Entity & other comparison

1. Difference kinds of organization

HL7

"Organisation"."type" : [{ CodeableConcept }] https://www.hl7.org/fhir/codesystem-organization-type.html

...

e-Health

[legal_entities].type | DICTIONARY: LEGAL_ENTITY_TYPE

Code Block
"values": { "MSP": "заклад з надання медичних послуг", "MIS": "Medical Information system" }, "name": "LEGAL_ENTITY_TYPE"

Problem/Difference

...

2. Hierarchical structure of organization

HL7

Supports hierarchy by attribute "Part of"

e-Health

Non supports hierarchy of Legal Entity

Problem/Difference

Missing functionality

3. Medical services structure of organization/locations

HL7

Supports multi medical services (category + type) in location (division) at entity "healthcareservice" https://www.hl7.org/fhir/healthcareservice.html

e-Health

Now non support. May be use "Product Catalog" ???

Problem/Difference

Missing functionality

4. Confusion in practitioner quailifications/specializtion/etc

HL7

"Practitioner"."qualification"."code" : { CodeableConcept } - https://www.hl7.org/fhir/v2/0360/2.7/index.html#definition

e-Health

Other structure of quailification

Code Block

### Qualification
+ type: SPECIALIZATION (string, required) - `Dictionary QUALIFICATION_TYPE`
+ institution_name: Академія Богомольця (string, required)
+ speciality: Педіатр (string, required)
+ issued_date: 2017-02-28 (string, required) - дата отримання сертифікату
+ certificate_number: 2017-02-28 (string, required)

Problem/Difference

Big confusion and incompatibility of practitioner quailifications/specialization/etc

May be its non confusion, but it simply kind of education/quailifications specific in UA.

5. Absent practitioner role

HL7

"PractitionerRole" -A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. https://www.hl7.org/fhir/practitionerrole.html#resource

e-Health

Non supports sets Roles/Divisions/specialties/services for Employee.

Problem/Difference

Missing functionality

Data structure comparison

...

Entity & other comparison

...

1. Difference kinds of organization

HL7

"Organisation"."type" : [{ CodeableConcept }] https://www.hl7.org/fhir/codesystem-organization-type.html

Code	Display	Definition
prov	Healthcare Provider	An organization that provides healthcare services.
dept	Hospital Department	A department or ward within a hospital (Generally is not applicable to top level organizations)
team	Organizational team	An organizational team is usually a grouping of practitioners that perform a specific function within an organization (which could be a top level organization, or a department).
govt	Government	A political body, often used when including organization records for government bodies such as a Federal Government, State or Local Government.
ins	Insurance Company	A company that provides insurance to its subscribers that may include healthcare related policies.
edu	Educational Institute	An educational institution that provides education or research facilities.
reli	Religious Institution	An organization that is identified as a part of a religious institution.
crs	Clinical Research Sponsor	An organization that is identified as a Pharmaceutical/Clinical Research Sponsor.
cg	Community Group	An un-incorporated community group.
bus	Non-Healthcare Business or Corporation	An organization that is a registered business or corporation but not identified by other types.
other	Other	Other type of organization not already specified.

e-Health

[legal_entities].type | DICTIONARY: LEGAL_ENTITY_TYPE

Code Block
"values": { "MSP": "заклад з надання медичних послуг", "MIS": "Medical Information system" }, "name": "LEGAL_ENTITY_TYPE"

Problem/Difference

In HL7 type its array (many kinds), in the e-Health Legal Entity - one value of type
In HL7 type "prov" (Healthcare Provider) its crossing of 2 or more types of e-Health

...

2. Hierarchical structure of organization

HL7

Supports hierarchy by attribute "Part of"

e-Health

Non supports hierarchy of Legal Entity

Problem/Difference

Missing functionality

...

3. Medical services structure of organization/locations

HL7

Supports multi medical services (category + type) in location (division) at entity "healthcareservice" https://www.hl7.org/fhir/healthcareservice.html

e-Health

Now non support. May be use "Product Catalog" ???

Problem/Difference

Missing functionality

...

4. Confusion in practitioner quailifications/specializtion/etc

HL7

"Practitioner"."qualification"."code" : { CodeableConcept } - https://www.hl7.org/fhir/v2/0360/2.7/index.html#definition

e-Health

Other structure of quailification

Code Block

### Qualification
+ type: SPECIALIZATION (string, required) - `Dictionary QUALIFICATION_TYPE`
+ institution_name: Академія Богомольця (string, required)
+ speciality: Педіатр (string, required)
+ issued_date: 2017-02-28 (string, required) - дата отримання сертифікату
+ certificate_number: 2017-02-28 (string, required)

Problem/Difference

Info

Big confusion and incompatibility of practitioner quailifications/specialization/etc

May be its non confusion, but it simply kind of education/quailifications specific in UA.

...

5. Absent practitioner role

HL7

"PractitionerRole" -A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. https://www.hl7.org/fhir/practitionerrole.html#resource

e-Health

Non supports sets Roles/Divisions/specialties/services for Employee.

Problem/Difference

Missing functionality

...

Data structure comparison

Organization

https://www.hl7.org/fhir/organization.html

HL7	e-Health	Comparison result	To change DM
Organization	[legal_entities]
"identifier" : [{ Identifier }]	id \| uuid \| not null	Ok
"active" : <boolean>	status \| enum('active','closed') \| not null	Ok
"type" : [{ CodeableConcept }]	type \| varchar \| not null	Ok
"name" : "<string>"	name \| varchar \| not null	Ok
"alias" : ["<string>"], // A list of alternate names that the organization is known as, or was known as in the past	???	Small problem	Nothing todo
"telecom" : [{ ContactPoint }]	phones \| jsonb[]	Ok
"telecom" : [{ ContactPoint }]	email \| varchar	Ok
"partOf" : { Reference(Organization) },	???	Problem	Nothing todo
"contact" : [{ // Contact for the organization for a certain purpose}]	[employees]	Ok
→"purpose" : { CodeableConcept }, // The type of contact	[employees].employee_type	Ok
→"name" : { HumanName }, // A name associated with the contact	[employees].[parties].first_name + last_name	Ok
→"telecom" : [{ ContactPoint }], // Contact details (telephone, email, etc.) for a contact	[employees].[parties].phones	Ok
→"address" : { Address } // Visiting or postal addresses for the contact	[employees].[parties].???	Small problem	Nothing todo
"endpoint" : [{ Reference(Endpoint) }]	redirect_uri ???	Small problem	Nothing todo

Location

https://www.hl7.org/fhir/location.html

HL7	e-Health	Comparison result	To change DM
Location	[divisions]
"identifier" : [{ Identifier }]	id \| uuid \| not null	Ok
"status" : "<code>", // active \| suspended \| inactive	status \| varchar \| not null	Ok
"operationalStatus" : { Coding }, // The Operational status of the location (typically only for a bed/room)	???	Small problem	Nothing todo
"name" : "<string>", // Name of the location as used by humans	name \| varchar \| not null	Ok
"alias" : ["<string>"], // A list of alternate names that the location is known as, or was known as in the past	???	Small problem	Nothing todo
"description" : "<string>", // Additional details about the location that could be displayed as further information to identify the location beyond its name	???	Small problem	Nothing todo
"mode" : "<code>", // instance \| kind	???	Small problem	-
"type" : { CodeableConcept }, // Type of function performed	type \| varchar \| not null	Small problem	Confusion
"telecom" : [{ ContactPoint }], // Contact details of the location	phones \| jsonb[] \| not null email \| varchar	Ok
"address" : { Address }, // Physical location	addresses \| jsonb \| not null	Ok
"physicalType" : { CodeableConcept }, // Physical form of the location	???	Ok
"position" : { // The absolute geographic location	location \| geometry	Ok
→"longitude" : <decimal>, // R! Longitude with WGS84 datum	location \| geometry	Ok
→"latitude" : <decimal>, // R! Latitude with WGS84 datum	location \| geometry	Ok
→"altitude" : <decimal> // Altitude with WGS84 datum	location \| geometry	Ok
"managingOrganization" : { Reference(Organization) }, // Organization responsible for provisioning and upkeep	legal_entity_id \| uuid \| not null	Ok
"partOf" : { Reference(Location) }, // Another Location this one is physically part of	???	Small problem	Nothing todo
"endpoint" : [{ Reference(Endpoint) }] // Technical endpoints providing access to services operated for the location	redirect_uri ???	Small problem	Nothing todo

Practitioner

https://www.hl7.org/fhir/organizationpractitioner.html

HL7

e-Health

Comparison

result

To change DM

Organization

Practitioner	[

legal_entities

employees]
"identifier" : [{ Identifier }]	id \| uuid \| not null	Ok
"active" : <boolean>

status | enum('active','closed') | not nullOk"type" : [{ CodeableConcept }]type | varchar | not nullOk"name" : "<string>"name | varchar

, // Whether this practitioner's record is in active use	is_active \| boolean \| not null	Ok
"

alias

name" : [

"<string>"

{ HumanName }], //

A list of alternate names that the organization
is known as, or was known as in the past???Small problem

The name(s) associated with the practitioner

[parties].first_name + last_name

Ok

"telecom" : [{ ContactPoint }], // A contact detail for the practitioner

(that apply to all roles)

[parties].phones

| jsonb[]

	Ok
"gender" : "<code>", // male \| female \| other \| unknown	[parties].gender	Ok
"

telecom

birthDate" :

[{ ContactPoint }]email | varchar

"<date>", // The date on which the practitioner was born	[parties].birth_date	Ok
"

partOf

photo" : [{

Reference(Organization)

Attachment }], // Image of the person

???

Problem

Small problem	Nothing todo
"

contact

qualification" : [{ //

Contact for the organization for a certain purpose

Qualifications obtained by training and certification}]

[

employees

doctors].qualification	Ok
→"

purpose

identifier" : [{

CodeableConcept

Identifier }], //

The type of contact[employees].employee_typeOk

An identifier for this qualification

for the practitioner

→"

name

code" : {

HumanName

CodeableConcept }, //

A name associated with the contact[employees

R! Coded representation of the

qualification

??? [doctors].[

parties

qualification].

first_name + last_nameOk

type	Problem	???
→"

telecom

period" :

[

{

ContactPoint

Period }

]

, //

Contact details (telephone, email, etc.)
for a contact[employees].[parties].phonesOk→"address" : { Address } // Visiting or postal addresses for the contact[employees].[parties].???Small problem"endpoint" : [{ Reference(Endpoint) }]redirect_uri

Period during which the qualification is valid

???

Small problem

Nothing todo

→"issuer" : { Reference(Organization) } // Organization that regulates

and issues the qualification

[doctors].[qualification].institution_name

Ok

"communication" : [{ CodeableConcept }] // A language the practitioner

is able to use in patient communication

???

Small problem

Nothing todo

...

MedicationRequest

https://www.hl7.org/fhir/locationmedicationrequest.html

divisions

HL7	e-Health	Comparison result	To change DMLocation
MedicationRequest	[	medication_request]
"identifier" : [{ Identifier }], // External ids for this request	id \| uuid \| not null	Ok	"status" : "<code>", // active \| suspended \| inactive	status \| varchar \| not null	Ok	"operationalStatus" : { Coding }, // The Operational status of the location (typically only for a bed/room)	???	Small problem	"name" : "<string>", // Name of the location as used by humans	name \| varchar null	Ok
"definition" : [{ Reference(ActivityDefinition\|PlanDefinition) }], // Protocol or definition	??? план действий	Small problem	Nothing todo
"basedOn" : [{ Reference(CarePlan\|MedicationRequest\| ProcedureRequest\| ReferralRequest) }], // What request fulfills	??? основание	Small problem	Nothing todo
"groupIdentifier" : { Identifier }, // Composite request this is part of	??? групповой ИД	Small problem	Nothing todo
"status" : "<code>", // active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown	status \| enum() \| not null	Ok
"aliasintent" : [ "<string><code>"], // A list of alternate names that the location is known as, or was known as in the pastR! proposal \| plan \| order \| instance-order	??? Тип исползования	Small problem	Nothing todo
"descriptioncategory" : "<string>", // Additional details about the location that could be displayed as further information to identify the location beyond its name{ CodeableConcept }, // Type of medication usage	??? категория	Small problem	Nothing todo
"modepriority" : "<code>", // instance \| kind// routine \| urgent \| stat \| asap	???	Small problem	"typeприоритет (routine \| urgent \| stat \| asap)	Nothing todo	Nothing todo
// medication[x]: Medication to be taken. One of these 2:
→"medicationCodeableConcept" : { CodeableConcept }, // Type of function performed	type \| varchar \| not null	Ok	"telecom" : [{ ContactPoint }], // Contact details of the location	phones \| jsonb[] \| not null email \| varchar	Ok	"address" : { Address }, // Physical location	addresses \| jsonb \| not null	Ok	"physicalType" : { CodeableConcept }, // Physical form of the location	???	Ok	"position" : { // The absolute geographic location	location \| geometry	Ok	→"longitude" : <decimal>, // R! Longitude with WGS84 datum	location \| geometry	Ok	→"latitude" : <decimal>, // R! Latitude with WGS84 datum	location \| geometry	Ok	→"altitude" : <decimal> // Altitude with WGS84 datum	location \| geometry	Ok	"managingOrganization" : { Reference(Organization) }, // Organization responsible for provisioning and upkeep	legal_entity
→"medicationReference" : { Reference(Medication) },
"subject" : { Reference(Patient\|Group) }, // R! Who or group medication request is for	person_id \| uuid \| not null	Ok
"context" : { Reference(Encounter\|EpisodeOfCare) }, // Created during encounter/admission/stay	??? визит - сreated during encounter/admission/stay	Small problem	Nothing todo
"supportingInformation" : [{ Reference(Any) }], // Information to support ordering of the medication	??? примечание	Small problem	Nothing todo
"authoredOn" : "<dateTime>", // When request was initially authored	created_date \| date \| not null	Ok
"requester" : { // Who/What requested the Request	??? кто запрашивает	Ok
→"agent" : { Reference(Practitioner\|Organization\|Patient\|RelatedPerson\|Device) }, // R! Who ordered the initial medication(s)	??? агент ??? legal_entity_id \| uuid \| not null	Ok
→"onBehalfOf" : { Reference(Organization) } // C? Organization agent is acting for	???
"recorder" : { Reference(Practitioner) }, // Person who entered the request	employee_id \| uuid \| not null	Ok
"partOfreasonCode" : [{ Reference(Location) CodeableConcept }], // Another Location this one is physically part ofReason or indication for writing the prescription	???	Small problem	Nothing todo
"endpointreasonReference" : [{ Reference(EndpointCondition\|Observation) }], // Technical endpoints providing access to services operated for the locationredirect_uri Condition or Observation that supports why the prescription is being written	???	Small problem

Practitioner

https://www.hl7.org/fhir/practitioner.html

"identifier

HL7	e-Health	Comparison result	To change DM
Practitioner	[employees]	Nothing todo
"note" : [{ Annotation }], // Information about the prescription	???	Small problem	Need add
"dosageInstruction" : [{ Identifier Dosage }]	id \| uuid \| not null	Ok	"active" : <boolean>, // Whether this practitioner's record is in active use	is_active \| boolean \| not null	Ok	"name" : [{ HumanName }], // The name(s) associated with the practitioner	[parties].first_name + last_name	Ok	"telecom" : [{ ContactPoint }], // A contact detail for the practitioner (that apply to all roles)	[parties].phones	Ok	"gender" : "<code>", // male \| female \| other \| unknown	[parties].gender	Ok	"birthDate" : "<date>", // The date on which the practitioner was born	[parties].birth_date	Ok	"photo" : [{ Attachment }], // Image of the person, // How the medication should be taken	innm_dosage_instuction \| jsonb \| null	Ok	!!!! ----
"dispenseRequest" : { // Medication supply authorization	Ограничения на выдачу	Ok	- Но делаем кол-во
→"validityPeriod" : { Period }, // Time period supply is authorized for	start_date \| date\| not null end_date \| date\| not null	Ok
→"numberOfRepeatsAllowed" : "<positiveInt>", // Number of refills authorized		Small problem	Nothing todo
→"quantity" : { Quantity(SimpleQuantity) }, // Amount of medication to supply per dispense	innm_dose_qty \| number \| not null
→"expectedSupplyDuration" : { Duration }, // Number of days supply per dispense	???	Small problem	Nothing todo
→"performer" : { Reference(Organization) } // Intended dispenser	???	Small problem	Nothing todo
"qualificationsubstitution" : [ { // Qualifications obtained by training and certification}]	[doctors].qualification	OkAny restrictions on medication substitution	??? заменители	Small problem	Nothing todo
→"identifierallowed" : [{ Identifier }]<boolean>, // An identifier for this qualificationfor the practitionerR! Whether substitution is allowed or not		Small problem	Nothing todo
→"codereason" : { CodeableConcept } , // R! Coded representation of the qualification	??? [doctors].[qualification]. type	Problem	→"period" : { Period }, // Period during which the qualification is valid	???	Small problem	→"issuer" : { Reference(Organization) } // Organization that regulates and issues the qualification	[doctors].[qualification].institution_name	Ok	"communication" : [{ CodeableConcept }] // A language the practitioner is able to use in patient communicationWhy should (not) substitution be made		Small problem	Nothing todo
"priorPrescription" : { Reference(MedicationRequest) }, // An order/prescription that is being replaced	??? предшествующий рецепт	Small problem	Nothing todo
"detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical Issue with action	???	Small problem	Nothing todo
"eventHistory" : [{ Reference(Provenance) }] // A list of events of interest in the lifecycle	???	Small problem

...

Nothing todo

MedicationDispence

https://www.hl7.org/fhir/medicationrequestmedicationdispense.html

HL7	e-Health

Comparison

Result

result

To change DM

MedicationRequest

MedicationDispense	[medication_

request"identifier" : [{ Identifier }], // External ids for this requestid | uuid | not nullOk"definition" : [{ Reference(ActivityDefinition|PlanDefinition) }], // Protocol or definition??? план действийSmall problem"basedOn" : [{ Reference(CarePlan|MedicationRequest|
ProcedureRequest| ReferralRequest)

dispenses], [medication_dispense_details]
"identifier" : [{ Identifier }], //

What request fulfills??? основаниеSmall problem"groupIdentifier" : { Identifier }, // Composite request this

External identifier	id \| uuid \| not null	Ok
"partOf" : [{ Reference(Procedure) }], // Event that dispense is part of	???

групповой ИД

процедура лечения	Small problem	Nothing todo
"status" : "<code>", //

active

preparation | in-progress | on-hold |

cancelled |

completed |

entered-in-error | stopped

| draft | unknown

status | enum() | not null

Ok

"intent" : "<code>", // R! proposal | plan | order | instance-order??? Тип исползования

Small problem

"category" : { CodeableConcept

}, // Type of medication usage

??? категория (Стационар, амбулатория, групповой)

}, // Type of medication dispense	??? категория	Small problem	Nothing todo
// medication[x]:

Medication to be taken

What medication was supplied. One of these 2:
→"medicationCodeableConcept" : { CodeableConcept },
→"medicationReference" : { Reference(Medication) },
"subject" : { Reference(Patient\|Group) }, //

R! Who or group medication request

Who the dispense is for

[medication_requests].person_id

| uuid | not null

	Ok
"context" : { Reference(Encounter\|EpisodeOfCare) }, //

Created during encounter/admission/stay

Encounter

/ Episode associated with event

??? визит - сreated during encounter/

admission/stay

Small problem

Nothing todo

"supportingInformation" : [{ Reference(Any) }], // Information

to support ordering

that

supports the dispensing of the medication

???

