Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Data Type Profile: HCIM InstructionsForUse
| Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse | Version: 1.3.15 | |||
| Active as of 2025-09-22 | Computable Name: Zib InstructionsForUse | |||
Copyright/Legal: CC0 |
||||
This profile is based on the Dutch Health and Care Information model (Dutch: Zorginformatiebouwsteen or ZIB) InstructionsForUse version 1.1, year 2017. Instructions for the use or administration of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or which the patient followed.
InstructionsForUse gives an insight into the manner a drug is to be used.
Usages:
- Use this DataType Profile: HCIM AdministrationAgreement, HCIM MedicationAgreement and HCIM MedicationUse
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Dosage
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Dosage |
0..* | Dosage | InstructionsForUse | |
 sequence |
0..1 | integer | SequenceNumber | |
| text |
0..1 | string | Description | |
| additionalInstruction |
0..* | CodeableConcept | AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible) | |
 timing |
0..1 | Zib AdministrationSchedule | When medication should be administered | |
  Slices for asNeededCodeableConcept |
Content/Rules for all slices | |||
   asNeededCodeableConcept:asNeededCodeableConcept |
0..1 | CodeableConcept | AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst | |
| route |
0..1 | CodeableConcept | RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]} | |
| Slices for dose[x] |
0..1 | Range, SimpleQuantity | Dose Slice: Unordered, Open by type:$this | |
 dose[x]:doseQuantity |
0..1 | SimpleQuantity | Amount of medication per dose Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
 dose[x]:doseRange |
0..1 | Range | Amount of medication per dose | |
  low |
0..1 | SimpleQuantity | Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
 high |
0..1 | SimpleQuantity | High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
| maxDosePerPeriod |
0..1 | Ratio | MaximumDose | |
 numerator |
0..1 | Quantity | Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
| rate[x] |
0..1 | Ratio, Range, SimpleQuantity | AdministeringSpeed | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| Dosage.additionalInstruction | extensible | AanvullendeGebruiksinstructiehttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000From this IG | |
| Dosage.asNeededCodeableConcept:asNeededCodeableConcept | extensible | ZonodigCriteriumCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000From this IG | |
| Dosage.route | extensible | MedicatieToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000From this IG | |
| Dosage.dose[x]:doseQuantity | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.low | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.high | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.maxDosePerPeriod.numerator | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Dosage |
0..* | Dosage | InstructionsForUse | |
 sequence |
Σ | 0..1 | integer | SequenceNumber |
| text |
Σ | 0..1 | string | Description |
| additionalInstruction |
Σ | 0..* | CodeableConcept | AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible) |
| timing |
Σ | 0..1 | Zib AdministrationSchedule | When medication should be administered |
| Slices for asNeeded[x] |
Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
| asNeeded[x]:asNeededCodeableConcept |
Σ | 0..1 | CodeableConcept | AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst |
| route |
Σ | 0..1 | CodeableConcept | RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]} |
| Slices for dose[x] |
Σ | 0..1 | Dose Slice: Unordered, Closed by type:$this | |
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| dose[x]:doseQuantity |
Σ | 0..1 | SimpleQuantity | Amount of medication per dose Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| dose[x]:doseRange |
Σ | 0..1 | Range | Amount of medication per dose |
| low |
ΣC | 0..1 | SimpleQuantity | Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| high |
ΣC | 0..1 | SimpleQuantity | High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| maxDosePerPeriod |
Σ | 0..1 | Ratio | MaximumDose |
| numerator |
Σ | 0..1 | Quantity | Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
  rate[x] |
Σ | 0..1 | AdministeringSpeed | |
| rateRatio |
Ratio | |||
| rateRange |
Range | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Dosage.additionalInstruction | extensible | AanvullendeGebruiksinstructiehttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000From this IG | |
| Dosage.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|3.0.2From the FHIR Standard | |
| Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | ZonodigCriteriumCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000From this IG | |
| Dosage.route | extensible | MedicatieToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000From this IG | |
| Dosage.dose[x]:doseQuantity | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.low | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.high | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.maxDosePerPeriod.numerator | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Dosage |
0..* | Dosage | InstructionsForUse | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
 extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| sequence |
Σ | 0..1 | integer | SequenceNumber |
| text |
Σ | 0..1 | string | Description |
| additionalInstruction |
Σ | 0..* | CodeableConcept | AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible) |
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions |
| timing |
Σ | 0..1 | Zib AdministrationSchedule | When medication should be administered |
| Slices for asNeeded[x] |
Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
| asNeeded[x]:asNeededCodeableConcept |
Σ | 0..1 | CodeableConcept | AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst |
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body. |
| route |
Σ | 0..1 | CodeableConcept | RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]} |
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered. |
| Slices for dose[x] |
Σ | 0..1 | Dose Slice: Unordered, Closed by type:$this | |
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| dose[x]:doseQuantity |
Σ | 0..1 | SimpleQuantity | Amount of medication per dose Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| dose[x]:doseRange |
Σ | 0..1 | Range | Amount of medication per dose |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| low |
ΣC | 0..1 | SimpleQuantity | Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| high |
ΣC | 0..1 | SimpleQuantity | High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| maxDosePerPeriod |
Σ | 0..1 | Ratio | MaximumDose |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| numerator |
Σ | 0..1 | Quantity | Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| denominator |
Σ | 0..1 | Quantity | Denominator value |
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration |
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient |
| rate[x] |
Σ | 0..1 | AdministeringSpeed | |
| rateRatio |
Ratio | |||
| rateRange |
Range | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Dosage.additionalInstruction | extensible | AanvullendeGebruiksinstructiehttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000From this IG | |
| Dosage.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|3.0.2From the FHIR Standard | |
| Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | ZonodigCriteriumCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000From this IG | |
| Dosage.site | example | SNOMED CT Anatomical Structure for Administration Site Codeshttp://hl7.org/fhir/ValueSet/approach-site-codes|3.0.2From the FHIR Standard | |
| Dosage.route | extensible | MedicatieToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000From this IG | |
| Dosage.method | example | SNOMED CT Administration Method Codeshttp://hl7.org/fhir/ValueSet/administration-method-codes|3.0.2From the FHIR Standard | |
| Dosage.dose[x]:doseQuantity | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.low | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.high | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.maxDosePerPeriod.numerator | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
This structure is derived from Dosage
Summary
Structures
This structure refers to these other structures:
- HCIM AdministrationSchedule (http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationSchedule)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Dosage.dose[x]
Differential View
This structure is derived from Dosage
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Dosage |
0..* | Dosage | InstructionsForUse | |
| sequence |
0..1 | integer | SequenceNumber | |
| text |
0..1 | string | Description | |
| additionalInstruction |
0..* | CodeableConcept | AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible) | |
| timing |
0..1 | Zib AdministrationSchedule | When medication should be administered | |
| Slices for asNeededCodeableConcept |
Content/Rules for all slices | |||
| asNeededCodeableConcept:asNeededCodeableConcept |
0..1 | CodeableConcept | AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst | |
| route |
0..1 | CodeableConcept | RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]} | |
| Slices for dose[x] |
0..1 | Range, SimpleQuantity | Dose Slice: Unordered, Open by type:$this | |
| dose[x]:doseQuantity |
0..1 | SimpleQuantity | Amount of medication per dose Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
| dose[x]:doseRange |
0..1 | Range | Amount of medication per dose | |
| low |
0..1 | SimpleQuantity | Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
| high |
0..1 | SimpleQuantity | High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
| maxDosePerPeriod |
0..1 | Ratio | MaximumDose | |
| numerator |
0..1 | Quantity | Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902 | |
| rate[x] |
0..1 | Ratio, Range, SimpleQuantity | AdministeringSpeed | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| Dosage.additionalInstruction | extensible | AanvullendeGebruiksinstructiehttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000From this IG | |
| Dosage.asNeededCodeableConcept:asNeededCodeableConcept | extensible | ZonodigCriteriumCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000From this IG | |
| Dosage.route | extensible | MedicatieToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000From this IG | |
| Dosage.dose[x]:doseQuantity | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.low | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.high | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.maxDosePerPeriod.numerator | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Dosage |
0..* | Dosage | InstructionsForUse | |
| sequence |
Σ | 0..1 | integer | SequenceNumber |
| text |
Σ | 0..1 | string | Description |
| additionalInstruction |
Σ | 0..* | CodeableConcept | AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible) |
| timing |
Σ | 0..1 | Zib AdministrationSchedule | When medication should be administered |
| Slices for asNeeded[x] |
Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
| asNeeded[x]:asNeededCodeableConcept |
Σ | 0..1 | CodeableConcept | AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst |
| route |
Σ | 0..1 | CodeableConcept | RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]} |
| Slices for dose[x] |
Σ | 0..1 | Dose Slice: Unordered, Closed by type:$this | |
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| dose[x]:doseQuantity |
Σ | 0..1 | SimpleQuantity | Amount of medication per dose Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| dose[x]:doseRange |
Σ | 0..1 | Range | Amount of medication per dose |
| low |
ΣC | 0..1 | SimpleQuantity | Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| high |
ΣC | 0..1 | SimpleQuantity | High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| maxDosePerPeriod |
Σ | 0..1 | Ratio | MaximumDose |
| numerator |
Σ | 0..1 | Quantity | Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| rate[x] |
Σ | 0..1 | AdministeringSpeed | |
| rateRatio |
Ratio | |||
| rateRange |
Range | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Dosage.additionalInstruction | extensible | AanvullendeGebruiksinstructiehttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000From this IG | |
| Dosage.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|3.0.2From the FHIR Standard | |
| Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | ZonodigCriteriumCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000From this IG | |
| Dosage.route | extensible | MedicatieToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000From this IG | |
| Dosage.dose[x]:doseQuantity | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.low | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.high | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.maxDosePerPeriod.numerator | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Dosage |
0..* | Dosage | InstructionsForUse | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| sequence |
Σ | 0..1 | integer | SequenceNumber |
| text |
Σ | 0..1 | string | Description |
| additionalInstruction |
Σ | 0..* | CodeableConcept | AdditionalInstructions Binding: Aanvullende gebruiksinstructie (extensible) |
| patientInstruction |
Σ | 0..1 | string | Patient or consumer oriented instructions |
| timing |
Σ | 0..1 | Zib AdministrationSchedule | When medication should be administered |
| Slices for asNeeded[x] |
Σ | 0..1 | CodeableConcept | Take "as needed" (for x) Slice: Unordered, Closed by type:$this Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
| asNeeded[x]:asNeededCodeableConcept |
Σ | 0..1 | CodeableConcept | AsNeeded Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst |
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body. |
| route |
Σ | 0..1 | CodeableConcept | RouteOfAdministration Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]} |
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered. |
| Slices for dose[x] |
Σ | 0..1 | Dose Slice: Unordered, Closed by type:$this | |
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| dose[x]:doseQuantity |
Σ | 0..1 | SimpleQuantity | Amount of medication per dose Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| dose[x]:doseRange |
Σ | 0..1 | Range | Amount of medication per dose |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| low |
ΣC | 0..1 | SimpleQuantity | Low limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| high |
ΣC | 0..1 | SimpleQuantity | High limit Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| maxDosePerPeriod |
Σ | 0..1 | Ratio | MaximumDose |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| numerator |
Σ | 0..1 | Quantity | Numerator value Binding: G-Standaard Eenhedentabel (required): GstdTabel902 |
| denominator |
Σ | 0..1 | Quantity | Denominator value |
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration |
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient |
| rate[x] |
Σ | 0..1 | AdministeringSpeed | |
| rateRatio |
Ratio | |||
| rateRange |
Range | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Dosage.additionalInstruction | extensible | AanvullendeGebruiksinstructiehttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000From this IG | |
| Dosage.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|3.0.2From the FHIR Standard | |
| Dosage.asNeeded[x]:asNeededCodeableConcept | extensible | ZonodigCriteriumCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000From this IG | |
| Dosage.site | example | SNOMED CT Anatomical Structure for Administration Site Codeshttp://hl7.org/fhir/ValueSet/approach-site-codes|3.0.2From the FHIR Standard | |
| Dosage.route | extensible | MedicatieToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000From this IG | |
| Dosage.method | example | SNOMED CT Administration Method Codeshttp://hl7.org/fhir/ValueSet/administration-method-codes|3.0.2From the FHIR Standard | |
| Dosage.dose[x]:doseQuantity | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.low | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.dose[x]:doseRange.high | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG | |
| Dosage.maxDosePerPeriod.numerator | required | GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453From this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
This structure is derived from Dosage
Summary
Structures
This structure refers to these other structures:
- HCIM AdministrationSchedule (http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationSchedule)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Dosage.dose[x]
Other representations of profile: CSV, Excel, Schematron