use code as identifier of medication, replace indexes by names for pr…

…actitioner identifier
hl7ch · Dec 16, 2023 · bd5000c · bd5000c
1 parent 12d0c26
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diff --git a/input/fsh/ALIASES.fsh b/input/fsh/ALIASES.fsh
@@ -1,6 +1,7 @@
 // Terminologies, CodeSystems
 Alias:  $sct                           = http://snomed.info/sct
 Alias:  $loinc                         = http://loinc.org
+Alias:  $atc                           = http://www.whocc.no/atc
 Alias:  $v2-0203                       = http://terminology.hl7.org/CodeSystem/v2-0203
 Alias:  $v2-0038                       = http://terminology.hl7.org/CodeSystem/v2-0038  // orderStatus
 Alias:  $v2-0074                       = http://terminology.hl7.org/CodeSystem/v2-0074  // diagnosticServiceSectionId

diff --git a/input/fsh/instances/casestudies/0-best-practice/0-best-practice-ServiceRequest.fsh b/input/fsh/instances/casestudies/0-best-practice/0-best-practice-ServiceRequest.fsh
@@ -178,13 +178,18 @@ Usage: #example
 * subject = Reference(Patient/BirgitBlum)
 
 Instance: Liquemin
-InstanceOf: Medication
+InstanceOf: ChLabOrderMedication
 Description: "Example for best-practice of laboratory order"
 Usage: #example
-//* contained = mmanu
-* identifier.id = "123456789"
-* code = $sct#412201008 "Porcine heparin (substance)"
+
+/*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.*/
+
+* code.coding[GTIN] = urn:oid:2.51.1.1#7680388470010 "LIQUEMIN 5000 IE/0.5ml s.c. (aH 06/23)"
+* code.coding[PHARMACODE] = urn:oid:2.16.756.5.30.2.6#6687498
+* code.coding[ATC] = $atc#B01AB01 "Heparin"
+// * code = $sct#412201008 "Porcine heparin (substance)"
 * code.text = "LIQUEMIN 5000 IE/0.5ml s.c. (aH 06/23)"
+
 * status = #active
 // * marketingAuthorizationHolder.reference = "#mmanu"
 // * doseForm.coding.system = "http://snomed.info/sct"

diff --git a/input/fsh/instances/casestudies/3-gyn/3-gyn-ServiceRequest.fsh b/input/fsh/instances/casestudies/3-gyn/3-gyn-ServiceRequest.fsh
@@ -101,10 +101,10 @@ InstanceOf: CHCorePractitioner
 Title: "Peter Pap"
 Description: "Practitioner, works at Gruppenpraxis, refers to 3-gyn"
 Usage: #example
-* identifier[0].system = "urn:oid:2.51.1.3"  // GLN
-* identifier[=].value = "7601003050707"
-* identifier[+].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
-* identifier[=].value = "A123305"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601003050707"
+* identifier[ZSR].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
+* identifier[ZSR].value = "A123305"
 * name.use = #official
 * name.family = "Pap"
 * name.given = "Peter"

diff --git a/input/fsh/instances/casestudies/4-sepsis/4-sepsis-ServiceRequest.fsh b/input/fsh/instances/casestudies/4-sepsis/4-sepsis-ServiceRequest.fsh
@@ -77,10 +77,10 @@ InstanceOf: CHCorePractitioner
 Title: "Hans Hauser"
 Description: "Practitioner, Senior Physician at Kantonsspital, refers to 4-sepsis"
 Usage: #example
-* identifier[0].system = "urn:oid:2.51.1.3"
-* identifier[=].value = "7601000050700"
-* identifier[+].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
-* identifier[=].value = "A123313"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000050700"
+* identifier[ZSR].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
+* identifier[ZSR].value = "A123313"
 * name.use = #official
 * name.family = "Hauser"
 * name.given = "Hans"
@@ -99,8 +99,8 @@ InstanceOf: CHCoreOrganization
 Title: "Kantonsspital"
 Description: "Example for Hospital"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601000235503"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000235503"
 * name = "Kantonsspital Zug"
 * telecom[0].system = #phone
 * telecom[=].value = "+41 45 334 55 66"

diff --git a/input/fsh/instances/organization/Arztpraxis.fsh b/input/fsh/instances/organization/Arztpraxis.fsh
@@ -5,8 +5,8 @@ InstanceOf: CHCoreOrganization
 Title: "Arztpraxis"
 Description: "Practice, refers to 2-pertussis and 3-gyn and 6-histopath"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601000235503"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000235503"
 * name = "Arztpraxis Messen"
 * telecom[0].system = #phone
 * telecom[=].value = "+41555545566"