примечание"requester" :

доп.информация

Small problem

"authoredOn" : "<dateTime>", // When request was initially authoredcreated_date | date | not nullOk

Nothing todo

"performer" : [{ // Who

/What requested the Request??? кто запрашиваетSmall problem"agent

performed event	Аптека	Ok
→"actor" : { Reference(Practitioner\|Organization\|Patient\|Device\|RelatedPerson

|Device

) },

// R!

Who ordered the initial medication(s)??? агент ??? legal_entity

Individual who was performing	employee_id \| uuid \| not null	Ok
→"onBehalfOf" : { Reference(Organization) } //

C?

Organization

agent is

organization was acting for

???},"recorder" : { Reference(Practitioner) }, // Person who entered the requestemployee

}],

legal_entity_id | uuid | not null
division_id | uuid | not null

Ok

"authorizingPrescription" : [{ Reference(MedicationRequest) }],

// Medication order that authorizes the dispense

medication_request_id | uuid | not null

Ok

"

reasonCode

type" :

[

{ CodeableConcept }

]

, //

Reason or indication for writing the prescription

Trial fill, partial fill, emergency fill, etc.	??? тип использования	Small problem	Nothing todo
"

reasonReference

quantity" :

[

{

Reference

Quantity(

Condition|Observation

SimpleQuantity) }

]

, //

Condition or Observation
that supports why the prescription is being written???Small problem"note" : [{ Annotation }], // Information about the prescription???Small problem"dosageInstruction" : [{ Dosage }], // How the medication should be takeninnm_dosage_instuction | jsonb | nullOk"dispenseRequest" : { // Medication supply authorization[medication_dispenses]Ok"validityPeriod" : { Period }, // Time period supply is authorized forstart_date | date| not null
end_date | date| not nullOk"numberOfRepeatsAllowed" : "<positiveInt>", // Number of refills authorized"quantity" : { Quantity(SimpleQuantity) }, // Amount of medication to supply per dispenseinnm_dose_qty | number | not null"expectedSupplyDuration" : { Duration }, // Number of days supply per dispense???Small problem"performer" : { Reference(Organization) } // Intended dispenser???Small problem

Amount dispensed	[medication_dispense_details].medication_qty	Ok
"daysSupply" : { Quantity(SimpleQuantity) }, // Amount of medication expressed as a timing amount	??? хватит на Х дней	Small problem	Nothing todo
"whenPrepared" : "<dateTime>", // When product was packaged and reviewed	???	Small problem	Nothing todo
"whenHandedOver" : "<dateTime>", // When product was given out	???	Small problem	Nothing todo
"destination" : { Reference(Location) }, // Where the medication was sent	???	Small problem
"receiver" : [{ Reference(Patient\|Practitioner) }], // Who collected the medication	??? получатель	Small problem	Need add
"note" : [{ Annotation }], // Information about the dispense	??? примечание отпуска	Small problem	Need add
"dosageInstruction" : [{ Dosage }], // How the medication is to be used by the patient or administered by the caregiver	[medication_requests]. innm_dosage_instuction \| jsonb \| null	Ok
"substitution" : { //

Any restrictions on medication substitution

Whether a substitution was performed on the dispense	??? заменители	Small problem	Nothing todo
→"

allowed

wasSubstituted" : <boolean>, // R! Whether

substitution is allowed or notSmall problem"reason" : { CodeableConcept } // Why should (not) substitution be madeSmall problem"priorPrescription" : { Reference(MedicationRequest) }, // An order/prescription
that is being replaced

a substitution was or was not

performed on the dispense

???

