CH EMED EPR
1.0.0 - trial-use
CH EMED EPR
1.0.0 - trial-use
This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Draft as of 2024-01-26 |
Definitions for the ch-emed-epr-amount-quantity data type profile.
Guidance on how to interpret the contents of this table can be found here
| 0. Quantity | |
| 2. Quantity.id | |
| Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
| Short | ✕ This element is not supported |
| Standards Status | Draft (from Normative) |
| 4. Quantity.extension | |
| Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
| Short | ✕ This element is not supported |
| Standards Status | Draft (from Normative) |
| 6. Quantity.value | |
| Invariants | amount-quantity-int-or-simple-decimal: An amount quantity should be either an integer, or a decimal that ends with '.25', '.5', or '.75' for non-scientific units (like tablets, pillules, ampules, etc.) ($this.toString().contains('.').not() or $this.toString().endsWith('.25') or $this.toString().endsWith('.5') or $this.toString().endsWith('.75')) |
| 8. Quantity.comparator | |
| Comments | ...All modifiers SHALL be documented in the profile, in order to be usable. |
| 10. Quantity.code | |
| Binding | The codes SHALL be taken from Amount Quantity Unit Codes (required to http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-amount-quantity-unit-code) |
Guidance on how to interpret the contents of this table can be found here
| 0. Quantity | |
| Definition | The comparator is not used on a SimpleQuantity A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies. |
| Short | A fixed quantity (no comparator)A measured or measurable amount |
| Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists())sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty())qty-3: If a code for the unit is present, the system SHALL also be present (code.empty() or system.exists()) |
| 2. Quantity.id | |
| Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | ✕ This element is not supportedUnique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 4. Quantity.extension | |
| Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ✕ This element is not supportedAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Quantity.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 6. Quantity.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) amount-quantity-int-or-simple-decimal: An amount quantity should be either an integer, or a decimal that ends with '.25', '.5', or '.75' for non-scientific units (like tablets, pillules, ampules, etc.) ( $this.toString().contains('.').not() or $this.toString().endsWith('.25') or $this.toString().endsWith('.5') or $this.toString().endsWith('.75')) |
| 8. Quantity.comparator | |
| Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Comments | All modifiers SHALL be documented in the profile, in order to be usable. |
| Control | 0..01 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 10. Quantity.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 10..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 12. Quantity.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System of the code from Units of PresentationSystem that defines coded unit form |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 14. Quantity.code | |
| Definition | Units of Presentation A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see Amount Quantity Unit Codes (required to http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-amount-quantity-unit-code) |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
| 0. Quantity | |
| Definition | The comparator is not used on a SimpleQuantity |
| Short | A fixed quantity (no comparator) |
| Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists())sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty()) |
| 2. Quantity.id | |
| Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
| Short | ✕ This element is not supported |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 4. Quantity.extension | |
| Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
| Short | ✕ This element is not supported |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Quantity.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 6. Quantity.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 1..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))amount-quantity-int-or-simple-decimal: An amount quantity should be either an integer, or a decimal that ends with '.25', '.5', or '.75' for non-scientific units (like tablets, pillules, ampules, etc.) ( $this.toString().contains('.').not() or $this.toString().endsWith('.25') or $this.toString().endsWith('.5') or $this.toString().endsWith('.75')) |
| 8. Quantity.comparator | |
| Definition | Not allowed to be used in this context |
| Short | < | <= | >= | > - how to understand the value |
| Comments | All modifiers SHALL be documented in the profile, in order to be usable. |
| Control | 0..0 |
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 10. Quantity.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 1..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 12. Quantity.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System of the code from Units of Presentation |
| Control | 1..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 14. Quantity.code | |
| Definition | Units of Presentation |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Amount Quantity Unit Codes (required to http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-amount-quantity-unit-code) |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |