HL7 FHIR Implementation Guide - New Zealand Formulary/NZULM IG
1.0.0 - ci-build

HL7 FHIR Implementation Guide - New Zealand Formulary/NZULM IG, published by New Zealand Medicines Formulary LP. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7NZ/nzf/ and changes regularly. See the Directory of published versions

Resource Profile: Interaction Clincial Use Definition resource for NZ Formulary

Official URL: http://hl7.org.nz/fhir/StructureDefinition/nzf-interaction-clinical-use-definition Version: 1.0.0
Active as of 2024-02-20 Realm: New Zealand flag Computable Name: NzfInteractionClinicalUseDefinition

Interaction Clincial Use Definition resource for NZ Formulary

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ClinicalUseDefinition

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalUseDefinition 0..*ClinicalUseDefinitionA single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
... category 0..0
... subject 1..1Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance)The medication or procedure for which this is an indication
.... extension 1..*ExtensionExtension
.... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
... contraindication 0..0
... interaction 1..1BackboneElementSpecifics for when this is an interaction
.... Slices for extension 5..*ExtensionExtension
Slice: Unordered, Open by value:url
.... severity 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-severity-code
.... warning 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-warning-code
.... modificationDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-modification-date
.... reviewDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-review-date
.... textLink 1..1stringOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-text-link
.... interactant 1..1BackboneElementThe specific medication, food, substance or laboratory test that interacts
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
.... type 0..0
... undesirableEffect 0..0
... warning 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalUseDefinition C0..*ClinicalUseDefinitionA single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... type Σ1..1codeindication | contraindication | interaction | undesirable-effect | warning
Binding: ClinicalUseDefinitionType (required): Overall defining type of this clinical use definition.

.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
... interaction Σ1..1BackboneElementSpecifics for when this is an interaction
.... Slices for extension 5..*ExtensionExtension
Slice: Unordered, Open by value:url
.... severity 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-severity-code
.... warning 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-warning-code
.... modificationDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-modification-date
.... reviewDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-review-date
.... textLink 1..1stringOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-text-link
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... interactant Σ1..1BackboneElementThe specific medication, food, substance or laboratory test that interacts
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... item[x] Σ1..1The specific medication, food or laboratory test that interacts
Binding: Interactant (example): An interactant - a substance that may have an clinically significant effect on another.

...... itemReferenceReference(MedicinalProductDefinition | Medication | Substance | ObservationDefinition)
...... itemCodeableConceptCodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalUseDefinition.typerequiredClinicalUseDefinitionType
http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0
from the FHIR Standard
ClinicalUseDefinition.interaction.interactant.item[x]exampleInteractant
http://hl7.org/fhir/ValueSet/interactant
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cud-1errorClinicalUseDefinitionIndication, Contraindication, Interaction, UndesirableEffect and Warning cannot be used in the same instance
: (ClinicalUseDefinition.indication.count() + ClinicalUseDefinition.contraindication.count() + ClinicalUseDefinition.interaction.count() + ClinicalUseDefinition.undesirableEffect.count() + ClinicalUseDefinition.warning.count()) < 2
dom-2errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalUseDefinitionIf 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()
dom-5errorClinicalUseDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalUseDefinitionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalUseDefinition C0..*ClinicalUseDefinitionA single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier for this issue
... type Σ1..1codeindication | contraindication | interaction | undesirable-effect | warning
Binding: ClinicalUseDefinitionType (required): Overall defining type of this clinical use definition.

... subject Σ1..1Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance)The medication or procedure for which this is an indication
.... id 0..1idUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... status Σ0..1CodeableConceptWhether this is a current issue or one that has been retired etc
Binding: PublicationStatus (preferred): The lifecycle status of an artifact.

... interaction Σ1..1BackboneElementSpecifics for when this is an interaction
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 5..*ExtensionExtension
Slice: Unordered, Open by value:url
.... severity 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-severity-code
.... warning 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-warning-code
.... modificationDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-modification-date
.... reviewDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-review-date
.... textLink 1..1stringOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-text-link
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... interactant Σ1..1BackboneElementThe specific medication, food, substance or laboratory test that interacts
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... item[x] Σ1..1The specific medication, food or laboratory test that interacts
Binding: Interactant (example): An interactant - a substance that may have an clinically significant effect on another.

...... itemReferenceReference(MedicinalProductDefinition | Medication | Substance | ObservationDefinition)
...... itemCodeableConceptCodeableConcept
.... effect Σ0..1CodeableReference(ObservationDefinition)The effect of the interaction, for example "reduced gastric absorption of primary medication"
Binding: InteractionEffect (example): A interaction effect of clinical use of a medication or other substance.

.... incidence Σ0..1CodeableConceptThe incidence of the interaction, e.g. theoretical, observed
Binding: InteractionIncidence (example): A categorisation for incidence of occurence of an interaction.

.... management Σ0..*CodeableConceptActions for managing the interaction
Binding: InteractionManagement (example): A type of management for an interaction of a medication or other substance.


... population Σ0..*Reference(Group)The population group to which this applies

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalUseDefinition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ClinicalUseDefinition.typerequiredClinicalUseDefinitionType
http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0
from the FHIR Standard
ClinicalUseDefinition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ClinicalUseDefinition.statuspreferredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status
ClinicalUseDefinition.contraindication.diseaseSymptomProcedureexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.contraindication.diseaseStatusexampleDiseaseStatus
http://hl7.org/fhir/ValueSet/disease-status
from the FHIR Standard
ClinicalUseDefinition.contraindication.comorbidityexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.contraindication.otherTherapy.relationshipTypepreferredTherapyRelationshipType
http://hl7.org/fhir/ValueSet/therapy-relationship-type
from the FHIR Standard
ClinicalUseDefinition.contraindication.otherTherapy.therapyexampleTherapy
http://hl7.org/fhir/ValueSet/therapy
from the FHIR Standard
ClinicalUseDefinition.indication.diseaseSymptomProcedureexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.indication.diseaseStatusexampleDiseaseStatus
http://hl7.org/fhir/ValueSet/disease-status
from the FHIR Standard
ClinicalUseDefinition.indication.comorbidityexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.indication.intendedEffectpreferredProductIntendedUse
http://hl7.org/fhir/ValueSet/product-intended-use
from the FHIR Standard
ClinicalUseDefinition.interaction.interactant.item[x]exampleInteractant
http://hl7.org/fhir/ValueSet/interactant
from the FHIR Standard
ClinicalUseDefinition.interaction.effectexampleInteractionEffect
http://hl7.org/fhir/ValueSet/interaction-effect
from the FHIR Standard
ClinicalUseDefinition.interaction.incidenceexampleInteractionIncidence
http://hl7.org/fhir/ValueSet/interaction-incidence
from the FHIR Standard
ClinicalUseDefinition.interaction.managementexampleInteractionManagement
http://hl7.org/fhir/ValueSet/interaction-management
from the FHIR Standard
ClinicalUseDefinition.undesirableEffect.symptomConditionEffectexampleUndesirableEffectSymptom
http://hl7.org/fhir/ValueSet/undesirable-effect-symptom
from the FHIR Standard
ClinicalUseDefinition.undesirableEffect.classificationexampleUndesirableEffectClassification
http://hl7.org/fhir/ValueSet/undesirable-effect-classification
from the FHIR Standard
ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrenceexampleUndesirablEffectFrequency
http://hl7.org/fhir/ValueSet/undesirable-effect-frequency
from the FHIR Standard
ClinicalUseDefinition.warning.codeexampleWarningType
http://hl7.org/fhir/ValueSet/warning-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cud-1errorClinicalUseDefinitionIndication, Contraindication, Interaction, UndesirableEffect and Warning cannot be used in the same instance
: (ClinicalUseDefinition.indication.count() + ClinicalUseDefinition.contraindication.count() + ClinicalUseDefinition.interaction.count() + ClinicalUseDefinition.undesirableEffect.count() + ClinicalUseDefinition.warning.count()) < 2
dom-2errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalUseDefinitionIf 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()
dom-5errorClinicalUseDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalUseDefinitionA resource should have narrative for robust management
: text.`div`.exists()
dom-r4bwarningClinicalUseDefinition.containedContaining new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
: ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ClinicalUseDefinition

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalUseDefinition 0..*ClinicalUseDefinitionA single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
... category 0..0
... subject 1..1Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance)The medication or procedure for which this is an indication
.... extension 1..*ExtensionExtension
.... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
... contraindication 0..0
... interaction 1..1BackboneElementSpecifics for when this is an interaction
.... Slices for extension 5..*ExtensionExtension
Slice: Unordered, Open by value:url
.... severity 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-severity-code
.... warning 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-warning-code
.... modificationDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-modification-date
.... reviewDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-review-date
.... textLink 1..1stringOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-text-link
.... interactant 1..1BackboneElementThe specific medication, food, substance or laboratory test that interacts
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
.... type 0..0
... undesirableEffect 0..0
... warning 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalUseDefinition C0..*ClinicalUseDefinitionA single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... type Σ1..1codeindication | contraindication | interaction | undesirable-effect | warning
Binding: ClinicalUseDefinitionType (required): Overall defining type of this clinical use definition.

.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
... interaction Σ1..1BackboneElementSpecifics for when this is an interaction
.... Slices for extension 5..*ExtensionExtension
Slice: Unordered, Open by value:url
.... severity 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-severity-code
.... warning 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-warning-code
.... modificationDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-modification-date
.... reviewDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-review-date
.... textLink 1..1stringOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-text-link
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... interactant Σ1..1BackboneElementThe specific medication, food, substance or laboratory test that interacts
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... item[x] Σ1..1The specific medication, food or laboratory test that interacts
Binding: Interactant (example): An interactant - a substance that may have an clinically significant effect on another.

...... itemReferenceReference(MedicinalProductDefinition | Medication | Substance | ObservationDefinition)
...... itemCodeableConceptCodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalUseDefinition.typerequiredClinicalUseDefinitionType
http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0
from the FHIR Standard
ClinicalUseDefinition.interaction.interactant.item[x]exampleInteractant
http://hl7.org/fhir/ValueSet/interactant
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cud-1errorClinicalUseDefinitionIndication, Contraindication, Interaction, UndesirableEffect and Warning cannot be used in the same instance
: (ClinicalUseDefinition.indication.count() + ClinicalUseDefinition.contraindication.count() + ClinicalUseDefinition.interaction.count() + ClinicalUseDefinition.undesirableEffect.count() + ClinicalUseDefinition.warning.count()) < 2
dom-2errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalUseDefinitionIf 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()
dom-5errorClinicalUseDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalUseDefinitionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalUseDefinition C0..*ClinicalUseDefinitionA single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier for this issue
... type Σ1..1codeindication | contraindication | interaction | undesirable-effect | warning
Binding: ClinicalUseDefinitionType (required): Overall defining type of this clinical use definition.

... subject Σ1..1Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance)The medication or procedure for which this is an indication
.... id 0..1idUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
.... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... status Σ0..1CodeableConceptWhether this is a current issue or one that has been retired etc
Binding: PublicationStatus (preferred): The lifecycle status of an artifact.

... interaction Σ1..1BackboneElementSpecifics for when this is an interaction
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 5..*ExtensionExtension
Slice: Unordered, Open by value:url
.... severity 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-severity-code
.... warning 1..1CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-warning-code
.... modificationDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-modification-date
.... reviewDate 1..1dateOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-review-date
.... textLink 1..1stringOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-text-link
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... interactant Σ1..1BackboneElementThe specific medication, food, substance or laboratory test that interacts
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
..... route 1..*CodeableConceptOptional Extensions Element
URL: http://hl7.org.nz/fhir/StructureDefinition/stockleys-interaction-route
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... item[x] Σ1..1The specific medication, food or laboratory test that interacts
Binding: Interactant (example): An interactant - a substance that may have an clinically significant effect on another.

...... itemReferenceReference(MedicinalProductDefinition | Medication | Substance | ObservationDefinition)
...... itemCodeableConceptCodeableConcept
.... effect Σ0..1CodeableReference(ObservationDefinition)The effect of the interaction, for example "reduced gastric absorption of primary medication"
Binding: InteractionEffect (example): A interaction effect of clinical use of a medication or other substance.

.... incidence Σ0..1CodeableConceptThe incidence of the interaction, e.g. theoretical, observed
Binding: InteractionIncidence (example): A categorisation for incidence of occurence of an interaction.

.... management Σ0..*CodeableConceptActions for managing the interaction
Binding: InteractionManagement (example): A type of management for an interaction of a medication or other substance.


... population Σ0..*Reference(Group)The population group to which this applies

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ClinicalUseDefinition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ClinicalUseDefinition.typerequiredClinicalUseDefinitionType
http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0
from the FHIR Standard
ClinicalUseDefinition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ClinicalUseDefinition.statuspreferredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status
ClinicalUseDefinition.contraindication.diseaseSymptomProcedureexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.contraindication.diseaseStatusexampleDiseaseStatus
http://hl7.org/fhir/ValueSet/disease-status
from the FHIR Standard
ClinicalUseDefinition.contraindication.comorbidityexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.contraindication.otherTherapy.relationshipTypepreferredTherapyRelationshipType
http://hl7.org/fhir/ValueSet/therapy-relationship-type
from the FHIR Standard
ClinicalUseDefinition.contraindication.otherTherapy.therapyexampleTherapy
http://hl7.org/fhir/ValueSet/therapy
from the FHIR Standard
ClinicalUseDefinition.indication.diseaseSymptomProcedureexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.indication.diseaseStatusexampleDiseaseStatus
http://hl7.org/fhir/ValueSet/disease-status
from the FHIR Standard
ClinicalUseDefinition.indication.comorbidityexampleDiseaseSymptomProcedure
http://hl7.org/fhir/ValueSet/disease-symptom-procedure
from the FHIR Standard
ClinicalUseDefinition.indication.intendedEffectpreferredProductIntendedUse
http://hl7.org/fhir/ValueSet/product-intended-use
from the FHIR Standard
ClinicalUseDefinition.interaction.interactant.item[x]exampleInteractant
http://hl7.org/fhir/ValueSet/interactant
from the FHIR Standard
ClinicalUseDefinition.interaction.effectexampleInteractionEffect
http://hl7.org/fhir/ValueSet/interaction-effect
from the FHIR Standard
ClinicalUseDefinition.interaction.incidenceexampleInteractionIncidence
http://hl7.org/fhir/ValueSet/interaction-incidence
from the FHIR Standard
ClinicalUseDefinition.interaction.managementexampleInteractionManagement
http://hl7.org/fhir/ValueSet/interaction-management
from the FHIR Standard
ClinicalUseDefinition.undesirableEffect.symptomConditionEffectexampleUndesirableEffectSymptom
http://hl7.org/fhir/ValueSet/undesirable-effect-symptom
from the FHIR Standard
ClinicalUseDefinition.undesirableEffect.classificationexampleUndesirableEffectClassification
http://hl7.org/fhir/ValueSet/undesirable-effect-classification
from the FHIR Standard
ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrenceexampleUndesirablEffectFrequency
http://hl7.org/fhir/ValueSet/undesirable-effect-frequency
from the FHIR Standard
ClinicalUseDefinition.warning.codeexampleWarningType
http://hl7.org/fhir/ValueSet/warning-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cud-1errorClinicalUseDefinitionIndication, Contraindication, Interaction, UndesirableEffect and Warning cannot be used in the same instance
: (ClinicalUseDefinition.indication.count() + ClinicalUseDefinition.contraindication.count() + ClinicalUseDefinition.interaction.count() + ClinicalUseDefinition.undesirableEffect.count() + ClinicalUseDefinition.warning.count()) < 2
dom-2errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorClinicalUseDefinitionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorClinicalUseDefinitionIf 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()
dom-5errorClinicalUseDefinitionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceClinicalUseDefinitionA resource should have narrative for robust management
: text.`div`.exists()
dom-r4bwarningClinicalUseDefinition.containedContaining new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
: ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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