предшествующий рецепт

заменители	Small problem	Nothing todo
→"

detectedIssue

type" :

[

{

Reference(DetectedIssue)

CodeableConcept }

]

, //

Clinical Issue with action

Code signifying whether a different drug

was dispensed from what was prescribed

??? заменители

Small problem

Nothing todo

→"

eventHistory

reason" : [{

Reference(Provenance)

CodeableConcept }]

// A list of events of interest in the lifecycleHL7e-HealthResultTo change DMMedicationDispense

medication_dispenses

"identifier

, // Why was substitution made

??? заменители

Small problem

MedicationDispence

https://www.hl7.org/fhir/medicationdispense.html

Nothing todo

→"responsibleParty" : [{

Identifier

Reference(Practitioner) }]

,

//

External identifierid | uuid | not nullOk"partOf

Who is responsible for the substitution	??? заменители	Small problem	Nothing todo
"detectedIssue" : [{ Reference(

Procedure

DetectedIssue) }], //

Event that dispense is part of

Clinical issue with action

???

процедура лечения

	Small problem	Nothing todo
"

status

notDone" :

<boolean>, // Whether the dispense was or was not performed

status | enum() | not null

Ok

"category" : { CodeableConcept }, // Type of medication dispense??? категория

// notDoneReason[x]:

What medication was supplied

Why a dispense was not performed. One of these 2:

???

"medicationCodeableConcept

Small problem	Nothing todo
→"notDoneReasonCodeableConcept" : { CodeableConcept },	???	Small problem	Nothing todo
→"

medicationReference

notDoneReasonReference" : { Reference(

Medication) },"subject" : { Reference(Patient|Group) }, // Who the dispense is for

[medication_requests].person_id

Ok

"context" : { Reference(Encounter|EpisodeOfCare) }, // Encounter

/ Episode associated with event

??? визит - сreated during encounter/

admission/stay

"supportingInformation" : [{ Reference(Any) }], // Information that

supports the dispensing of the medication

??? доп.информация

"performer" : [{ // Who performed eventАптекаOk

"actor" : { Reference(Practitioner|Organization|Patient|Device|RelatedPerson) },

// R! Individual who was performing

employee_id | uuid | not null

Ok"onBehalfOf" : { Reference(Organization) } // Organization organization was acting for}],

legal_entity_id | uuid | not null
division_id | uuid | not null

Ok

"authorizingPrescription" : [{ Reference(MedicationRequest) }],

// Medication order that authorizes the dispense

medication_request_id | uuid

DetectedIssue) },	???	Small problem	Nothing todo
"eventHistory" : [{ Reference(Provenance) }] // A list of releveant lifecycle events	???	Small problem	Nothing todo

Medication

https://www.hl7.org/fhir/medication.html

HL7	e-Health	Result	To change DM
Medication	[medications], [ingredients], [innms]
"code" : { CodeableConcept }, // Codes that identify this medication	id \| uuid \| not null	Ok
"status" : "<code>", // active \| inactive \| entered-in-error	status \| varchar \| not null	Ok
"isBrand" : <boolean>, // True if a brand	[medications]	Ok
"isOverTheCounter" : <boolean>, // True if medication does not require a prescription		Small problem	Nothing todo
"manufacturer" : { Reference(Organization) }, // Manufacturer of the item	manufacturer_name_country \| jsonb \| not null	Ok
"

type

form" : { CodeableConcept }, //

Trial fill, partial fill, emergency fill, etc.

??? тип использования

"quantity" : { Quantity(SimpleQuantity) }, // Amount dispensed[medication_dispense_details].medication_qty

powder \| tablets \| capsule +	route \| varchar \| not null	Ok
"

daysSupply

ingredient" : [{

Quantity(SimpleQuantity) },

//

Amount of medication

expressed as a timing amount

??? хватит на Х дней

"whenPrepared" : "<dateTime>", // When product was packaged and reviewed???"whenHandedOver" : "<dateTime>", // When product was given out???"destination" : { Reference(Location) }, // Where the medication was sent???"receiver" : [{ Reference(Patient|Practitioner) }], // Who collected the medication??? получатель"note" : [{ Annotation }], // Information about the dispense

??? примечание отпуска

"dosageInstruction" : [{ Dosage }], // How the medication is to be

used by the patient or administered by the caregiver

[medication_requests].

innm_dosage_instuction | jsonb | null

Ok"substitution" : { // Whether a substitution was performed on the dispense??? заменители

"wasSubstituted" : <boolean>, // R! Whether a substitution was or was not

performed on the dispense

??? заменители

"type" : { CodeableConcept }, // Code signifying whether a different drug

was dispensed from what was prescribed

??? заменители"reason" : [{ CodeableConcept }], // Why was substitution made??? заменители"responsibleParty" : [{ Reference(Practitioner) }] // Who is responsible for the substitution??? заменители"detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical issue with action???"notDone" : <boolean>, // Whether the dispense was or was not performed

status | enum() | not null

Ok// notDoneReason[x]: Why a dispense was not performed. One of these 2:???"notDoneReasonCodeableConcept" : { CodeableConcept },"notDoneReasonReference" : { Reference(DetectedIssue) },"eventHistory" : [{ Reference(Provenance) }] // A list of releveant lifecycle events???

Medication

https://www.hl7.org/fhir/medication.html

...

Active or inactive ingredient	[inngredients]	Ok
→// item[x]: The product contained. One of these 2:
→"itemCodeableConcept" : { CodeableConcept },
→"itemReference" : { Reference(Substance\|Medication)},	[ingredients].innms_id	Ok
→"isActive" : <boolean>, // Active ingredient indicator	[ingredients].is_active_substance	Ok
→"amount" : { Ratio } // Quantity of ingredient present	[ingredients].dosage	Ok
"package" : { // Details about packaged medications		Ok
→"container" : { CodeableConcept }, // E.g. box, vial, blister-pack	[medications].container_dosage	Ok
→"content" : [{ // What is in the package
→→// item[x]: The item in the package. One of these 2:
→→"itemCodeableConcept" : { CodeableConcept },
→→"itemReference" : { Reference(Medication) },	[medications]	Ok
→→"amount" : { Quantity(SimpleQuantity) } // Quantity present in the package	container_dosage \| jsonb \| not null package_qty \| number\| not null	Ok
"batch" : [{ // Identifies a single production run	???	Small problem	Nothing todo
→"lotNumber" : "<string>", // Identifier assigned to batch	???	Small problem	Nothing todo
→"expirationDate" : "<dateTime>" // When batch will expire	???	Small problem	Nothing todo
"image" : [{ Attachment }] // Picture of the medication	???	Small problem	Nothing todo

Page Comparison

Versions Compared

Old Version 36

New Version Current

Key

Table of Contents

Entity & other comparison

1. Difference kinds of organization

HL7

e-Health

Problem/Difference

2. Hierarchical structure of organization

HL7

e-Health

Problem/Difference

3. Medical services structure of organization/locations

HL7

e-Health

Problem/Difference

4. Confusion in practitioner quailifications/specializtion/etc

HL7

e-Health

Problem/Difference

5. Absent practitioner role

HL7

e-Health

Problem/Difference

Data structure comparison

Entity & other comparison

1. Difference kinds of organization

HL7

e-Health

Problem/Difference

2. Hierarchical structure of organization

HL7

e-Health

Problem/Difference

3. Medical services structure of organization/locations

HL7

e-Health

Problem/Difference

4. Confusion in practitioner quailifications/specializtion/etc

HL7

e-Health

Problem/Difference

5. Absent practitioner role

HL7

e-Health

Problem/Difference

Data structure comparison

Organization

Location

Practitioner

MedicationRequest

Practitioner

MedicationDispence

MedicationDispence

Medication

Medication