Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build
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
Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse | Version: 1.3.15 | |||
Active as of 2025-09-22 | Computable Name: Zib MedicationUse | |||
Copyright/Legal: CC0 |
This profile is based on the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) MedicationUse version 1.0.1, year 2017.
MedicationUse is a statement on the historic, current or intended use of a certain medicine.
The goal of the medication use is to provide insight into the patient’s pattern of use.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationStatement
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | MedicationStatement | MedicationUse | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AsAgreedIndicator URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator | |
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Content/Rules for all slices | |||
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0..1 | boolean | Value of extension Example Example of asAgreed: true | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner) | Prescriber URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) | Author URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author | |
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0..1 | Identifier | Medical Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment | |
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0..* | (Complex) | ReasonForChangeOrDiscontinuationOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | ReasonForChangeOrDiscontinuationOfUse Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible) Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]} | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Duration | RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule | |
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0..* | Identifier | External identifier | |
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1..1 | code | MedicationUseStopType Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list | |
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1..1 | CodeableConcept | Type of medication usage | |
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0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
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0..* | Coding | MedicationUseCode | |
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0..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3 | |
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0..1 | code | Symbol in syntax defined by the system Fixed Value: 6 | |
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Content/Rules for all slices | |||
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1..1 | Reference(HCIM PharmaceuticalProduct) | ProductUsed | |
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Content/Rules for all slices | |||
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0..1 | Period | PeriodOfUse | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration | |
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Content/Rules for all slices | |||
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0..1 | Duration | UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"} | |
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0..1 | dateTime | StartDate | |
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0..1 | dateTime | EndDate | |
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1..1 | dateTime | MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14 | |
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0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) | Person or organization that provided the information about the taking of this medication | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |
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1..1 | Reference(nl-core-patient) | Who is/was taking the medication | |
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1..1 | code | UseIndicator Example Example of taken: y | |
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0..1 | string | ReasonForUse | |
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0..* | Annotation | Comment | |
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0..* | Zib InstructionsForUse | Details of how medication is/was taken or should be taken | |
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Path | Conformance | ValueSet | URI |
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.valueCodeableConcept:valueCodeableConcept | extensible | RedenWijzigenOfStoppenGebruikCodelijst | |
MedicationStatement.status | required | MedicationStatementStatushttp://hl7.org/fhir/ValueSet/medication-statement-status From the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | MedicationStatement | MedicationUse Constraints: mst-1 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AsAgreedIndicator URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator" | |
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | boolean | Value of extension Example Example of asAgreed: true | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner) | Prescriber URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) | Author URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author | |
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0..1 | Identifier | Medical Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment | |
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0..* | (Complex) | ReasonForChangeOrDiscontinuationOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse" | |
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0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | CodeableConcept | ReasonForChangeOrDiscontinuationOfUse Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible) Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]} | |
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?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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?! | 0..1 | Duration | RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule |
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Σ | 0..* | Identifier | External identifier |
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?!Σ | 1..1 | code | MedicationUseStopType Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list |
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Σ | 1..1 | CodeableConcept | Type of medication usage Binding: MedicationStatementCategory (preferred): A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered |
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
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Σ | 0..* | Coding | MedicationUseCode |
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Σ | 0..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3 |
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Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 6 |
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Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this |
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Σ | 1..1 | Reference(HCIM PharmaceuticalProduct) | ProductUsed |
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Σ | 0..1 | Period | The date/time or interval when the medication was taken Slice: Unordered, Closed by type:$this |
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Σ | 0..1 | Period | PeriodOfUse |
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Content/Rules for all slices | |||
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0..1 | (Complex) | Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration" | |
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0..1 | Duration | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | Duration | UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"} | |
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Σ | 1..1 | dateTime | MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14 |
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0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) | Person or organization that provided the information about the taking of this medication | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |
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Σ | 1..1 | Reference(nl-core-patient) | Who is/was taking the medication |
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?!Σ | 1..1 | code | UseIndicator Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication Example Example of taken: y |
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0..* | Annotation | Comment | |
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0..* | Zib InstructionsForUse | Details of how medication is/was taken or should be taken | |
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Path | Conformance | ValueSet | URI |
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept | extensible | RedenWijzigenOfStoppenGebruikCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000 From this IG | |
MedicationStatement.status | required | MedicationStatementStatushttp://hl7.org/fhir/ValueSet/medication-statement-status From the FHIR Standard | |
MedicationStatement.category | preferred | MedicationStatementCategoryhttp://hl7.org/fhir/ValueSet/medication-statement-category|3.0.2 From the FHIR Standard | |
MedicationStatement.taken | required | MedicationStatementTakenhttp://hl7.org/fhir/ValueSet/medication-statement-taken|3.0.2 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-1 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mst-1 | error | MedicationStatement | Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n') |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 0..* | MedicationStatement | MedicationUse Constraints: mst-1 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: Common Languages (extensible): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | AsAgreedIndicator URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator" | |||||
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | boolean | Value of extension Example Example of asAgreed: true | |||||
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner) | Prescriber URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber | |||||
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) | Author URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author | |||||
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0..1 | Identifier | Medical Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment | |||||
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0..* | (Complex) | ReasonForChangeOrDiscontinuationOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse" | |||||
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0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | CodeableConcept | ReasonForChangeOrDiscontinuationOfUse Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible) Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]} | |||||
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?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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?! | 0..1 | Duration | RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule | ||||
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Σ | 0..* | Identifier | External identifier | ||||
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Σ | 0..* | Reference(MedicationRequest | CarePlan | ProcedureRequest | ReferralRequest) | Fulfils plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
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Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
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?!Σ | 1..1 | code | MedicationUseStopType Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list | ||||
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Σ | 1..1 | CodeableConcept | Type of medication usage Binding: MedicationStatementCategory (preferred): A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | ||||
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Σ | 0..* | Coding | MedicationUseCode | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3 | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 6 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this | ||||
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Σ | 1..1 | Reference(HCIM PharmaceuticalProduct) | ProductUsed | ||||
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Σ | 0..1 | Period | The date/time or interval when the medication was taken Slice: Unordered, Closed by type:$this | ||||
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Σ | 0..1 | Period | PeriodOfUse | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration" | |||||
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0..1 | Duration | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Duration | UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"} | |||||
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ΣC | 0..1 | dateTime | StartDate | ||||
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ΣC | 0..1 | dateTime | EndDate | ||||
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Σ | 1..1 | dateTime | MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14 | ||||
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0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) | Person or organization that provided the information about the taking of this medication | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 1..1 | Reference(nl-core-patient) | Who is/was taking the medication | ||||
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0..* | Reference(Resource) | Additional supporting information | |||||
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?!Σ | 1..1 | code | UseIndicator Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication Example Example of taken: y | ||||
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C | 0..* | CodeableConcept | True if asserting medication was not given Binding: SNOMED CT Drugs not taken/completed Codes (example): A coded concept indicating the reason why the medication was not taken | ||||
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0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/Diagnosis Codes (example): A coded concept identifying why the medication is being taken. | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | ReasonForUse | ||||
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0..* | Reference(Condition | Observation) | Condition or observation that supports why the medication is being/was taken | |||||
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0..* | Annotation | Comment | |||||
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0..* | Zib InstructionsForUse | Details of how medication is/was taken or should be taken | |||||
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Path | Conformance | ValueSet | URI | |||
MedicationStatement.language | extensible | Common Languageshttp://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard
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MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept | extensible | RedenWijzigenOfStoppenGebruikCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000 From this IG | ||||
MedicationStatement.status | required | MedicationStatementStatushttp://hl7.org/fhir/ValueSet/medication-statement-status From the FHIR Standard | ||||
MedicationStatement.category | preferred | MedicationStatementCategoryhttp://hl7.org/fhir/ValueSet/medication-statement-category|3.0.2 From the FHIR Standard | ||||
MedicationStatement.taken | required | MedicationStatementTakenhttp://hl7.org/fhir/ValueSet/medication-statement-taken|3.0.2 From the FHIR Standard | ||||
MedicationStatement.reasonNotTaken | example | SNOMED CT Drugs not taken/completed Codeshttp://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes|3.0.2 From the FHIR Standard | ||||
MedicationStatement.reasonCode | example | Condition/Problem/Diagnosis Codeshttp://hl7.org/fhir/ValueSet/condition-code|3.0.2 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-1 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mst-1 | error | MedicationStatement | Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n') |
This structure is derived from MedicationStatement
Summary
Mandatory: 2 elements
Fixed: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationStatement
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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0..* | MedicationStatement | MedicationUse | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AsAgreedIndicator URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator | |
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Content/Rules for all slices | |||
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0..1 | boolean | Value of extension Example Example of asAgreed: true | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner) | Prescriber URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) | Author URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author | |
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0..1 | Identifier | Medical Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment | |
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0..* | (Complex) | ReasonForChangeOrDiscontinuationOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse | |
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Content/Rules for all slices | |||
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0..1 | CodeableConcept | ReasonForChangeOrDiscontinuationOfUse Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible) Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]} | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Duration | RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule | |
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0..* | Identifier | External identifier | |
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1..1 | code | MedicationUseStopType Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list | |
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1..1 | CodeableConcept | Type of medication usage | |
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0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
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0..* | Coding | MedicationUseCode | |
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0..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3 | |
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0..1 | code | Symbol in syntax defined by the system Fixed Value: 6 | |
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Content/Rules for all slices | |||
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1..1 | Reference(HCIM PharmaceuticalProduct) | ProductUsed | |
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Content/Rules for all slices | |||
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0..1 | Period | PeriodOfUse | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration | |
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Content/Rules for all slices | |||
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0..1 | Duration | UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"} | |
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0..1 | dateTime | StartDate | |
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0..1 | dateTime | EndDate | |
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1..1 | dateTime | MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14 | |
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0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) | Person or organization that provided the information about the taking of this medication | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |
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1..1 | Reference(nl-core-patient) | Who is/was taking the medication | |
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1..1 | code | UseIndicator Example Example of taken: y | |
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||||
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0..1 | string | ReasonForUse | |
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0..* | Annotation | Comment | |
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0..* | Zib InstructionsForUse | Details of how medication is/was taken or should be taken | |
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Path | Conformance | ValueSet | URI |
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.valueCodeableConcept:valueCodeableConcept | extensible | RedenWijzigenOfStoppenGebruikCodelijst | |
MedicationStatement.status | required | MedicationStatementStatushttp://hl7.org/fhir/ValueSet/medication-statement-status From the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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C | 0..* | MedicationStatement | MedicationUse Constraints: mst-1 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | AsAgreedIndicator URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator" | |
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | boolean | Value of extension Example Example of asAgreed: true | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner) | Prescriber URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber | |
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) | Author URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author | |
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0..1 | Identifier | Medical Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment | |
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0..* | (Complex) | ReasonForChangeOrDiscontinuationOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse" | |
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0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | CodeableConcept | ReasonForChangeOrDiscontinuationOfUse Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible) Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]} | |
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?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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?! | 0..1 | Duration | RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule |
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Σ | 0..* | Identifier | External identifier |
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?!Σ | 1..1 | code | MedicationUseStopType Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list |
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Σ | 1..1 | CodeableConcept | Type of medication usage Binding: MedicationStatementCategory (preferred): A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered |
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
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Σ | 0..* | Coding | MedicationUseCode |
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Σ | 0..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3 |
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Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 6 |
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Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this |
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Σ | 1..1 | Reference(HCIM PharmaceuticalProduct) | ProductUsed |
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Σ | 0..1 | Period | The date/time or interval when the medication was taken Slice: Unordered, Closed by type:$this |
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Σ | 0..1 | Period | PeriodOfUse |
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Content/Rules for all slices | |||
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0..1 | (Complex) | Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration | |
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration" | |
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0..1 | Duration | Value of extension Slice: Unordered, Closed by type:$this | |
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0..1 | Duration | UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"} | |
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Σ | 1..1 | dateTime | MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14 |
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0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) | Person or organization that provided the information about the taking of this medication | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |
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Σ | 1..1 | Reference(nl-core-patient) | Who is/was taking the medication |
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?!Σ | 1..1 | code | UseIndicator Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication Example Example of taken: y |
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0..* | Annotation | Comment | |
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0..* | Zib InstructionsForUse | Details of how medication is/was taken or should be taken | |
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Path | Conformance | ValueSet | URI |
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept | extensible | RedenWijzigenOfStoppenGebruikCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000 From this IG | |
MedicationStatement.status | required | MedicationStatementStatushttp://hl7.org/fhir/ValueSet/medication-statement-status From the FHIR Standard | |
MedicationStatement.category | preferred | MedicationStatementCategoryhttp://hl7.org/fhir/ValueSet/medication-statement-category|3.0.2 From the FHIR Standard | |
MedicationStatement.taken | required | MedicationStatementTakenhttp://hl7.org/fhir/ValueSet/medication-statement-taken|3.0.2 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-1 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mst-1 | error | MedicationStatement | Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n') |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | MedicationStatement | MedicationUse Constraints: mst-1 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: Common Languages (extensible): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | AsAgreedIndicator URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator" | |||||
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0..1 | boolean | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | boolean | Value of extension Example Example of asAgreed: true | |||||
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner) | Prescriber URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber | |||||
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0..1 | Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) | Author URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author | |||||
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0..1 | Identifier | Medical Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment | |||||
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0..* | (Complex) | ReasonForChangeOrDiscontinuationOfUse URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse" | |||||
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0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | CodeableConcept | ReasonForChangeOrDiscontinuationOfUse Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible) Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]} | |||||
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?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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?! | 0..1 | Duration | RepeatPeriodCyclicalSchedule URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule | ||||
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Σ | 0..* | Identifier | External identifier | ||||
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Σ | 0..* | Reference(MedicationRequest | CarePlan | ProcedureRequest | ReferralRequest) | Fulfils plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||
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Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||
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?!Σ | 1..1 | code | MedicationUseStopType Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list | ||||
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Σ | 1..1 | CodeableConcept | Type of medication usage Binding: MedicationStatementCategory (preferred): A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | ||||
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Σ | 0..* | Coding | MedicationUseCode | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3 | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 6 | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference() | What medication was taken Slice: Unordered, Closed by type:$this | ||||
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Σ | 1..1 | Reference(HCIM PharmaceuticalProduct) | ProductUsed | ||||
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Σ | 0..1 | Period | The date/time or interval when the medication was taken Slice: Unordered, Closed by type:$this | ||||
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Σ | 0..1 | Period | PeriodOfUse | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | Duration URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration" | |||||
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0..1 | Duration | Value of extension Slice: Unordered, Closed by type:$this | |||||
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0..1 | Duration | UsageDuration Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"} | |||||
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ΣC | 0..1 | dateTime | StartDate | ||||
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ΣC | 0..1 | dateTime | EndDate | ||||
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Σ | 1..1 | dateTime | MedicationUseDateTime Example Example of MedicationUseDateTime: 2017-06-14 | ||||
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0..1 | Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson | nl-core-organization) | Person or organization that provided the information about the taking of this medication | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 1..1 | Reference(nl-core-patient) | Who is/was taking the medication | ||||
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0..* | Reference(Resource) | Additional supporting information | |||||
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?!Σ | 1..1 | code | UseIndicator Binding: MedicationStatementTaken (required): A coded concept identifying level of certainty if patient has taken or has not taken the medication Example Example of taken: y | ||||
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C | 0..* | CodeableConcept | True if asserting medication was not given Binding: SNOMED CT Drugs not taken/completed Codes (example): A coded concept indicating the reason why the medication was not taken | ||||
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0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/Diagnosis Codes (example): A coded concept identifying why the medication is being taken. | |||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | ReasonForUse | ||||
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0..* | Reference(Condition | Observation) | Condition or observation that supports why the medication is being/was taken | |||||
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0..* | Annotation | Comment | |||||
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0..* | Zib InstructionsForUse | Details of how medication is/was taken or should be taken | |||||
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Path | Conformance | ValueSet | URI | |||
MedicationStatement.language | extensible | Common Languageshttp://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard
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MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept | extensible | RedenWijzigenOfStoppenGebruikCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000 From this IG | ||||
MedicationStatement.status | required | MedicationStatementStatushttp://hl7.org/fhir/ValueSet/medication-statement-status From the FHIR Standard | ||||
MedicationStatement.category | preferred | MedicationStatementCategoryhttp://hl7.org/fhir/ValueSet/medication-statement-category|3.0.2 From the FHIR Standard | ||||
MedicationStatement.taken | required | MedicationStatementTakenhttp://hl7.org/fhir/ValueSet/medication-statement-taken|3.0.2 From the FHIR Standard | ||||
MedicationStatement.reasonNotTaken | example | SNOMED CT Drugs not taken/completed Codeshttp://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes|3.0.2 From the FHIR Standard | ||||
MedicationStatement.reasonCode | example | Condition/Problem/Diagnosis Codeshttp://hl7.org/fhir/ValueSet/condition-code|3.0.2 From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-1 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mst-1 | error | MedicationStatement | Reason not taken is only permitted if Taken is No : reasonNotTaken.exists().not() or (taken = 'n') |
This structure is derived from MedicationStatement
Summary
Mandatory: 2 elements
Fixed: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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