RIVO-Noord Zorgviewer Implementation Guide
1.8.0 - CI build Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.8.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationUse

Official URL: http://hl7.nl/fhir/zorgviewer/StructureDefinition/MedicationStatement Version: 1.8.0
Active as of 2024-11-19 Computable Name: MedicationUse

Medicatie Gebruik

Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Medicatie Gebruik

View Definition

Request

  1. Opvragen (search) definities

    GET <ontsluiten-bronsysteem-base>/MedicationStatement?category=urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3|6&_include=MedicationStatement:medication&patient=<fhir_patient_id>

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

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 Zib MedicationUse

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* Zib MedicationUse MedicationUse
... category
.... text S 0..1 string Plain text representation of the concept
... medicationReference
.... display S 0..1 string Text alternative for the resource
... dateAsserted S 1..1 dateTime MedicationUseDateTime
.... text S 0..1 string Description
.... route
..... text S 0..1 string Plain text representation of the concept

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* Zib MedicationUse MedicationUse
mst-1: Reason not taken is only permitted if Taken is No
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean Value of extension
Example Example of asAgreed: true
.... prescriber 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner) Prescriber
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
.... author 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) Author
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
.... medicationTreatment 0..1 Identifier Medical Treatment
URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
.... reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible)
Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Zib Medication RepeatPeriodCyclicalSchedule RepeatPeriodCyclicalSchedule
... category 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

.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:medicationUseCode Σ 0..* Coding MedicationUseCode
.... text SΣ 0..1 string Plain text representation of the concept
... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
..... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
..... Slices for extension Content/Rules for all slices
...... Duration 0..1 (Complex) Duration
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
....... Slices for value[x] 0..1 Duration Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueDuration 0..1 Duration UsageDuration
Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
Example Example of MedicationUseDateTime: 2017-06-14
... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
... taken ?!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
... dosage 0..* Zib InstructionsForUse InstructionsForUse
.... text SΣ 0..1 string Description
.... Slices for asNeeded[x] Σ 0..1 CodeableConcept Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeeded[x]:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst

.... route Σ 0..1 CodeableConcept RouteOfAdministration
Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst


Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
..... text SΣ 0..1 string Plain text representation of the concept
.... Slices for dose[x] Σ 0..1 Dose
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
Binding: G-Standaard Eenhedentabel (required): GstdTabel902


qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConceptextensibleRedenWijzigenOfStoppenGebruikCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.statusrequiredMedicationStatementStatus
http://hl7.org/fhir/ValueSet/medication-statement-status
from the FHIR Standard
MedicationStatement.categorypreferredMedicationStatementCategory
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.takenrequiredMedicationStatementTaken
http://hl7.org/fhir/ValueSet/medication-statement-taken
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMED CT Medication As Needed Reason Codes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConceptextensibleZonodigCriteriumCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.routeextensibleMedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationStatement.dosage.dose[x]:doseQuantityrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
: reasonNotTaken.exists().not() or (taken = 'n')
qty-3errorMedicationStatement.dosage.dose[x]:doseQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationStatement.dosage.dose[x]:doseQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* Zib MedicationUse MedicationUse
mst-1: Reason not taken is only permitted if Taken is No
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean Value of extension
Example Example of asAgreed: true
.... prescriber 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner) Prescriber
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
.... author 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) Author
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
.... medicationTreatment 0..1 Identifier Medical Treatment
URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
.... reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible)
Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Zib Medication RepeatPeriodCyclicalSchedule RepeatPeriodCyclicalSchedule
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ProcedureRequest | ReferralRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... status ?!Σ 1..1 code MedicationUseStopType
Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list

... category 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

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:medicationUseCode Σ 0..* Coding MedicationUseCode
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 6
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... Duration 0..1 (Complex) Duration
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
....... Slices for value[x] 0..1 Duration Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueDuration 0..1 Duration UsageDuration
Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
..... start ΣC 0..1 dateTime StartDate
..... end ΣC 0..1 dateTime EndDate
... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
Example Example of MedicationUseDateTime: 2017-06-14
... informationSource 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
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... taken ?!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
... reasonNotTaken 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


... reasonCode 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.


.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string ReasonForUse
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Comment
... dosage 0..* Zib InstructionsForUse InstructionsForUse
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... sequence Σ 0..1 integer SequenceNumber
.... text SΣ 0..1 string Description
.... additionalInstruction Σ 0..* CodeableConcept AdditionalInstructions
Binding: Aanvullende gebruiksinstructie (extensible)
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing 0..1 Zib AdministrationSchedule AdministeringSchedule
.... Slices for asNeeded[x] Σ 0..1 CodeableConcept Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeeded[x]:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst

.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept RouteOfAdministration
Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst


Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.

.... Slices for dose[x] Σ 0..1 Dose
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
Binding: G-Standaard Eenhedentabel (required): GstdTabel902


qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... low ΣC 0..1 SimpleQuantity Low limit
Binding: G-Standaard Eenhedentabel (required): GstdTabel902

...... high ΣC 0..1 SimpleQuantity High limit
Binding: G-Standaard Eenhedentabel (required): GstdTabel902

.... maxDosePerPeriod Σ 0..1 Ratio MaximumDose
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... numerator Σ 0..1 Quantity Numerator value
Binding: G-Standaard Eenhedentabel (required): GstdTabel902

..... denominator Σ 0..1 Quantity Denominator value
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
.... rate[x] Σ 0..1 AdministeringSpeed
..... rateRatio Ratio
..... rateRange Range
..... rateQuantity Quantity(SimpleQuantity)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languageextensibleCommon Languages
Additional Bindings Purpose
All Languages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConceptextensibleRedenWijzigenOfStoppenGebruikCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.statusrequiredMedicationStatementStatus
http://hl7.org/fhir/ValueSet/medication-statement-status
from the FHIR Standard
MedicationStatement.categorypreferredMedicationStatementCategory
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.takenrequiredMedicationStatementTaken
http://hl7.org/fhir/ValueSet/medication-statement-taken
from the FHIR Standard
MedicationStatement.reasonNotTakenexampleSNOMED CT Drugs not taken/completed Codes
http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/Diagnosis Codes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionextensibleAanvullendeGebruiksinstructie
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000
MedicationStatement.dosage.asNeeded[x]exampleSNOMED CT Medication As Needed Reason Codes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConceptextensibleZonodigCriteriumCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.siteexampleSNOMED CT Anatomical Structure for Administration Site Codes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeextensibleMedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationStatement.dosage.methodexampleSNOMED CT Administration Method Codes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.dose[x]:doseQuantityrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationStatement.dosage.dose[x]:doseRange.lowrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationStatement.dosage.dose[x]:doseRange.highrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationStatement.dosage.maxDosePerPeriod.numeratorrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
: reasonNotTaken.exists().not() or (taken = 'n')
qty-3errorMedicationStatement.dosage.dose[x]:doseQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationStatement.dosage.dose[x]:doseQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()

This structure is derived from Zib MedicationUse

Summary

Must-Support: 5 elements

Differential View

This structure is derived from Zib MedicationUse

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* Zib MedicationUse MedicationUse
... category
.... text S 0..1 string Plain text representation of the concept
... medicationReference
.... display S 0..1 string Text alternative for the resource
... dateAsserted S 1..1 dateTime MedicationUseDateTime
.... text S 0..1 string Description
.... route
..... text S 0..1 string Plain text representation of the concept

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* Zib MedicationUse MedicationUse
mst-1: Reason not taken is only permitted if Taken is No
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean Value of extension
Example Example of asAgreed: true
.... prescriber 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner) Prescriber
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
.... author 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) Author
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
.... medicationTreatment 0..1 Identifier Medical Treatment
URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
.... reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible)
Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Zib Medication RepeatPeriodCyclicalSchedule RepeatPeriodCyclicalSchedule
... category 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

.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:medicationUseCode Σ 0..* Coding MedicationUseCode
.... text SΣ 0..1 string Plain text representation of the concept
... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
..... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
..... Slices for extension Content/Rules for all slices
...... Duration 0..1 (Complex) Duration
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
....... Slices for value[x] 0..1 Duration Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueDuration 0..1 Duration UsageDuration
Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
Example Example of MedicationUseDateTime: 2017-06-14
... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
... taken ?!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
... dosage 0..* Zib InstructionsForUse InstructionsForUse
.... text SΣ 0..1 string Description
.... Slices for asNeeded[x] Σ 0..1 CodeableConcept Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeeded[x]:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst

.... route Σ 0..1 CodeableConcept RouteOfAdministration
Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst


Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
..... text SΣ 0..1 string Plain text representation of the concept
.... Slices for dose[x] Σ 0..1 Dose
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
Binding: G-Standaard Eenhedentabel (required): GstdTabel902


qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConceptextensibleRedenWijzigenOfStoppenGebruikCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.statusrequiredMedicationStatementStatus
http://hl7.org/fhir/ValueSet/medication-statement-status
from the FHIR Standard
MedicationStatement.categorypreferredMedicationStatementCategory
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.takenrequiredMedicationStatementTaken
http://hl7.org/fhir/ValueSet/medication-statement-taken
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMED CT Medication As Needed Reason Codes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConceptextensibleZonodigCriteriumCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.routeextensibleMedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationStatement.dosage.dose[x]:doseQuantityrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
: reasonNotTaken.exists().not() or (taken = 'n')
qty-3errorMedicationStatement.dosage.dose[x]:doseQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationStatement.dosage.dose[x]:doseQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement C 0..* Zib MedicationUse MedicationUse
mst-1: Reason not taken is only permitted if Taken is No
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... asAgreedIndicator 0..1 (Complex) AsAgreedIndicator
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator"
..... Slices for value[x] 0..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean 0..1 boolean Value of extension
Example Example of asAgreed: true
.... prescriber 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner) Prescriber
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber
.... author 0..1 Reference(nl-core-practitionerrole | nl-core-practitioner | nl-core-organization | nl-core-patient) Author
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author
.... medicationTreatment 0..1 Identifier Medical Treatment
URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
.... reasonForChangeOrDiscontinuationOfUse 0..* (Complex) ReasonForChangeOrDiscontinuationOfUse
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse"
..... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept ReasonForChangeOrDiscontinuationOfUse
Binding: RedenWijzigenOfStoppenGebruikCodelijst (extensible)
Example Example of ReasonForChangeOrDiscontinuationOfUse: {"coding":[{"system":"http://snomed.info/sct","code":"79899007","display":"Drug interaction (finding)"}]}
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:repeatPeriodCyclicalSchedule ?! 0..1 Zib Medication RepeatPeriodCyclicalSchedule RepeatPeriodCyclicalSchedule
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ProcedureRequest | ReferralRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... status ?!Σ 1..1 code MedicationUseStopType
Binding: MedicationStatementStatus (required): Allergy Intolerance critically Code list

... category 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

.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:medicationUseCode Σ 0..* Coding MedicationUseCode
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... system 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
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 6
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... Slices for medication[x] Σ 1..1 Reference() What medication was taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 1..1 Reference(HCIM PharmaceuticalProduct) ProductUsed
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display SΣ 0..1 string Text alternative for the resource
... Slices for effective[x] Σ 0..1 Period The date/time or interval when the medication was taken
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period PeriodOfUse
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... Duration 0..1 (Complex) Duration
URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration
....... id 0..1 string xml:id (or equivalent in JSON)
....... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"
....... Slices for value[x] 0..1 Duration Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueDuration 0..1 Duration UsageDuration
Example Example of Duration: {"value":3,"unit":"day","system":"http://unitsofmeasure.org","code":"d"}
..... start ΣC 0..1 dateTime StartDate
..... end ΣC 0..1 dateTime EndDate
... dateAsserted SΣ 1..1 dateTime MedicationUseDateTime
Example Example of MedicationUseDateTime: 2017-06-14
... informationSource 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
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... subject Σ 1..1 Reference(nl-core-patient) Who is/was taking the medication
... derivedFrom 0..* Reference(Resource) Additional supporting information
... taken ?!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
... reasonNotTaken 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


... reasonCode 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.


.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string ReasonForUse
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the medication is being/was taken
... note 0..* Annotation Comment
... dosage 0..* Zib InstructionsForUse InstructionsForUse
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
.... sequence Σ 0..1 integer SequenceNumber
.... text SΣ 0..1 string Description
.... additionalInstruction Σ 0..* CodeableConcept AdditionalInstructions
Binding: Aanvullende gebruiksinstructie (extensible)
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing 0..1 Zib AdministrationSchedule AdministeringSchedule
.... Slices for asNeeded[x] Σ 0..1 CodeableConcept Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeeded[x]:asNeededCodeableConcept Σ 0..1 CodeableConcept AsNeeded
Binding: ZonodigCriteriumCodelijst (extensible): ZonodigCriteriumCodelijst

.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept RouteOfAdministration
Binding: MedicatieToedieningswegCodelijst (extensible): ToedieningswegCodelijst


Example Example of RouteOfAdministration: {"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.4.9","code":"oraal","display":"Oraal"}]}
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.

.... Slices for dose[x] Σ 0..1 Dose
Slice: Unordered, Closed by type:$this
..... doseRange Range
..... doseQuantity Quantity(SimpleQuantity)
..... dose[x]:doseQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
Binding: G-Standaard Eenhedentabel (required): GstdTabel902


qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
...... id 0..1 string xml:id (or equivalent in JSON)
...... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
...... low ΣC 0..1 SimpleQuantity Low limit
Binding: G-Standaard Eenhedentabel (required): GstdTabel902

...... high ΣC 0..1 SimpleQuantity High limit
Binding: G-Standaard Eenhedentabel (required): GstdTabel902

.... maxDosePerPeriod Σ 0..1 Ratio MaximumDose
..... id 0..1 string xml:id (or equivalent in JSON)
..... extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
..... numerator Σ 0..1 Quantity Numerator value
Binding: G-Standaard Eenhedentabel (required): GstdTabel902

..... denominator Σ 0..1 Quantity Denominator value
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
.... rate[x] Σ 0..1 AdministeringSpeed
..... rateRatio Ratio
..... rateRange Range
..... rateQuantity Quantity(SimpleQuantity)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationStatement.languageextensibleCommon Languages
Additional Bindings Purpose
All Languages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConceptextensibleRedenWijzigenOfStoppenGebruikCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000
MedicationStatement.statusrequiredMedicationStatementStatus
http://hl7.org/fhir/ValueSet/medication-statement-status
from the FHIR Standard
MedicationStatement.categorypreferredMedicationStatementCategory
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.takenrequiredMedicationStatementTaken
http://hl7.org/fhir/ValueSet/medication-statement-taken
from the FHIR Standard
MedicationStatement.reasonNotTakenexampleSNOMED CT Drugs not taken/completed Codes
http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/Diagnosis Codes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionextensibleAanvullendeGebruiksinstructie
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000
MedicationStatement.dosage.asNeeded[x]exampleSNOMED CT Medication As Needed Reason Codes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConceptextensibleZonodigCriteriumCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000
MedicationStatement.dosage.siteexampleSNOMED CT Anatomical Structure for Administration Site Codes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeextensibleMedicatieToedieningswegCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.9)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000
MedicationStatement.dosage.methodexampleSNOMED CT Administration Method Codes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.dose[x]:doseQuantityrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationStatement.dosage.dose[x]:doseRange.lowrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationStatement.dosage.dose[x]:doseRange.highrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453
MedicationStatement.dosage.maxDosePerPeriod.numeratorrequiredGstdTabel902 (a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2)
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mst-1errorMedicationStatementReason not taken is only permitted if Taken is No
: reasonNotTaken.exists().not() or (taken = 'n')
qty-3errorMedicationStatement.dosage.dose[x]:doseQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationStatement.dosage.dose[x]:doseQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()

This structure is derived from Zib MedicationUse

Summary

Must-Support: 5 elements

 

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