretic drugs after vaccination	Yes / No / Unknown

Parameter Case Report Form

Response Options

Intake of painkillers or antipyretic drugs after vaccination

Yes / No / Unknown

Response Option MedicationStatement.status

Yes #active or #completed

No #not-taken

Unknown #unknown

Response Option	MedicationStatement.status
Yes	`#active` or `#completed`
No	`#not-taken`
Unknown	`#unknown`

MedicationStatement.reasonCode is constraint to Administration of vaccine to produce active immunity (procedure).

This profile of a FHIR MedicationStatement is derived from the MII Medikation profile of the Medical Informatics Initiative (MII).

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Snapshot Table
Snapshot Table (Must Support)
Differential Table
Text Summary

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	ProfileMedicationStatementMedikation	Record of medication being taken by a patient
id	SΣ	0..1	string	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External identifier
basedOn	ΣI	0..*	Reference(MedicationRequest \| CarePlan \| ServiceRequest)	Fulfils plan, proposal or order
partOf	SΣI	0..*	Reference(MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Observation)	Part of referenced event
status	?!SΣ	1..1	code	active \| completed \| entered-in-error \| intended \| stopped \| on-hold \| unknown \| not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Slices for medication[x]	SΣ	1..1	CodeableConcept	What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	What medication was taken Binding: Analgesics Antipyretics (required)
subject	SΣI	1..1	Reference(Patient)	A reference from one resource to another
context	SΣI	0..1	Reference(Encounter \| EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	SΣ	1..1	dateTime	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	The date/time or interval when the medication is/was/will be taken
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	unknown \| asked \| temp \| notasked \| masked \| unsupported \| astext \| error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value		0..1	dateTime	Primitive value for dateTime
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
informationSource	I	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom	I	0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 33879002
display		1..1	string	Representation defined by the system Fixed Value: Administration of vaccine to produce active immunity (procedure)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reasonReference	SI	0..*	Reference(Condition \| Observation \| DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	SΣ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	Σ	0..*	Coding	Code defined by a terminology system Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
route	SΣ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	SΣ	0..*	Coding	Code defined by a terminology system Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	SΣI	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	SΣI	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	ΣI	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	ΣI	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	ΣI	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	ProfileMedicationStatementMedikation	Record of medication being taken by a patient
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
partOf	ΣI	0..*	Reference(MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Observation)	Part of referenced event
status	?!Σ	1..1	code	active \| completed \| entered-in-error \| intended \| stopped \| on-hold \| unknown \| not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
Slices for medication[x]	Σ	1..1	CodeableConcept	What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medication[x]:medicationCodeableConcept	Σ	1..1	CodeableConcept	What medication was taken Binding: Analgesics Antipyretics (required)
subject	ΣI	1..1	Reference(Patient)	A reference from one resource to another
context	ΣI	0..1	Reference(Encounter \| EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
Slices for effective[x]	Σ	1..1	dateTime	The date/time or interval when the medication is/was/will be taken Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	Σ	0..1	dateTime	The date/time or interval when the medication is/was/will be taken
data-absent-reason		0..1	code	unknown \| asked \| temp \| notasked \| masked \| unsupported \| astext \| error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
reasonReference	I	0..*	Reference(Condition \| Observation \| DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
dosage		0..*	Dosage	Details of how medication is/was taken or should be taken
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
timing	Σ	0..1	Timing	When medication should be administered
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	Σ	0..*	Coding	Code defined by a terminology system Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:SNOMED	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
doseAndRate	Σ	0..*	Element	Amount of medication administered
dose[x]	ΣI	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	ΣI	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
Documentation for this format

This structure is derived from ProfileMedicationStatementMedikation

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	ProfileMedicationStatementMedikation	Record of medication being taken by a patient
Slices for medication[x]		1..1	CodeableConcept	What medication was taken Slice: Unordered, Open by type:$this
medicationCodeableConcept		1..1	CodeableConcept	What medication was taken Binding: Analgesics Antipyretics (required)
subject		1..1	Reference(Patient)	A reference from one resource to another
effectiveDateTime		0..1	dateTime	The date/time or interval when the medication is/was/will be taken
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	unknown \| asked \| temp \| notasked \| masked \| unsupported \| astext \| error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 33879002
display		1..1	string	Representation defined by the system Fixed Value: Administration of vaccine to produce active immunity (procedure)
Documentation for this format

This structure is derived from ProfileMedicationStatementMedikation

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

MII-Reference (https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference)

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

The element MedicationStatement.medication[x] is sliced based on the value of type:$this

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationStatement.meta.security	extensible	All Security Labels
MedicationStatement.meta.tag	example	CommonTags
MedicationStatement.language	preferred	CommonLanguages Max Binding: AllLanguages
MedicationStatement.status	required	Medication Status Codes
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes
MedicationStatement.category	preferred	Medication usage category codes
MedicationStatement.medication[x]	example	SNOMEDCTMedicationCodes
MedicationStatement.medication[x]:medicationCodeableConcept	required	AnalgesicsAntipyretics
MedicationStatement.reasonCode	example	Pattern: SNOMED CT code 33879002("Administration of vaccine to produce active immunity (procedure)")
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions
MedicationStatement.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationStatement.dosage.site.coding:SNOMED	example	Pattern: SNOMED CT code null
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes
MedicationStatement.dosage.route.coding:EDQM	preferred	Pattern: null
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType