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

...

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/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

...

Comparison

result

...

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

"

telecom

endpoint" : [{

ContactPoint

Reference(Endpoint) }]

phones | jsonb[]Ok"telecom" : [{ ContactPoint }]email | varcharOk"partOf" : { Reference(Organization) },???Problem-"contact" : [{ // Contact for the organization for a certain purpose}][employees]Ok→"purpose" : { CodeableConcept }, // The type of contact[employees].employee_typeOk→"name" : { HumanName }, // A name associated with the contact[employees].[

// Technical endpoints providing access to
services operated for the location

redirect_uri ???

Small problem

Nothing todo

Practitioner

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

HL7	e-Health	Comparison result
Practitioner	[employees]
"identifier" : [{ Identifier }]	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 }], //

Contact details (telephone, email, etc.)
for a contact[employees].[

A contact detail for the practitioner

(that apply to all roles)

[parties].phones

Ok

→

"

address

gender" :

{ Address } // Visiting or postal addresses for the contact[employees].[parties].???Small problem-"endpoint" : [{ Reference(Endpoint) }]redirect_uri ???Small problem-

Location

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

To change DM

addresses | jsonb

HL7	e-Health	Comparison result	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	-
"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	"<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	???	Small problem	Nothing todo
"qualification" : [{ // Qualifications obtained by training and certification}]	[doctors].qualification	Ok
→"identifier" : [{ Identifier }], // An identifier for this qualification for the practitioner
→"code" : { CodeableConcept }, // R! Coded representation of the qualification	??? [doctors].[qualification]. type	Problem	???
→"period" : { Period }, // Period during which the qualification is valid	???	Small problem	-Nothing todo
→" description issuer" : "<string>", // Additional details about the location that could be displayed as further information to identify the location beyond its name	???	Small problem	-	"mode" : "<code>", // instance \| kind { 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	-
"type" : { CodeableConcept }, // Type of function performed	type \| varchar \| not null	Small problem	- внести в верх.список отличия по значениям
"telecom" : [{ ContactPoint }], // Contact details of the location	phones \| jsonb[] \| not null email \| varchar	Ok	"address" : { Address }, // Physical location	Nothing todo

MedicationRequest

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

HL7	e-Health	Comparison result	To change DM
MedicationRequest	[medication_request]
"identifier" : [{ Identifier }], // External ids for this request	id \| uuid \| not null	Ok
"physicalTypedefinition" : { CodeableConcept }[{ Reference(ActivityDefinition\|PlanDefinition) }], // Physical form of the locationProtocol or definition	??? Okплан действий	Small problem	Nothing todo
"positionbasedOn" : [{ // 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	-
"endpoint" : [{ Reference(Endpoint) }] // Technical endpoints providing access to services operated for the location	redirect_uri ???	Small problem	-

Practitioner

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

HL7	e-Health	Comparison result	To change DM
Practitioner	[employees]	"identifier" : [{ Identifier }]	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	???	Small problem	-
"qualification" : [{ // Qualifications obtained by training and certification}]	[doctors].qualification	Ok	→"identifier" : [{ Identifier }], // An identifier for this qualification for the practitioner	→"code" : { CodeableConcept }, // R! Coded representation of the qualification	??? [doctors].[qualification]. type	Problem	→"period" : { Period }, // Period during which the qualification is validReference(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
"intent" : "<code>", // R! proposal \| plan \| order \| instance-order	??? Тип исползования	Small problem	Nothing todo
"category" : { CodeableConcept }, // Type of medication usage	??? категория	Small problem	Nothing todo
"priority" : "<code>", // routine \| urgent \| stat \| asap	??? приоритет (routine \| urgent \| stat \| asap)	Nothing todo	Nothing todo
// medication[x]: Medication to be taken. One of these 2:
→"medicationCodeableConcept" : { CodeableConcept },
→"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
"reasonCode" : [{ CodeableConcept }], // Reason or indication for writing the prescription	???	Small problem	-Nothing todo
→"issuerreasonReference" : [{ Reference(OrganizationCondition\|Observation) }], // Organization that regulates and issues the qualification	[doctors].[qualification].institution_name	Ok	"communicationCondition or Observation that supports why the prescription is being written	???	Small problem	Nothing todo
"note" : [{ CodeableConcept Annotation }], // A language Information about the practitioner is able to use in patient communication prescription	???	Small problem	-

MedicationRequest

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

id | uuid

HL7	e-Health	Comparison result	To change DM
MedicationRequest	medication_request	"identifier" : [{ Identifier }], // External ids for this request	Need add
"dosageInstruction" : [{ Dosage }], // 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
→"definitionnumberOfRepeatsAllowed" : [{ Reference(ActivityDefinition\|PlanDefinition) }]"<positiveInt>", // Protocol or definition	??? план действий	Number of refills authorized		Small problem	Nothing todo
→"basedOnquantity" : [ { Reference(CarePlan\|MedicationRequest\| ProcedureRequest\| ReferralRequestQuantity(SimpleQuantity) }], // What request fulfills	??? основание	Small problem	"groupIdentifier" : { Identifier Amount of medication to supply per dispense	innm_dose_qty \| number \| not null
→"expectedSupplyDuration" : { Duration }, // Composite request this is part of	??? групповой ИД	Small problem	"status" : "<code>", // active \| 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)	Small problem	"priority" : "<code>", // routine \| urgent \| stat \| asap	??? приоритет (routine \| urgent \| stat \| asap)	Small problem	// medication[x]: Medication to be taken. One of these 2:	"medicationCodeableConcept" : { CodeableConcept },	"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	"supportingInformation" : [{ Reference(Any) }], // Information to support ordering of the medication	??? примечание	Small problem	"authoredOn" : "<dateTime>", // When request was initially authored	created_date \| date Number of days supply per dispense	???	Small problem	Nothing todo
→"performer" : { Reference(Organization) } // Intended dispenser	???	Small problem	Nothing todo
"substitution" : { // Any restrictions on medication substitution	??? заменители	Small problem	Nothing todo
→"allowed" : <boolean>, // R! Whether substitution is allowed or not		Small problem	Nothing todo
→"reason" : { CodeableConcept } // Why 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/medicationdispense.html

HL7	e-Health	Result
MedicationDispense	[medication_dispenses], [medication_dispense_details]
"identifier" : [{ Identifier }], // External identifier	id \| uuid \| not null	Ok
"

requester

partOf" : [{

// Who/What requested the Request

Reference(Procedure) }], // Event that dispense is part of

???

кто запрашивает

процедура лечения	Small problem	Nothing todo
"

agent

status" :

{ Reference(Practitioner|Organization|Patient|RelatedPerson|Device) },
// R! Who ordered the initial medication(s)??? агент ??? legal_entity_id | uuid |

"<code>", // preparation | in-progress | on-hold | completed |

entered-in-error | stopped

status | enum() | not null

Ok

"

onBehalfOf

category" : {

Reference(Organization)

CodeableConcept }, //

C? Organization agent is acting for???},"recorder

Type of medication dispense	??? категория	Small problem	Nothing todo
// medication[x]: What medication was supplied. One of these 2:
→"medicationCodeableConcept" : { CodeableConcept },
→"medicationReference" : { Reference(

Practitioner

Medication) },

// Person who entered the request"reasonCode

employee_id | uuid | not nullOk

"subject" :

[{ CodeableConcept }]

{ Reference(Patient|Group) }, //

Reason or indication for writing the prescription???Small problem"reasonReference" : [{ Reference(Condition|Observation) }], // Condition or Observation
that supports why the prescription is being written???Small problem"note" : [{ Annotation

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

Small problem

Nothing todo

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

about the prescription

that

supports the dispensing of the medication

??? доп.информация

Small problem

Nothing todo

"

dosageInstruction

performer" : [{

Dosage }],

//

How the medication should be takeninnm_dosage_instuction | jsonb | null

Who performed event	Аптека	Ok
→"

dispenseRequest

actor" : {

// Medication supply authorization[medication_dispenses]

Reference(Practitioner|Organization|Patient|Device|RelatedPerson) },

// R! Individual who was performing

employee_id | uuid | not null

Ok

→"

validityPeriod

onBehalfOf" : {

Period

Reference(Organization) }

,

//

Time period supply is authorized forstart_date | date

Organization organization was acting for}],

legal_entity_id | uuid | not null

end

division_

date

id |

date

uuid \| not null	Ok
"

numberOfRepeatsAllowed

authorizingPrescription" :

"<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"substitution" : { // Any restrictions on medication substitution??? заменителиSmall problem→"allowed" : <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??? предшествующий рецептSmall problem"detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical Issue with action

[{ Reference(MedicationRequest) }], // Medication order that authorizes the dispense	medication_request_id \| uuid \| not null	Ok
"type" : { CodeableConcept }, // Trial fill, partial fill, emergency fill, etc.	??? тип использования	Small problem	Nothing todo
"quantity" : { Quantity(SimpleQuantity) }, // 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
"

eventHistory

receiver" : [{ Reference(

Provenance

Patient|Practitioner) }], //

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

medication_dispenses

"identifier

Who collected the medication

??? получатель

Small problem

MedicationDispence

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

Need add
"note" : [{ Annotation }], // Information about the dispense	??? примечание отпуска	Small problem	Need add
"dosageInstruction" : [{

Identifier

Dosage }], //

External identifierid | uuid | not

How the medication is to be

used by the patient or administered by the caregiver

[medication_requests].

innm_dosage_instuction | jsonb | null

Ok

"

partOf

substitution" :

[

{

Reference(Procedure) }],

//

Event that dispense is part of

Whether a substitution was performed on the dispense

???

процедура леченияSmall problem

"status" : "<code>", // preparation | in-progress | on-hold | completed |

entered-in-error | stopped

status | enum() | not null

Ok"category" : { CodeableConcept }, // Type of medication

заменители

Small problem

Nothing todo

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

performed on the dispense

???

категория"supportingInformation

заменители

Small problem

// medication[x]: What medication was supplied. One of these 2:"medicationCodeableConcept" : { CodeableConcept },"medicationReference" : { 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

Small problem

Nothing todo
→"type" : { CodeableConcept }, // Code signifying whether a different drug was dispensed from what was prescribed	??? заменители	Small problem	Nothing todo
→"reason" : [{ CodeableConcept }], // Why was substitution made	??? заменители	Small problem	Nothing todo
→"responsibleParty" : [{ Reference(

Any

Practitioner) }]

,

//

Information thatsupports the dispensing of the medication

Who is responsible for the substitution

???

доп.информация

заменители	Small problem	Nothing todo
"

performer

detectedIssue" : [{

// 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 | not null

Ok"type" : { CodeableConcept }, // Trial fill, partial fill, emergency fill, etc.

??? тип использования

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

??? примечание отпуска

Small problem

"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??? заменителиSmall problem

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

performed on the dispense

??? заменителиSmall problem

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

was dispensed from what was prescribed

??? заменителиSmall problem"reason" : [{ CodeableConcept }], // Why was substitution made??? заменителиSmall problem"responsibleParty" : [{ Reference(Practitioner) }] // Who is responsible for the substitution??? заменителиSmall problem"detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical issue with action???Small problem"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:???Small problem"notDoneReasonCodeableConcept" : { CodeableConcept },Small problem"notDoneReasonReference" : { Reference(DetectedIssue) },Small problem"eventHistory" : [{ Reference(Provenance) }] // A list of releveant lifecycle events???Small problem

Medication

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

...

Reference(DetectedIssue) }], // Clinical issue with action	???	Small problem	Nothing todo
"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:	???	Small problem	Nothing todo
→"notDoneReasonCodeableConcept" : { CodeableConcept },	???	Small problem	Nothing todo
→"notDoneReasonReference" : { Reference(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
"form" : { CodeableConcept }, // powder \| tablets \| capsule +	route \| varchar \| not null	Ok
"ingredient" : [{ // 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 38

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

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

e-Health

Problem/Difference

5. Absent practitioner role

HL7

e-Health

Problem/Difference

Data structure comparison

Organization

Practitioner

Location

MedicationRequest

Practitioner

MedicationRequest

MedicationDispence

MedicationDispence

Medication

Medication