diff --git a/input/fsh/instances/organization/Gruppenpraxis.fsh b/input/fsh/instances/organization/Gruppenpraxis.fsh
@@ -3,8 +3,8 @@ InstanceOf: CHCoreOrganizationEPR
 Title: "Praxis Seeblick"
 Description: "Example for group practice"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601000241115"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000241115"
 * name = "Gruppenpraxis Olten"
 * telecom[0].system = #phone
 * telecom[=].value = "+41555556677"

diff --git a/input/fsh/instances/organization/LaborGantenbein.fsh b/input/fsh/instances/organization/LaborGantenbein.fsh
@@ -3,8 +3,8 @@ InstanceOf: CHCoreOrganization
 Title: "Labor Gantenbein"
 Description: "Laboratory Organization, refers to all Storyboards"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601055231116"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601055231116"
 * name = "Labor Gantenbein"
 * telecom[0].system = #phone
 * telecom[=].value = "+41223345566"

diff --git a/input/fsh/instances/organization/LaborPipette.fsh b/input/fsh/instances/organization/LaborPipette.fsh
@@ -3,8 +3,8 @@ InstanceOf: CHCoreOrganization
 Title: "Labor Pipette"
 Description: "Laboratory Organization, refers to all Storyboards"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601000234407"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000234407"
 * name = "Labor Pipette"
 * telecom[0].system = #phone
 * telecom[=].value = "+41223345566"

diff --git a/input/fsh/instances/organization/LaborSchildknecht.fsh b/input/fsh/instances/organization/LaborSchildknecht.fsh
@@ -3,8 +3,8 @@ InstanceOf: CHCoreOrganization
 Title: "Labor Schildknecht"
 Description: "Laboratory Organization, refers to all Storyboards"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601055231222"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601055231222"
 * name = "Labor Schildknecht"
 * telecom[0].system = #phone
 * telecom[=].value = "+41223345222"

diff --git a/input/fsh/instances/organization/PraxisSeeblick.fsh b/input/fsh/instances/organization/PraxisSeeblick.fsh
@@ -3,8 +3,8 @@ InstanceOf: CHCoreOrganization
 Title: "Praxis Seeblick"
 Description: "Example for practice"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601230235526"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601230235526"
 * name = "Arztpraxis Messen"
 * telecom[0].system = #phone
 * telecom[=].value = "44 567 78 90"

diff --git a/input/fsh/instances/organization/RegionalspitalZugersee.fsh b/input/fsh/instances/organization/RegionalspitalZugersee.fsh
@@ -3,8 +3,8 @@ InstanceOf: CHCoreOrganization
 Title: "Regionalspital Zugersee"
 Description: "Example for hospital"
 Usage: #example
-* identifier.system = "urn:oid:2.51.1.3"
-* identifier.value = "7601980235500"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601980235500"
 * name = "Regionalspital Zugersee"
 * telecom[0].system = #phone
 * telecom[=].value = "+41 45 334 55 66"

diff --git a/input/fsh/instances/practitioner/ArminAhrens.fsh b/input/fsh/instances/practitioner/ArminAhrens.fsh
@@ -3,10 +3,10 @@ InstanceOf: CHCorePractitioner
 Title: "Armin Ahrens"
 Description: "Practitioner, works in Arztpraxis, refers to 6-histopath"
 Usage: #example
-* identifier[0].system = "urn:oid:2.51.1.3"
-* identifier[=].value = "7601000050700"
-* identifier[+].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
-* identifier[=].value = "A123309"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000050700"
+* identifier[ZSR].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
+* identifier[ZSR].value = "A123309"
 * name.use = #official
 * name.family = "Ahrens"
 * name.given = "Armin"

diff --git a/input/fsh/instances/practitioner/EvaErlenmeyer.fsh b/input/fsh/instances/practitioner/EvaErlenmeyer.fsh
@@ -3,10 +3,10 @@ InstanceOf: CHCorePractitioner
 Title: "Eva Erlenmeyer"
 Description: "Specialist for Laboratory Medicine, works in Labor Pipette"
 Usage: #example
-* identifier[0].system = "urn:oid:2.51.1.3" // GLN
-* identifier[=].value = "7601000050717"
-* identifier[+].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
-* identifier[=].value = "A123315"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000050717"
+* identifier[ZSR].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
+* identifier[ZSR].value = "A123315"
 * name.use = #official
 * name.family = "Erlenmeyer"
 * name.given = "Eva"

diff --git a/input/fsh/instances/practitioner/MarcApgar.fsh b/input/fsh/instances/practitioner/MarcApgar.fsh
@@ -1,10 +1,10 @@
 Instance: MarcApgar
 InstanceOf: CHCorePractitioner
 Usage: #inline
-* identifier[0].system = "urn:oid:2.51.1.3" // GLN
-* identifier[=].value = "7601000050717"
-* identifier[+].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
-* identifier[=].value = "A123311"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000050717"
+* identifier[ZSR].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
+* identifier[ZSR].value = "A123311"
 * name.family = "Agpar"
 * name.given = "Marc"
 * telecom.system = #email

diff --git a/input/fsh/instances/practitioner/MarcMustermann.fsh b/input/fsh/instances/practitioner/MarcMustermann.fsh
@@ -3,10 +3,12 @@ InstanceOf: CHCorePractitioner
 Title: "Marc Mustermann, Practitioner"
 Description: "Practitioner, works in Gruppenpraxis"
 Usage: #example
-* identifier[0].system = "urn:oid:2.51.1.3"
-* identifier[=].value = "7601000050700"
-* identifier[+].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
-* identifier[=].value = "A123309"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000050700"
+
+* identifier[ZSR].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
+* identifier[ZSR].value = "A123309"
+
 * name.use = #official
 * name.family = "Mustermann"
 * name.given = "Marc"

diff --git a/input/fsh/instances/practitioner/SabineMeier.fsh b/input/fsh/instances/practitioner/SabineMeier.fsh
@@ -3,10 +3,10 @@ InstanceOf: CHCorePractitioner
 Title: "Sabine Meier"
 Description: "Practitioner, works in Kantonsspital, refers to 4-sepsis"
 Usage: #example
-* identifier[0].system = "urn:oid:2.51.1.3" // GLN
-* identifier[=].value = "7601000034823"
-* identifier[+].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1" // ZSR
-* identifier[=].value = "A123321"
+* identifier[GLN].system = "urn:oid:2.51.1.3"
+* identifier[GLN].value = "7601000034823"
+* identifier[ZSR].system = "urn:oid:2.16.756.5.30.1.123.100.2.1.1"
+* identifier[ZSR].value = "A123321"
 * name.use = #official
 * name.family = "Meier"
 * name.given = "Sabine"

diff --git a/input/fsh/profiles/ChLabOrderMedication.fsh b/input/fsh/profiles/ChLabOrderMedication.fsh
@@ -0,0 +1,36 @@
+Profile : ChLabOrderMedication
+Parent: Medication
+Title: "CH LAB-Order Medication"
+Description: "Medication in Lab Order"
+
+* code.coding ^slicing.discriminator.type = #value
+* code.coding ^slicing.discriminator.path = "system"
+* code.coding ^slicing.rules = #open
+* code.coding ^short = "Code of the medication"
+* code.coding contains 
+    GTIN 0..* and
+    PHARMACODE 0..* and
+    ATC 0..*
+
+* code.coding[GTIN] ^short = "Use GTIN for Swiss products"
+* code.coding[GTIN] ^mustSupport = true
+* code.coding[GTIN].system 1..1
+* code.coding[GTIN].system = "urn:oid:2.51.1.1" (exactly)
+* code.coding[GTIN].system ^short = "Global Trade Item Number (GS1)"
+* code.coding[GTIN].code 1..1
+
+* code.coding[PHARMACODE] ^short = "Numeric identification key for Swiss products"
+* code.coding[PHARMACODE] ^mustSupport = true
+* code.coding[PHARMACODE].system 1..1
+* code.coding[PHARMACODE].system = "urn:oid:2.16.756.5.30.2.6" (exactly)
+* code.coding[PHARMACODE].system ^short = "Pharmacode(Schweiz)"
+* code.coding[PHARMACODE].code 1..1
+
+* code.coding[ATC] ^short = "Use ATC for foreign products"
+* code.coding[ATC].system 1..1
+* code.coding[ATC].system = "http://www.whocc.no/atc" (exactly)
+* code.coding[ATC].system ^short = "Anatomical Therapeutic Chemical (ATC) Classification"
+* code.coding[ATC].code 1..1
+
+* code.text 1.. MS
+* code.text ^short = "Medication name"